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Child's Nervous System
Published in: Child's Nervous System 1/2021

01-01-2021 | Magnetic Resonance Imaging | Case Report

Low threshold for intracranial imaging in fever of unknown origin associated with cyanotic heart disease in the pediatric population

Authors: Myron Rolle, Katie P. Fehnel

Published in: Child's Nervous System | Issue 1/2021

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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.
Literature
1.
2.
Frazier JL, Ahn ES, Jallo GI (2008) Management of brain abscesses in children. Neurosurg Focus 24(6):E8PubMedCrossRef
3.
Ciurea AV, Stoica F, Vasilescu G, Nuteanu L (1999) Neurosurgical management of brain abscesses in children. Childs Nerv Syst 15(6–7):309–317PubMedCrossRef
4.
Sharma BS, Gupta SK, Khosla VK (2000) Current concepts in the management of pyogenic brain abscess. Neurol India 48(2):105–111PubMed
5.
Tekkok IH, Erbengi A (1992) Management of brain abscess in children: review of 130 cases over a period of 21 years. Childs Nerv Syst 8(7):411–416PubMedCrossRef
6.
Wong TT, Lee LS, Wang HS, Shen EY, Jaw WC, Chiang CH, Chi CS, Hung KL, Liou WY, Shen YZ (1989) Brain abscesses in children—a cooperative study of 83 cases. Childs Nerv Syst 5(1):19–24PubMedCrossRef
7.
Xiao F, Tseng MY, Teng LJ, Tseng HM, Tsai JC (2005) Brain abscess: clinical experience and analysis of prognostic factors. Surg Neurol 63(5):442–449 discussion 449-450PubMedCrossRef
8.
Fischbein CA, Rosenthal A, Fischer EG, Nadas AS, Welch K (1974) Risk factors of brain abscess in patients with congenital heart disease. Am J Cardiol 34(1):97–102PubMedCrossRef
9.
Kagawa M, Takeshita M, Yato S, Kitamura K (1983) Brain abscess in congenital cyanotic heart disease. J Neurosurg 58(6):913–917PubMedCrossRef
10.
Matson DD, Salam M (1961) Brain abscess in congenital heart disease. Pediatrics. 27:772–789PubMed
11.
Rajshekhar V, Chandy MJ (1994) Successful stereotactic management of a large cardiogenic brain stem abscess. Neurosurgery. 34(2):368–371 discussion 371PubMedCrossRef
12.
Suzer T, Coskun E, Cirak B, Yagci B, Tahta K (2005) Brain stem abscesses in childhood. Childs Nerv Syst 21(1):27–31PubMedCrossRef
13.
Raimondi AJ, Matsumoto S, Miller RA (1965) Brain abscess in children with congenital heart disease. I. J Neurosurg 23(6):588–595PubMedCrossRef
14.
Fischer EG, McLennan JE, Suzuki Y (1981) Cerebral abscess in children. Am J Dis Child 135(8):746–749PubMed
15.
16.
Auvichayapat N, Auvichayapat P, Aungwarawong S (2007) Brain abscess in infants and children: a retrospective study of 107 patients in northeast Thailand. J Med Assoc Thail 90(8):1601–1607
17.
18.
Ahmad S, Rehman L, Afzal A, Rizvi R (2017) Outcome of burr-hole aspiration of brain abscess. Pak J Med Sci 33(5):1161–1165PubMedPubMedCentral
19.
Shachor-Meyouhas Y, Bar-Joseph G, Guilburd JN, Lorber A, Hadash A, Kassis I (2010) Brain abscess in children—epidemiology, predisposing factors and management in the modern medicine era. Acta Paediatr 99(8):1163–1167PubMedCrossRef
20.
Yogev R, Bar-Meir M (2004) Management of brain abscesses in children. Pediatr Infect Dis J 23(2):157–159PubMedCrossRef
21.
Antoon JW, Potisek NM, Lohr JA (2015) Pediatric fever of unknown origin. Pediatr Rev 36(9):380–390 quiz 391PubMedCrossRef
Metadata
Title
Low threshold for intracranial imaging in fever of unknown origin associated with cyanotic heart disease in the pediatric population
Authors
Myron Rolle
Katie P. Fehnel
Publication date
01-01-2021
Publisher
Springer Berlin Heidelberg
Published in
Child's Nervous System / Issue 1/2021
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-020-04696-2

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