Postpartum meningitis is a rare but potentially fatal complication of the puerperium. Its diagnosis is challenging when complicated by cerebral venous thrombosis (CVT) due to overlapping clinical features and rapid neurological decline.We report a 41-year-old woman who presented 13 days after an uncomplicated vaginal delivery with severe headache, fever, vomiting, and altered mental status. Cerebrospinal fluid analysis revealed neutrophilic pleocytosis, markedly elevated protein, and hypoglycorrhachia, consistent with bacterial meningitis, despite negative cultures and molecular studies. Neuroimaging showed multifocal cortical and subcortical infarctions, and MR venography confirmed dural sinus and cortical vein thrombosis.This case highlights the rare but devastating coexistence of postpartum bacterial meningitis and CVT, emphasizing the need for early recognition of both infectious and vascular causes in postpartum women with neurological symptoms.