thirteen-year-old boy with undiagnosed congenital heart disease presented with brain abscess

ABSTRACT

Tetralogy of Fallot is the most common form of cyanotic heart disease and it is associated with intracerebral abscess in childhood. We report a thirteen-year-old boy with undiagnosed cyanotic heart disease who presented to the emergency department with history of fever, vomiting, headache and left sided body weakness. The neuroradiological images were suggestive of brain abscess and echocardiogram confirmed the diagnosis of Tetralogy of Fallot. An emergency craniotomy and brain abscess drainage was done and the patient showed a complete recovery of his clinical symptoms