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ISSN 2683-1678 (Print)
Órgano Oficial de la Sociedad
Latinoamericana de lnfectología Pediátrica.
Órgano de la Asociación Mexicana de
Infectología Pediátrica, A.C.
Órgano difusor de la Sociedad Española
de lnfectología

2017, Number 4

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Rev Latin Infect Pediatr 2017; 30 (4)

Brain abscess as the first manifestation of a total anomalous connection of pulmonary veins

Sánchez-López HA, Mier-Martínez M, Gómez-Toscano V

Language: Spanish
References: 34
Page: 158-163
PDF size: 356.68 Kb.


ABSTRACT

Intraparenchymal brain abscesses are collections of purulent material. They represent from 2 to 8% of all intracranial masses. They can originate by contiguity, hematogenous spread or after head trauma or surgery. Cyanotic congenital heart diseases are a predisposing factor for the development of brain abscesses and may be the cause of these in 11-45%; however, it is rare that brain abscesses be the first manifestation of a heart disease. Two previously asymptomatic clinical cases are presented, unknown carriers of congenital heart disease, who made their debut and went to the emergency room because of neurological symptoms. CT scans showed brain abscesses which were drained, and in a second time, surgical corrections for their cardiopathies were done. In the presence of multiple brain abscesses or suggesting hematogenous spread, it is important to rule out underlying cyanotic congenital heart diseases, even in patients without cardiac clinical manifestations.


REFERENCES

  1. Attie F, Calderón CJ, Zabal CC, Buendía HA. Cardiología pediátrica. 2ª ed. México: Editorial Panamericana, 2013. p. 9.

  2. Muñoz CL, Kuri NM, Sánchez VC, Espínola ZN. Conexión anómala de venas pulmonares. Correlación anatomoembriológica. Arch Cardiol Mex. 2008; 78 (3): 247-254.

  3. Díaz GG, Bresciani BR, Sandoval RN. Conexión anómala total de venas pulmonares. En: Díaz GG. Cardiología Pediátrica. McGraw-Hill Interamericana, 3a. ed., Colombia; 2003.

  4. Craig JM, Darling RC, Rothney WB. Total anomalous pulmonary venous drainage to the right side of the heart. Lab Invest. 1957; 6 (1): 44-64.

  5. Hyde JA, Stümper O, Barth MJ, Wright JG, Silove ED, de Giovanni JV, Brawn WJ, Sethia B. Total anomalous pulmonary venous connection: outcome of surgical correction and management of recurrent venous obstruction. Eur J Cardiothorac Surg. 1999; 15 (6): 735-740.

  6. Cao L, Hu JG, Yang YF, Yang JF, Yin BL, Zhou XM et al. Surgical treatment of total anomalous pulmonary venous connection. Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2007; 32 (4): 542-545.

  7. Muñoz CL, Sánchez VC, Kuri NM. Estudio morfopatológico de la conexión anómala total de venas pulmonares. Arch Cardiol Mex. 2007; 77 (3): 265-274.

  8. Naha K, Vivek G, Shetty RK, Nayak K. Late presentation of TAPVC with multiple cerebral abscesses. BMJ Case Rep. 2013. 2013. doi: 10.1136/bcr-2013-009778.

  9. Kumar K. Neurological complications of congenital heart disease. Indian J Pediatr. 2000; 67 (3 Suppl.): S15-19.

  10. 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 (6): 1270-1278.

  11. Mehnaz A, Syed AU, Saleem AS, Khalid CN. Clinical features and outcome of cerebral abscess in congenital heart disease. J Ayub Med Coll Abbottabad. 2006; 18 (2): 21-24.

  12. Kelle AM, Backer CL, Gossett JG, Kaushal S, Mavroudis C. Total anomalous pulmonary venous connection: Results of surgical repair of 100 patients at a single institution. J Thorac Cardiovasc Surg. 2010; 139 (6): 1387-1394.

  13. Kirshbom PM, Myung RJ, Gaynor JW, Ittenbach RF, Paridon SM, DeCampli WM et al. Preoperative pulmonary venous obstruction affects long-term outcome for survivors of total anomalous pulmonary venous connection repair. Ann Thorac Surg. 2002; 74 (5): 1616-1620.

