Polymicrobial Cerebral Abscess in a Child with Uncorrected Tetralogy of Fallot

J Pak Med Assoc. 2019 Sep;69(9):1383-1384.

Abstract

Aggregatibacter aphrophilus and Beta haemolytic Streptococci Lancefield group F are part of the normal oral flora and are known to cause endocarditis, sinusitis, empyema, meningitis and septic arthritis. They are now emerging as a cause of brain abscess particularly in patients with congenital heart diseases. We report a case of a 10-year-old boy with Tetralogy of Fallot (TOF), who presented with fever, headache and drowsiness. Culture yielded the growth of Aggregatibacter aphrophilus and Beta hemolytic streptococci Lancefield group F. He became clinically stable after treatment with ceftriaxone.

Keywords: Infective endocarditis, tetralogy of Fallot, Aggregatibacter aphrophilus, brain abscess..

Publication types

  • Case Reports

MeSH terms

  • Aggregatibacter aphrophilus
  • Anti-Bacterial Agents / therapeutic use
  • Brain Abscess / complications*
  • Brain Abscess / microbiology
  • Brain Abscess / therapy
  • Ceftriaxone / therapeutic use
  • Child
  • Coinfection / complications*
  • Coinfection / microbiology
  • Coinfection / therapy
  • Craniotomy
  • Culture Techniques
  • Humans
  • Male
  • Pasteurellaceae Infections / complications*
  • Pasteurellaceae Infections / microbiology
  • Pasteurellaceae Infections / therapy
  • Streptococcal Infections / complications*
  • Streptococcal Infections / microbiology
  • Streptococcal Infections / therapy
  • Streptococcus milleri Group
  • Tetralogy of Fallot / complications*
  • Tomography, X-Ray Computed

Substances

  • Anti-Bacterial Agents
  • Ceftriaxone