Septic pulmonary embolism(SPE) is a highly morbid disease and difficult to diagnose without clinical suspicion. We presenting a case of young male from rural India with septic pulmonary embolism and infective endocarditis. On repeated provoking he revealed previous history of intravenous drug abuse and also came from broken family background . Patient improved clinico radiologically after broad spectrum antibiotics and finally we referred him to psychiatric rehabilitation to prevent further recurrence.