  14. Park MK. Pediatric cardiology for practitioners. 5th ed. Philadelphia: Mosby Elsevier; Chapter 14, Cyanotic Congenital Heart Defects; c2008. pp. 313-319.

  15. Uçar T, Fitoz S, Tutar E, Atalay S, Uysalel A. Diagnostic tools in the preoperative evaluation of children with anomalous pulmonary venous connections. Int J Cardiovasc Imaging. 2008; 24 (2): 229-235.

  16. Muzumdar D, Jhawar S, Goel A. Brain abscess: An overview. Int J Surg. 2011; 9 (2): 136-144.

  17. Gonzalez N, Torales AN, Gómez D. Infectología clínica pediátrica. 8a. ed. México: Editorial McGraw Hill. 2011. pp. 275-281.

  18. Attie F, Calderón CJ, Zabal CC, Buendía HA. Cardiología pediátrica. 2ª ed. México: Editorial Panamericana, 2013. p. 9.

  19. Muñoz CL, Kuri NM, Sánchez VC, Espínola ZN. Conexión anómala de venas pulmonares. Correlación anatomoembriológica. Arch Cardiol Mex. 2008; 78 (3): 247-254.

  20. Díaz GG, Bresciani BR, Sandoval RN. Conexión anómala total de venas pulmonares. En: Díaz GG. Cardiología Pediátrica. McGraw-Hill Interamericana, 3a. ed., Colombia; 2003.

  21. Craig JM, Darling RC, Rothney WB. Total anomalous pulmonary venous drainage to the right side of the heart. Lab Invest. 1957; 6 (1): 44-64.

  22. Hyde JA, Stümper O, Barth MJ, Wright JG, Silove ED, de Giovanni JV, Brawn WJ, Sethia B. Total anomalous pulmonary venous connection: outcome of surgical correction and management of recurrent venous obstruction. Eur J Cardiothorac Surg. 1999; 15 (6): 735-740.

  23. Cao L, Hu JG, Yang YF, Yang JF, Yin BL, Zhou XM et al. Surgical treatment of total anomalous pulmonary venous connection. Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2007; 32 (4): 542-545.

  24. Muñoz CL, Sánchez VC, Kuri NM. Estudio morfopatológico de la conexión anómala total de venas pulmonares. Arch Cardiol Mex. 2007; 77 (3): 265-274.

  25. Naha K, Vivek G, Shetty RK, Nayak K. Late presentation of TAPVC with multiple cerebral abscesses. BMJ Case Rep. 2013. 2013. doi: 10.1136/bcr-2013-009778.

  26. Kumar K. Neurological complications of congenital heart disease. Indian J Pediatr. 2000; 67 (3 Suppl.): S15-19.

  27. 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 (6): 1270-1278.

  28. Mehnaz A, Syed AU, Saleem AS, Khalid CN. Clinical features and outcome of cerebral abscess in congenital heart disease. J Ayub Med Coll Abbottabad. 2006; 18 (2): 21-24.

  29. Kelle AM, Backer CL, Gossett JG, Kaushal S, Mavroudis C. Total anomalous pulmonary venous connection: Results of surgical repair of 100 patients at a single institution. J Thorac Cardiovasc Surg. 2010; 139 (6): 1387-1394.

  30. Kirshbom PM, Myung RJ, Gaynor JW, Ittenbach RF, Paridon SM, DeCampli WM et al. Preoperative pulmonary venous obstruction affects long-term outcome for survivors of total anomalous pulmonary venous connection repair. Ann Thorac Surg. 2002; 74 (5): 1616-1620.

  31. Park MK. Pediatric cardiology for practitioners. 5th ed. Philadelphia: Mosby Elsevier; Chapter 14, Cyanotic Congenital Heart Defects; c2008. pp. 313-319.

  32. Uçar T, Fitoz S, Tutar E, Atalay S, Uysalel A. Diagnostic tools in the preoperative evaluation of children with anomalous pulmonary venous connections. Int J Cardiovasc Imaging. 2008; 24 (2): 229-235.

  33. Muzumdar D, Jhawar S, Goel A. Brain abscess: An overview. Int J Surg. 2011; 9 (2): 136-144.

  34. Gonzalez N, Torales AN, Gómez D. Infectología clínica pediátrica. 8a. ed. México: Editorial McGraw Hill. 2011. pp. 275-281.




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