Case Report

A Rare Presentation of Brain Abscesses in an 18-Year-Old Male withUndiagnosed Tetralogy of Fallot

DOI https://doi.org/10.70302/jpsim.v5i4.2478
Received: 09 Sep 2024 Accepted: 15 Nov 2024 Published Online: 09 Dec 2024

Abstract

An 18-year-old male presented with a 1-day history of seizures, fever, and altered level of consciousness. The patient had no prior history of seizures but had experienced breathlessness on exertion and spells of cyanosis since childhood. On examination, the patient had a Glasgow Coma Scale (GCS) score of 8/15, a temperature of 102°F, and was actively having tonic-clonic seizures. Signs of meningeal irritation were absent. Neuroimaging revealed multiple brain abscesses, and an echocardiogram confirmed an underlying diagnosis of Tetralogy of Fallot (TOF). This case highlights the uncommon but significant complication of brain abscesses in patients with cyanotic congenital heart disease.

Keywords
Brain abscess Tetralogy of Fallot Seizures Cyanosis Congenital heart disease Pediatric

How to Cite This Article

Shaikh SN, Jamal I, Bhatti F. A Rare Presentation of Brain Abscesses in an 18-Year-Old Male withUndiagnosed Tetralogy of Fallot. J Pak Soc Intern Med. 2024;5(4):750–752. doi:10.70302/jpsim.v5i4.2478

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Conflict of Interest

All authors declare no competing interests.

Disclosed in accordance with ICMJE and COPE guidelines.

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CC BY CC BY 4.0 This article is published under the Creative Commons Attribution 4.0 International License. May be shared and adapted with attribution. © 2024 Journal of Pakistan Society of Internal Medicine.