Brain Abscess in an Adult Patient With Congenital Heart Disease

2019 ◽  
Vol 4 (2) ◽  
pp. 184
Author(s):  
Kiersten Kelly Frenchu ◽  
Malik Bilal Ahmed
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Adult Patient ◽  
Brain Abscess ◽  
Congenital Heart

scholarly journals An adult patient with previously undiagnosed sinus venosus atrial septal defect presenting with brain abscess: a case report

2021 ◽  
Vol 5 (7) ◽  
Author(s):  
Navin Mathew ◽  
Nischal N Hegde
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Atrial Septal Defect ◽  
Adult Patient ◽  
Brain Abscess ◽  
Congenital Heart ◽  
Septal Defect ◽  
Contrast Echocardiography ◽  
Sinus Venosus ◽  
The Right

Abstract Background Brain abscess is a common complication in children with cyanotic congenital heart disease. The presence of an underlying acyanotic congenital heart disease is usually not suspected in an adult patient presenting with brain abscess. Case summary A 51-year-old male patient with no known co-morbidities came with complaints of recent onset right lower limb weakness needing support while walking and on evaluation was found to have brain abscess. He underwent robotic endoscope assisted endoport excision of the brain abscess. Two-dimensional transthoracic echocardiography showed right atrial and right ventricular dilatation with mild low-pressure tricuspid regurgitation. Transoesophageal echocardiography (TOE) revealed sinus venosus atrial septal defect (ASD) with left-to-right shunt with the right upper pulmonary vein draining into superior vena cava. Contrast echocardiography revealed a small transient right-to-left shunt. He has been advised to undergo elective surgical closure of ASD with partial anomalous pulmonary venous connection repair. Discussion Right-to-left shunting in ASDs can occur in the early systole even in the absence of raised pressures in the right side of the heart, even when the predominant shunt is left to right, but the magnitude of such a shunt is small and transient and is easily missed. Contrast echocardiography and TOE should be done as a part of evaluation of patients presenting with brain abscess.

scholarly journals Development of nephropathy in an adult patient after Fontan palliation for cyanotic congenital heart disease

2021 ◽  
Author(s):  
Kaori Hayashi ◽  
Akinori Hashiguchi ◽  
Masako Ikemiyagi ◽  
Hirobumi Tokuyama ◽  
Shu Wakino ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Adult Patient ◽  
Congenital Heart ◽  
Cyanotic Congenital Heart Disease ◽  
Fontan Palliation

ACUTE INFECTIOUS SINUSITIS IN CYANOTIC CONGENITAL HEART DISEASE

PEDIATRICS ◽  
1973 ◽  
Vol 52 (5) ◽  
pp. 692-696
Author(s):  
Amnon Rosenthal ◽  
Kenneth E. Fellows
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Brain Abscess ◽  
Paranasal Sinuses ◽  
Congenital Heart ◽  
Bacterial Endocarditis ◽  
Cyanotic Congenital Heart Disease ◽  
Hematogenous Spread ◽  
Subacute Bacterial Endocarditis

The prevalance and sequelae of infectious sinusitis in a hospitalized group of children with and without congenital heart disease (CHD) were studied. Sinusitis was more common (1% versus 0.3%) in the CHD group and occurred predominantly (90%) in the cyanotic patients. It was associated with subacute bacterial endocarditis in 20% (5 of 20) and brain abscess in 15% (3 of 20) of the CHD cases. It is postulated that proliferation and distension of the venous channels and marrow spaces in patients with cyanotic CHD enhances the hematogenous spread of bacteria from the paranasal sinuses.

Brain Abscess in an Infant With Cyanotic Congenital Heart Disease

PEDIATRICS ◽  
1974 ◽  
Vol 54 (1) ◽  
pp. 113-115
Author(s):  
J. B. Tingelstad ◽  
H. F. Young ◽  
R. B. David
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Brain Abscess ◽  
Congenital Heart ◽  
Cyanotic Congenital Heart Disease ◽  
Intensive Treatment ◽  
Cardiac Malformation ◽  
Congenital Cardiac Malformation

An infant with a cyanotic congenital cardiac malformation and brain abscess is described. The rarity of this combination before age 2 years and the need for intensive treatment once it is recognized are stressed.

Cerebral Abscess in Children Secondary to Esophageal Dilatation

PEDIATRICS ◽  
1977 ◽  
Vol 59 (2) ◽  
pp. 300-301
Author(s):  
W. R. Leahy ◽  
K. V. Toyka ◽  
K. H. FischBeck
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Brain Abscess ◽  
Esophageal Atresia ◽  
Congenital Heart ◽  
Case Reports ◽  
Cyanotic Congenital Heart Disease ◽  
Esophageal Dilatation ◽  
Careful Evaluation ◽  
Normal Individuals

Brain abscess is known to occur (1) as hematogenous or metastatic abscesses in normal individuals, (2) in children with cyanotic congenital heart disease,1,2 (3) secondary to sinus or mastoid infection,3-5 and (4) secondary to trauma. The following report of brain abscess in three children undergoing dilatation of the esophagus should alert the clinician to undertake a careful evaluation in any child developing neurologic dysfunction while undergoing esophageal dilatation. CASE REPORTS Case 1 A 4-month-old infant with congenital esophageal atresia had retrograde bougienage performed monthly. At the age of 2 months, after one of the dilatations, the child had had an episode of "suspected meningitis," but returned to normal within three days without therapy.

scholarly journals Cyanotic complex congenital heart disease presenting with brain abscess at the age of 19: A case report and review of literature

2016 ◽  
Vol 31 (1) ◽  
pp. 41-45
Author(s):  
Khandker Md Nurus Sabah ◽  
Abdul Wadud Chowdhury ◽  
Mohammad Shahidul Islam ◽  
Mohsin Ahmed ◽  
Gaffar Amin ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Case Report ◽  
Brain Abscess ◽  
Congenital Heart ◽  
Early Recognition ◽  
Neurological Complication ◽  
Unusual Presentation ◽  
Complex Congenital Heart Disease ◽  
Congenital Cyanotic Heart Disease

Introduction: Brain abscess is a complication of congenital cyanotic heart disease with or without shunt anomaly. It is more common in children. Here, we delineated a case of 19-year-old young Bangladeshi - Bengali male who presenting with brain abscess, an unusual presentation of cyanotic complex congenital heart disease. This case report focuses not only on the unusual presentation of congenital heart disease but also emphasizes the importance of early recognition of neurological complication for referal management.Bangladesh Heart Journal 2016; 31(1) : 41-45

Sign in / Sign up

Export Citation Format

Share Document