Abstract
Ischemic stroke is commonly caused by emboli of cardiac or atherosclerotic origin. In young adults, embolic cardiopathies, especially infective endocarditis, are a significant though rare cause. Infective endocarditis represents a contraindication to thrombolysis and therapeutic anticoagulation due to the high risk of hemorrhagic transformation. We report the case of a 26-year-old man who presented an ischemic stroke in the right middle cerebral artery territory due to an infective endocarditis.