{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,2]],"date-time":"2025-09-02T01:40:02Z","timestamp":1756777202652,"version":"3.44.0"},"reference-count":12,"publisher":"Cambridge University Press (CUP)","issue":"7","license":[{"start":{"date-parts":[[2025,7,17]],"date-time":"2025-07-17T00:00:00Z","timestamp":1752710400000},"content-version":"unspecified","delay-in-days":16,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1047951125100711_as1\"><jats:title>Background:<\/jats:title><jats:p>Brain abscess is a rare but life-threatening complication in patients with cyanotic congenital heart disease (CHD), especially in those without prior corrective surgery.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951125100711_as2\"><jats:title>Methods:<\/jats:title><jats:p>We report the case of a 36-year-old woman with unoperated cyanotic CHD who presented with neurological deficits. Diagnostic evaluation included cranial magnetic resonance imaging (MRI).<\/jats:p><\/jats:sec><jats:sec id=\"S1047951125100711_as3\"><jats:title>Results:<\/jats:title><jats:p>Imaging revealed a brain abscess. Contributing factors included chronic hypoxia, polycythaemia, and right-to-left shunting facilitating systemic circulation of infectious agents. The patient was treated with intravenous antibiotics and surgical drainage.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951125100711_as4\"><jats:title>Conclusions:<\/jats:title><jats:p>This case highlights the elevated risk of brain abscess in uncorrected cyanotic CHD and underlines the importance of early recognition and timely management to avoid fatal outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1047951125100711","type":"journal-article","created":{"date-parts":[[2025,7,17]],"date-time":"2025-07-17T04:19:16Z","timestamp":1752725956000},"page":"1464-1468","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["A rare complication of cyanotic CHD: brain abscess"],"prefix":"10.1017","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3314-9090","authenticated-orcid":false,"given":"Ali Naz\u0131m","family":"G\u00fczelba\u011f","sequence":"first","affiliation":[{"name":"Saglik Bilimleri University Basaksehir Cam and Sakura City Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Buru\u00e7","family":"Erkan","sequence":"additional","affiliation":[{"name":"Saglik Bilimleri University Basaksehir Cam and Sakura City Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u0130sa","family":"\u00d6zy\u0131lmaz","sequence":"additional","affiliation":[{"name":"Saglik Bilimleri University Basaksehir Cam and Sakura City Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4579-963X","authenticated-orcid":false,"given":"Muhammet Hamza Halil","family":"Toprak","sequence":"additional","affiliation":[{"name":"Saglik Bilimleri University Basaksehir Cam and Sakura City Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1762-3269","authenticated-orcid":false,"given":"Erkut","family":"\u00d6zt\u00fcrk","sequence":"additional","affiliation":[{"name":"Saglik Bilimleri University Basaksehir Cam and Sakura City Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2025,7,17]]},"reference":[{"key":"S1047951125100711_ref6","doi-asserted-by":"publisher","DOI":"10.9794\/jspccs.29.236"},{"key":"S1047951125100711_ref7","first-page":"73","article-title":"[Congenital cardiopathy and cerebral abscess]","volume":"2","author":"Paix\u00e3o","year":"1989","journal-title":"Acta Med Port"},{"key":"S1047951125100711_ref10","doi-asserted-by":"crossref","first-page":"23","DOI":"10.4103\/1817-1745.97617","article-title":"Surgery for brain abscess in children with cyanotic heart disease: An anesthetic challenge","volume":"7","author":"Raha","year":"2012","journal-title":"J Pediatr Neurosci"},{"key":"S1047951125100711_ref12","first-page":"Cd004469","article-title":"Antibiotics for brain abscesses in people with cyanotic congenital heart disease","volume":"3","author":"Lumbiganon","year":"2007","journal-title":"Cochrane Database Syst\u00a0Rev"},{"key":"S1047951125100711_ref11","doi-asserted-by":"publisher","DOI":"10.4103\/RID.RID_14_22"},{"key":"S1047951125100711_ref5","doi-asserted-by":"publisher","DOI":"10.59779\/jiomnepal.1300"},{"key":"S1047951125100711_ref3","doi-asserted-by":"publisher","DOI":"10.1542\/peds.27.5.772"},{"key":"S1047951125100711_ref8","doi-asserted-by":"publisher","DOI":"10.53730\/ijhs.v6nS6.12599"},{"key":"S1047951125100711_ref9","first-page":"9443","article-title":"Brain abscess caused by an unusual organism, Streptococcus pluranimalium, in a child with congenital cyanotic heart disease","volume":"1","author":"Vardhana","year":"2015","journal-title":"Uni J Med Medical Specialities"},{"key":"S1047951125100711_ref1","first-page":"3","article-title":"Antibiotics for brain abscesses in people with cyanotic congenital heart disease","volume":"2013","author":"Lumbiganon","year":"2013","journal-title":"Cochrane Database Syst Rev"},{"key":"S1047951125100711_ref2","first-page":"661","article-title":"Brain abscess: a review","volume":"93","author":"Magoha","year":"2016","journal-title":"E Afr Med J"},{"key":"S1047951125100711_ref4","first-page":"e32618","article-title":"Recurrent brain abscess in a child with cyanotic congenital heart disease","volume":"14","author":"Kiran","year":"2022","journal-title":"Cureus"}],"container-title":["Cardiology in the 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Published by Cambridge University Press","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}}]}}