Volume 6, Issue 1, March 2018, Page: 1-4
Brain Abscess in Undiagnosed Tetralogy of Fallot
Kelvin Nemayire, Department of Neurosurgery, University of Zimbabwe, Harare, Zimbabwe
Kantenga Dieu Merci Kabulo, Department of Neurosurgery, University of Zimbabwe, Harare, Zimbabwe
Luxwell Jokonya, Department of Neurosurgery, University of Zimbabwe, Harare, Zimbabwe
Patrice Ntenga, Neurological Clinic of the National Teaching Hospital-Fann, Dakar, Senegal
Aaron Masiiwe Musara, Department of Neurosurgery, University of Zimbabwe, Harare, Zimbabwe
Kazadi Kaluile Ntenga Kalangu, Department of Neurosurgery, University of Zimbabwe, Harare, Zimbabwe
Received: Sep. 5, 2017;       Accepted: Jan. 3, 2018;       Published: Jan. 19, 2018
DOI: 10.11648/j.iji.20180601.11      View  1738      Downloads  94
Abstract
Cardiovascular disease is a leading cause of mortality in all ages worldwide. Tetralogy of Fallot (TOF) is the most common cyanotic congenital heart disease (CHD) accounting for 10%. There have been several reports of neurological complications associated with TOF. Although it is known, brain abscess (BA) is a serious complication in patients with uncorrected CHD mostly in the age of 4-7 years-old. We report a case of a 7 year old male who presented with a 3 month history of left sided body weakness and a 3 week history of a headache and fever. Patient was chronically unwell since birth where he would experience occasional episodes of exertional dyspnoea which was never investigated. Chest xray showed a globular-shaped heart. CT scan brain showed a 1,8 x 1,3 x 1,5 cm ring-enhancing lesion in the right parietal region with minimal perilesional vasogenic edema communicating with the body of the lateral ventricle, with enhancement of the ependymal lining of the ventricle; echocardiography revealed ventricular septal defect (VSD), overriding of aorta, obstruction to right ventricular outflow tract and hypertrophy of right ventricle consistent with a diagnosis of TOF. We elected to manage the patient conservatively on intravenous antibiotics, Patient improved significantly neurologically and was transferred to the cardiothoracic surgeons for further management of TOF.
Keywords
Brain Abscess, Tetralogy of Fallot, Cyanotic Congestive Heart Disease, Exertional Dyspnoea
To cite this article
Kelvin Nemayire, Kantenga Dieu Merci Kabulo, Luxwell Jokonya, Patrice Ntenga, Aaron Masiiwe Musara, Kazadi Kaluile Ntenga Kalangu, Brain Abscess in Undiagnosed Tetralogy of Fallot, International Journal of Immunology. Vol. 6, No. 1, 2018, pp. 1-4. doi: 10.11648/j.iji.20180601.11
Copyright
Copyright © 2018 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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