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Tuberculous brain abscess in an adolescent with complex congenital cyanotic heart disease
  1. Nayan Desai,
  2. Brian Gable,
  3. Matthew Ortman
  1. Division of Internal Medicine, Department of Medicine, Cooper Medical School of Rowan University, Camden, New Jersey, USA
  1. Correspondence to Dr Nayan Desai, Division of Internal Medicine, Department of Medicine, Cooper Medical School of Rowan University, 3rd Floor E&R Bldg. 401 Haddon Ave, Camden, NJ 08103, USA; nayandesai_16{at}yahoo.co.in

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A 15-year-old boy presented with low-grade fever, frontal headache and projectile vomiting. Physical examination revealed clubbing, central cyanosis and systolic murmur at the base of heart. Electrocardiogram revealed rightward P wave axis, prominent anterior precordial forces with an R/S ratio in V1 that approaches 1 and reverse precordial progression, suggestive of dextrocardia (figure 1), which was confirmed by chest roentgenogram (figure …

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