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  • Title: Multiple brain abscesses: an initial presentation in a child with an undiagnosed sinus venosus atrial septal defect.
    Author: Abdullah R, Baldauf M, Azam S, Hassanein M, Dhuper S.
    Journal: Clin Neurol Neurosurg; 2007 Sep; 109(7):620-3. PubMed ID: 17600615.
    Abstract:
    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.
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