Cardiology in the young · 2025
A rare complication of cyanotic CHD: brain abscess.
СтатьяКлинический случайНазвание и аннотация: Перевод в очереди
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Güzelbağ Ali Nazım, Erkan Buruç, Özyılmaz İsa, Toprak Muhammet Hamza Halil, Öztürk Erkut
Аннотация
BACKGROUND: Brain abscess is a rare but life-threatening complication in patients with cyanotic congenital heart disease (CHD), especially in those without prior corrective surgery.
METHODS: We report the case of a 36-year-old woman with unoperated cyanotic CHD who presented with neurological deficits. Diagnostic evaluation included cranial magnetic resonance imaging (MRI).
RESULTS: Imaging revealed a brain abscess. Contributing factors included chronic hypoxia, polycythaemia, and right-to-left shunting facilitating systemic circulation of infectious agents. The patient was treated with intravenous antibiotics and surgical drainage.
CONCLUSIONS: This case highlights the elevated risk of brain abscess in uncorrected cyanotic CHD and underlines the importance of early recognition and timely management to avoid fatal outcomes.
METHODS: We report the case of a 36-year-old woman with unoperated cyanotic CHD who presented with neurological deficits. Diagnostic evaluation included cranial magnetic resonance imaging (MRI).
RESULTS: Imaging revealed a brain abscess. Contributing factors included chronic hypoxia, polycythaemia, and right-to-left shunting facilitating systemic circulation of infectious agents. The patient was treated with intravenous antibiotics and surgical drainage.
CONCLUSIONS: This case highlights the elevated risk of brain abscess in uncorrected cyanotic CHD and underlines the importance of early recognition and timely management to avoid fatal outcomes.