Roth’s spots White-centered retinal hemorrhages that are considered pathognomonic for subacute bacterial endocarditis

Ophthalmoscopy showing classic Roth's spots (thin arrow)

Mycotic aneurysm localized, irreversible arterial dilatation due to destruction of the vessel wall by infection can develop either when a new aneurysm is produced by infection of the arterial wall or when a preexisting aneurysm becomes secondarily infected

Large mycotic aneurysm of the left anterior descending artery originating at the proximal stent margin, and rupturing into the right ventricular outflow tract

can occur in the cerebral or systemic circulation of patients with endocarditis, usually at points of vessel bifurcation solitary or multiple bleeding , which can occur days, weeks, months, or rarely years

Lateral view of the left internal carotid artery shows a distal MA (arrow) located in the precentral artery