A young patient presented in the emergency with defective vision, fever and palpitation. Fundoscopy revealed multiple white centered haemorrhage – Roth Spots. Blood tests showed normocytic normochromic anaemia and blood culture grew Streptococcus Viridans. Transthoracic echocardiography showed bicuspid aortic valve disease with vegetation. Other condition where Roth spots are found are Leukemia, Anaemia, Anoxia, Myleoma, Preeclampsia or Hypertension. So one should rule out each condition to treat patients adequately.