Staphylococcus aureus Infective Endocarditis Complicated by Embolic Stroke and Discitis in a Hypertensive Patient.

Infective endocarditis (IE) remains a severe and potentially fatal condition characterized by high morbidity and mortality. We report a case of a 65-year-old hypertensive male patient who presented with fever, nausea, vomiting, and epigastric pain. Subsequently, he developed an altered mental status. Imaging revealed multiple embolic infarctions. Further investigations confirmed methicillin-sensitive Staphylococcus aureus (MSSA) bacteremia with large aortic valve vegetation and a periaortic abscess. Additionally, lumbar spine MRI showed signs suggestive of discitis with neural compression. This case highlights the importance of early recognition of systemic embolization and spinal involvement in IE.