Abdullah Rukhsana, Baldauf Mary, Azam Shabana, Hassanein Mohamud, Dhuper Sarita
Brookdale University Hospital and Medical Center, Department of Pediatrics, 1 Brookdale Plaza, Brooklyn, NY 11212, United States.
Clin Neurol Neurosurg. 2007 Sep;109(7):620-3. doi: 10.1016/j.clineuro.2007.05.003. Epub 2007 Jun 27.
Cerebral abscess is a serious condition and in children the commonest cause is cyanotic congenital heart disease. We report a 12-year old male who presented with multiple brain abscesses. After an extensive evaluation including a transesphageal echocardiogram (TEE), we found a previously undiagnosed sinus venous atrial septal defect (ASD). He was treated medically with antibiotics. This is an unusual initial presentation of asymptomatic acynotic congenital heart disease in children. We recommended a complete cardiac evaluation including TEE with saline contrast study in the work up of an idiopathic cerebral abscess.
脑脓肿是一种严重疾病，在儿童中最常见的病因是青紫型先天性心脏病。我们报告一名12岁男性，他出现了多发性脑脓肿。经过包括经食管超声心动图（TEE）在内的全面评估，我们发现了一个先前未被诊断出的静脉窦型房间隔缺损（ASD）。他接受了抗生素药物治疗。这是儿童无症状非青紫型先天性心脏病一种不寻常的初始表现。我们建议在不明原因脑脓肿的检查中进行包括TEE盐水对比研究在内的全面心脏评估。
