[Meningeal febrile syndrome and hemiplegia revealing infectious endocarditis: the story of a catheter-related infection].

Introduction: We report the case of a 48-years patient who is under chimotherapy because of a breast cancer. She was initially found at her place in coma with hyperthermia and neurological deficiency signs. The clinic history and the paraclinical investigations have enabled to detect a catheter-related infection (CRI) as soon as the diagnosis of disseminated infectious endocarditis was made. The resonance imaging confirmed the cerebral blow when it found suspicious images of septic embolus.

Exegesis: The CRI are usually detected at an early stage and if the classical association CRI-infectious endocarditis-systemical embolus is well known, the discovery on a CRI not treated at the stade of a febril coma is exceptional.

Conclusion: More than ever the taking care of infectious endocarditis, still delicate and sometimes perilous, requires a global taking care of the patient.