ro13-9904 and Tetralogy-of-Fallot

Aggregatibacter aphrophilus and Beta haemolytic Streptococci Lancefield group F are part of the normal oral flora and are known to cause endocarditis, sinusitis, empyema, meningitis and septic arthritis. They are now emerging as a cause of brain abscess particularly in patients with congenital heart diseases. We report a case of a 10-year-old boy with Tetralogy of Fallot (TOF), who presented with fever, headache and drowsiness. Culture yielded the growth of Aggregatibacter aphrophilus and Beta hemolytic streptococci Lancefield group F. He became clinically stable after treatment with ceftriaxone.

Topics: Aggregatibacter aphrophilus; Anti-Bacterial Agents; Brain Abscess; Ceftriaxone; Child; Coinfection; Craniotomy; Culture Techniques; Humans; Male; Pasteurellaceae Infections; Streptococcal Infections; Streptococcus milleri Group; Tetralogy of Fallot; Tomography, X-Ray Computed