Cerebral Abscess in a Child with Unrepaired Congenital Heart Defect
- 1. Wolfson Children’s Hospital, Jacksonville, USA
- 2. New York University Langone Medical Center, New York, USA
Citation
Tanya C, Andy W (2018) Cerebral Abscess in a Child with Unrepaired Congenital Heart Defect. Arch Emerg Med Crit Care 3(1): 1039.
INTRODUCTION
Eight year old female with history of unrepaired atrial septal defect presented with a two day history of increased somnolence and emesis on the day of admission. Previously, she complained of headaches for four to six weeks. Axial (Panel A) and coronal (PanelB) T1-weighted magnetic resonance imaging of the brainshowed a 6.7cm by 4.2 cm ring-enhancing lesion in the left frontal lobe with mass effect and effacement of the third ventricle (Figure).
Figure 1: Axial (Panel A) and coronal (Panel B) T1-weighted magnetic resonance imaging of the brain
Patient underwent stereotactic-guided aspiration and 66 mL of purulent fluid was drained. Fluid culture grew Streptococcus intermedius. IV antibiotics administered for four weeks and patient discharged in good condition.
