A 63-year-old woman with atrial fibrillation who was receiving warfarin presented with a stupor and a new facial droop. She had a history of an atrial septal defect (ASD) and ventricular septal defect (VSD) repair in her 20s. A computed tomographic examination of the brain demonstrated a right frontal lobe abscess with vasogenic edema (Image). She underwent burr-hole aspiration of the abscess, which grew mixed oral flora.
Treatment involved a prolonged course of intravenous antibiotics, steroids, and medications for seizure prophylaxis. The diagnosis of persistent left superior vena cava was established. Source : JAMA Cardiology ##Disclaimer## The content provided on Docplexus is intended for educational purposes only. While we strive to ensure its accuracy, we make no explicit or implied warranties about the information's suitability, reliability, or adequacy, including data…
