title: Brain abscess in an adult with atrial septal defect.
abstract: 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.
authors.affiliation: Cardiovascular Division, Department of Internal Medicine, Kangnam Sacred Heart Hospital, Hallym UniversityMedical Center, Seoul, Republic of Korea.
authors.forename: Chong Won
authors.initials: CW
authors.lastname: Sung
authors.forename: Jae-Hun
authors.initials: JH
authors.lastname: Jung
authors.forename: Sang-Hak
authors.initials: SH
authors.lastname: Lee
authors.forename: Seonghoon
authors.initials: S
authors.lastname: Choi
authors.forename: Jung Rae
authors.initials: JR
authors.lastname: Cho
authors.forename: Namho
authors.initials: N
authors.lastname: Lee
authors.forename: Chang-Hyun
authors.initials: CH
authors.lastname: Kim
mesh_terms: 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
chemical_list: D000900:Anti-Bacterial Agents