Silent Persistent Left Superior Vena Cava Right-to-Left Shunt as a Unique Cause of Recurrent Brain Abscesses

We present a novel case of recurrent brain abscesses found to be the result of a silent congenital right-to-left extracardiac shunt, a persistent left superior vena cava draining into the left atrium. The patient’s brain abscess was evacuated surgically and treated with antibiotics, and his shunt wa...

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Autores principales: Spier, Addie B, David, Diana, Al Zoubi, Moamen, Taylor, Montoya, Evans, Colin E
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2022
Materias:
Novel ID Cases
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9045951/
https://www.ncbi.nlm.nih.gov/pubmed/35493120
http://dx.doi.org/10.1093/ofid/ofac160
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author Spier, Addie B
David, Diana
Al Zoubi, Moamen
Taylor, Montoya
Evans, Colin E
author_facet Spier, Addie B
David, Diana
Al Zoubi, Moamen
Taylor, Montoya
Evans, Colin E
author_sort Spier, Addie B
collection PubMed
description We present a novel case of recurrent brain abscesses found to be the result of a silent congenital right-to-left extracardiac shunt, a persistent left superior vena cava draining into the left atrium. The patient’s brain abscess was evacuated surgically and treated with antibiotics, and his shunt was subsequently repaired. The case suggests that attention should be paid to evaluation for shunt physiology allowing for bypass of the pulmonary circulation in those with recurrent brain abscesses.
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spelling pubmed-90459512022-04-28 Silent Persistent Left Superior Vena Cava Right-to-Left Shunt as a Unique Cause of Recurrent Brain Abscesses Spier, Addie B David, Diana Al Zoubi, Moamen Taylor, Montoya Evans, Colin E Open Forum Infect Dis Novel ID Cases We present a novel case of recurrent brain abscesses found to be the result of a silent congenital right-to-left extracardiac shunt, a persistent left superior vena cava draining into the left atrium. The patient’s brain abscess was evacuated surgically and treated with antibiotics, and his shunt was subsequently repaired. The case suggests that attention should be paid to evaluation for shunt physiology allowing for bypass of the pulmonary circulation in those with recurrent brain abscesses. Oxford University Press 2022-04-08 /pmc/articles/PMC9045951/ /pubmed/35493120 http://dx.doi.org/10.1093/ofid/ofac160 Text en © The Author(s) 2022. Published by Oxford University Press on behalf of Infectious Diseases Society of America. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs licence (https://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial reproduction and distribution of the work, in any medium, provided the original work is not altered or transformed in any way, and that the work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Novel ID Cases
Spier, Addie B
David, Diana
Al Zoubi, Moamen
Taylor, Montoya
Evans, Colin E
Silent Persistent Left Superior Vena Cava Right-to-Left Shunt as a Unique Cause of Recurrent Brain Abscesses
title Silent Persistent Left Superior Vena Cava Right-to-Left Shunt as a Unique Cause of Recurrent Brain Abscesses
title_full Silent Persistent Left Superior Vena Cava Right-to-Left Shunt as a Unique Cause of Recurrent Brain Abscesses
title_fullStr Silent Persistent Left Superior Vena Cava Right-to-Left Shunt as a Unique Cause of Recurrent Brain Abscesses
title_full_unstemmed Silent Persistent Left Superior Vena Cava Right-to-Left Shunt as a Unique Cause of Recurrent Brain Abscesses
title_short Silent Persistent Left Superior Vena Cava Right-to-Left Shunt as a Unique Cause of Recurrent Brain Abscesses
title_sort silent persistent left superior vena cava right-to-left shunt as a unique cause of recurrent brain abscesses
topic Novel ID Cases
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9045951/
https://www.ncbi.nlm.nih.gov/pubmed/35493120
http://dx.doi.org/10.1093/ofid/ofac160
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