Abstract

SANTOS PEREZ, Alexander; PREVAL CAMPELLO, Nael  and  ESTRADA GARCIA, Andrés. Brain abscess in a patient with tetralogy of Fallot. Gac Méd Espirit [online]. 2014, vol.16, n.3, pp.01-07. ISSN 1608-8921.

Background: Hypoxia crises are the major complication of patients with tetralogy of Fallot, however there may be other serious life-threatening clinical forms. Embolic phenomena events at distance and neurological events of infectious cause are complications not widely reported in the literature. Case presentation: The case of a preschooler who was admitted with signs of motor targeting and fever in the Department of Pediatrics in the Central Hospital of Huambo is presented. When further examination is made cyanotic congenital heart disease stigmata and tomographic compatible image with abscess in the right thalamic region is evidenced. Immediate evolution at admission is described and the particular experience of this case where a neurological complication of one of the most common congenital heart diseases in pediatric practice is exposed. Conclusions: Infectious complications of the central nervous system are not disposable in a patient with cyanotic congenital heart disease, due to embolic phenomena and the state of hypoxemia itself, which creates favorable conditions for the invasion of anaerobic bacteria in the brain.

Keywords : tetralogy of Fallot; congenital heart defects; encephalic abscess; brain abscess; complications.

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