CONGENITAL HEART DISEASE CASE WITH INTRACRANIAL ABSCESS
Makaleler > Tam Makale · 2017
Yazarlar: Arı, Hatice Feray; Sağlık Bilimleri Üniversitesi, Dr. Behçet Uz Çocuk Sağlığı Hastalıkları ve Cerrahisi Eğitim ve Araştırma Hastanesi, Meşe, Timur; Sağlık Bilimleri Üniversitesi, Dr. Behçet Uz Çocuk Sağlığı Hastalıkları ve Cerrahisi Eğitim ve Araştırma Hastanesi, Çocuk Kardiyoloji, Yılmazer, Murat Muhtar; Sağlık Bilimleri Üniversitesi, Dr. Behçet Uz Çocuk Sağlığı Hastalıkları ve Cerrahisi Eğitim ve Araştırma Hastanesi, Çocuk Kardiyoloji, Arı, Murat; ADNAN MENDERES ÜNİVERSİTESİ, TIP FAKÜLTESİ, TEMEL TIP BİLİMLERİ BÖLÜMÜ, TIBBİ BİYOKİMYA ANABİLİM DALI, Ağın, Hasan; Sağlık Bilimleri Üniversitesi, Dr. Behçet Uz Çocuk Sağlığı Hastalıkları ve Cerrahisi Eğitim ve Araştırma Hastanesi, Çocuk Yoğun Bakım Ünitesi, Çavuşoğlu, Emre; Ege Üniversitesi, Tıp Fakültesi, Beyin ve Sinir Cerrahisi Anabiilm Dalı, Turhan, Tuncer; Ege Üniversitesi, Tıp Fakültesi, Beyin ve Sinir Cerrahisi Anabiilm Dalı, Devrim, İlker; Sağlık Bilimleri Üniversitesi, Dr. Behçet Uz Çocuk Sağlığı Hastalıkları ve Cerrahisi Eğitim ve Araştırma Hastanesi, Çocuk Enfeksiyon
\n Volume: 1, Issue: 3\n 106-111\n \n, Uluslararası, 2017
Özet
Nonspesificsymptoms as convulsion, headache, vomiting are signs of intracranial abscess inpredisposing situations. If diagnosis is late, will be occured neurologicaldamages and mortality.Monitored by pediatriccardiology in our hospital because of double outlet right ventricle, greatarterial maltranspositions, s/p pulmoner binding, Eisenmenger sydrome referredfrom another hospital because of fever, lumbalgia and headache in last 3 days13 years male patient, general contiditon was moderate and conscious opened. Neurologicalexamination was normal. C-reactiveprotein:12.3. Cardiomegaly was seen on telecardiography. Blood cultures was taken 3 times per hour for possibility ofinfective endocarditis, ceftriaxone started. No vegetation onechocardiography.Confusion developed within hours, cranial Computed Tomographyfilmed for possibility of intracranialabscess,55x45mm, peripheral wideedematous, pushing anterior horn in left lateral ventricle, shift 6mm, concentratedliquid accumulation where on a level with left frontal gyrus,thoughtabscess.Cranial Magnetic Resonanse was seen pathological signals in leftfrontoparietale extending to frontobazale,peripheral low signal area and hadperipheral hyperintense halo and capsular contrastretention. Patients head wasraised,started mannitol,furosemide, 3% NaCl intravenosus to reduceedema,consulted for neurosurgery, abscess was drained. Patient was treated inpediatric intensive care unit after operation. Empirical vancomycin,meropenem,metronidazolestarted. Intracerebral hemorrhage (16x14mm), abscess (53x29mm), shift (6mm)were seen in operation area on controle.Streptococcusintermedius became in culture of abscesses content, not bloodcultures.It was continued antibiotic appropriate from antibiogram. Consideringintracranial abscess and doing cranial images who children with congenitalheart disease even if no remarkable findings of intracranial pressureincreaseas fever height, confusion and vomiting can be life saver.