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  • Title: Low threshold for intracranial imaging in fever of unknown origin associated with cyanotic heart disease in the pediatric population.
    Author: Rolle M, Fehnel KP.
    Journal: Childs Nerv Syst; 2021 Jan; 37(1):335-338. PubMed ID: 32504174.
    Abstract:
    Intracranial abscess in the pediatric population is an overall rare occurrence-4 in a million. The most common predisposing factor is underlying cyanotic congenital heart disease (CCHD), which is associated with ~ 30% of all cases. We present an unusual case of cerebral abscess in a 17-month-old female with partially treated Tetralogy of Fallot and fever of unknown origin without associated neurologic symptoms. We propose a low threshold for intracranial imaging as part of the fever of unknown origin work-up in children with underlying cyanotic congenital heart disease.
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