Rationale: We reported a rare case of recurrent cerebral infarction, intracerebral hemorrhage, and purulent meningitis, culminating in the diagnosis of a young patient with infective endocarditis who had been treated in 3 hospitals for a long course of illness for 8 months prior to diagnosis. It aims to enhance clinicians' understanding of the neurological complications caused by infective endocarditis.
Patient Concerns: A 25-year-old male, student, was hospitalized for an 8-hour history of speech impairment and drooling with dysphagia.