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 ◽  
...  

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

2017 ◽  
Vol 9 (3) ◽  
pp. 364-367
Author(s):  
Abid Iqbal ◽  
Sabarinath Menon ◽  
Baiju S. Dharan ◽  
Kapilamoorthy Tirur Raman ◽  
Jayakumar Karunakaran

Submitral aneurysms are rare clinical entities occurring predominantly in young adults of African descent. A host of etiologies have been proposed for this entity. We present a unique case of submitral aneurysm which developed after pulmonary artery banding in a three-year-old girl with complex congenital heart disease. The aneurysmal sac was burrowing into the interatrial septum.


2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Ioannis A. Ziogas ◽  
Alexandros P. Evangeliou ◽  
Olga Tsachouridou ◽  
Alexandra Arvanitaki ◽  
Afroditi Tsona ◽  
...  

Introduction. Blood culture-negative infective endocarditis (BCNIE) can present subtly and is associated with a diagnostic delay leading to increased morbidity and mortality. Case Report. We present the case of an 18-year-old male with a history of complex congenital heart disease and 3-year intermittent episodes of fever of unknown origin, who was referred to our hospital for upper and lower extremity focal seizures. Laboratory blood tests were normal, blood cultures were negative, and brain imaging revealed an abscess. Cardiology consultation was requested, and transthoracic echocardiography revealed an intracardiac vegetation. Empiric antibiotic treatment with sultamicillin, gentamycin, and meropenem was initiated. Serology testing was positive for Coxiella burnetii, and the diagnosis of BCNIE was established. The antibiotic course was changed to oral doxycycline for 36 months and led to resolution of IE, with no vegetation detected on TTE after 15 months. Conclusion. BCNIE is a life-threatening disease entity that can lead to severe complications, such as valve regurgitation, emboli, and death. Patients with congenital heart disease are particularly vulnerable to IE. Timely diagnosis and antibiotic management are of paramount importance in order to avoid the potentially fatal sequelae.


2013 ◽  
Vol 8 (2) ◽  
pp. 128-133
Author(s):  
Md Faruque ◽  
Md Abdur Rashid ◽  
MA Muttalib ◽  
Syed Aminul Islam ◽  
Md Hafizur Rahman

Congenital Heart disease is although uncommon but is not rare. Complex congenital Heart disease is more rare. The survivality is less. Most of the patient die in the Early childhood. Our patient survive up to the age of 23 yrs. Early diagnosis & early corrective surgery will prolong the survivality & even normal life. DOI: http://dx.doi.org/10.3329/uhj.v8i2.16086 University Heart Journal Vol. 8, No. 2, July 2012


2018 ◽  
Vol 103 (9) ◽  
pp. 880-886 ◽  
Author(s):  
Kerry Louise Gaskin ◽  
Jo Wray ◽  
David J Barron

AimTo explore the acceptability and feasibility of a parental early warning tool, called the Congenital Heart Assessment Tool (CHAT), for parents going home with their infant between first and second stage of surgery for complex congenital heart disease.BackgroundHome monitoring programmes were developed to aid early recognition of deterioration in fragile infants between first and second surgical stage. However, this necessitates good discharge preparation to enable parents to develop appropriate knowledge and understanding of signs of deterioration to look for and who to contact.DesignThis was a longitudinal qualitative feasibility study, within a constructivist paradigm. Parents were taught how to use the CHAT before taking their infant home and asked to participate in semistructured interviews at four time points: before discharge (T0), 2 weeks after discharge (T1), 8 weeks after discharge (T2) and after stage 2 surgery (T3). Interviews were transcribed verbatim and thematically analysed.SettingOne tertiary children’s cardiac centre in the UK.SubjectsTwelve parents of eight infants who were discharged following first stage cardiac surgery for complex congenital heart disease, between August 2013 and February 2015.ResultsFour main themes emerged: (1) parental preparation and vigilance, (2) usability, (3) mastery, and (4) reassurance and support.ConclusionsThe study highlighted the benefit of appropriately preparing parents before discharge, using the CHAT, to enable identification of normal infant behaviour and to detect signs of clinical deterioration. The study also demonstrated the importance of providing parents with information about when and who to call for management advice and support.


2014 ◽  
Vol 72 (4) ◽  
pp. 487-490
Author(s):  
Mehdi Chinbo ◽  
Amal Addebbous ◽  
Mariame Moutachakkir ◽  
Noureddine Rada ◽  
Mohamed Bouskraoui ◽  
...  

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