Atypical Multiple Brain Abscesses With Congenital Single Ventricle: A Case Report

Multiple brain abscesses due to heart disease with congenital single ventricle is relatively rare in clinical practice. Herein, we reported a 28-year-old male patient with multiple brain abscesses who suffered from congenital heart disease (single ventricle). This patient was admitted due to 2-day headache and half-day body twitching without other symptoms. CT suggested intracranial hemorrhage. This patient developed fever after treatment. Then, enhanced magnetic resonance imaging (MRI) indicated spontaneous right frontal lobe hemorrhage, which suggested multiple brain abscess. After antibiotic treatment and brain abscess drainage, left hemiplegia was observed in this patient. The treatment for this patient was extremely risky and difficult due to the congenital heart disease. This patient was finally diagnosed with atypical multiple brain abscesses. Two operations have been conducted on this patient. Left limb muscle strength did not recover to normal level after treatment. This patient was followed up till Dec 2015.