Brain abscess in an adult with atrial septal defect.
Brain abscess is a serious complication of congenital heart disease in children and adolescents. This association is rarely observed in adults. This article describes the case of a 41-year-old man who presented with altered mental status. Brain MRI showed a brain abscess at the left frontal lobe. The patient was successfully treated with surgical removal and appropriate antibiotics. Echocardiographic examination showed atrial septal defect (ASD) with bidirectional shunt. Transcatheter closure of ASD was carried out 6 months after neurosurgical treatment. We discuss the association of brain abscess and ASD.
Sung
Chong Won
CW
Cardiovascular Division, Department of Internal Medicine, Kangnam Sacred Heart Hospital, Hallym UniversityMedical Center, Seoul, Republic of Korea.
Jung
Jae-Hun
JH
Lee
Sang-Hak
SH
Choi
Seonghoon
S
Cho
Jung Rae
JR
Lee
Namho
N
Kim
Chang-Hyun
CH
D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001922:Brain Abscess / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D004452:Echocardiography; D006344:Heart Septal Defects, Atrial / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male
D000900:Anti-Bacterial Agents