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Multiple organ infarctions are a very rare clinical event in children. We report a 3-month-old infant with sepsis and disseminated intravascular coagulation, who was diagnosed with cerebral ischemic stroke associated with middle cerebral artery stenosis and subsequent retinal infarction by magnetic resonance imaging, fundoscopy and magnetic resonance angiography. In addition, he suffered from renal infarction with hypertension and was treated until 1 year of age. We emphasize the importance of early recognition of organ infarctions, prophylaxis of risk factors and of optimized therapy of the underlying etiology.