Giant Brain Abscess in A Pediatric Patient with Congenital Heart Disease: A Case Report

Aji Setia Utama, Muhammad Arifin Parenrengi

Abstract

Cerebral abscesses, or brain abscesses, are a severe condition, can be fatal, and have a high mortality and morbidity rate; especially in children with congenital heart disease. Herein, we report on a 5-year old girl, who developed a giant brain abscess with congenital heart disease; however, regrettably, the patient died 24 hours after her operation. Brain abscesses are still a major consequence of cyanotic congenital heart disease. The development of radiological imaging; especially, computed tomography scans, and continuous updates on antibiotic therapy and minor invasive surgery have decreased the mortality rate; however, it still remains quite high. Brain abscesses in congenital heart disease have many pitfalls, and require a multidisciplinary approach as well as careful preoperative planning to achieve the desired outcome.

 Keywords

cause of death; cerebral abscess; child health; congenital heart disease; pediatric

 Full Text:

PDF

References

Mameli C, Genoni T, Madia C, Doneda C, Penagini F, Zuccotti G. Brain abscess in pediatric age: a review. Childs Nerv Syst 2019;35:1117–28.

Mehnaz A, Syed AU, Saleem AS, Khalid CN. Clinical features and outcome of cerebral abscess in congenital heart disease. JAMC 2006;18:21–4.

Centers for Disease Control and Prevention. Data and statistics on congenital heart defects. Atlanta: Congenital Heart Defects; 2020.

Takeshita M, Kagawa M, Yato S, Izawa M, Onda H, Takakura K, et al. Current treatment of brain abscess in patients with congenital cyanotic heart disease. Neurosurgery 1997;41:1270–9.

Moorthy RK, Rajshekhar V. Management of brain abscess: an overview. Neurosurg Focus 2008;24:E3.

Parra MM, Hernandez M, Garza EA de, Reyes DP. Brain abscess in pediatric patients with congenital heart disease: a case report and review of the literature. J Cardiol Curr Res 2018;11. doi: 10.15406/jccr.2018.11.00370.

Lumbiganon P, Chaikitpinyo A. Antibiotics for brain abscesses in people with cyanotic congenital heart disease. Cochrane Database Syst Rev 2013;CD004469.

Matson D, Salam M. Brain abscess in congenital heart disease. Pediatrics 1961;27:772-89.

Firdausy NQ, Murni IK, Triono A, Noormanto N, Nugroho S. Low peripheral oxygen saturation as a risk factor for brain abscess in children with cyanotic congenital heart disease. Paediatr Indones 2018;58:252-6.

Muzumdar D, Jhawar S, Goel A. Brain abscess: an overview. Int J Surg 2011;9:136–44.

Sharma BS, Gupta SK, Khosla VK. Current concepts in the management of pyogenic brain abscess. Neurology India 2000;48:105–11.

Tseng JH, Tseng MY. Brain abscess in 142 patients: factors influencing outcome and mortality. Surg Neurol 2006;65:557– 62.

Arlotti M, Grossi P, Pea F, Tomei G, Vullo V, De Rosa FG, et al. Consensus document on controversial issues for the treatment of infections of the central nervous system: bacterial brain abscesses. Int J Infect Dis 2010;14:S79–92.

Takeshita M, Kawamata T, Izawa M, Hori T. Prodromal signs and clinical factors influencing outcome in patients with intraventricular rupture of purulent brain abscess. Neurosurg 2001;48:310–7.

Savardekar A, Krishna R, Arivazhagan A. Spontaneous intraventricular rupture of pyogenic brain abscess: a short series of three cases and review of literature. Surg Neurol Int 2016;7: 947.

DOI: http://dx.doi.org/10.31584/jhsmr.2022872

Refbacks

  • There are currently no refbacks.
Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.