| 21 days before presentation |
Dental scaling |
| 15 days before presentation |
Headache onset |
| 1 day before presentation |
Neurological symptoms |
| Day 0 |
Emergency department/head computed tomography (CT) |
| Suspected intracranial tumours |
| Day 0 |
Transfer |
| Day 1 |
Head magnetic resonance imaging |
| Confirmed intracerebral abscesses |
| Day 1 |
Abscess drainage |
| Cultivated by bacteria commonly found in the oral flora |
| Day 2 |
Transthoracic echocardiography |
| Findings of the dilated coronary sinus |
| Day 4 |
Transoesophageal echocardiography with agitated saline |
| Confirmation of shunt, suspicion of simultaneous extra- and intracardiac shunting |
| Day 5 |
Cardiac magnetic resonance and magnetic resonance angiography |
| Confirmation of persistent left superior vena cava and right-sided superior vena cava draining into the left atrium. However, intracardiac shunting is not evident |
| Day 15 |
Cardiac CT with angiography |
| Extracardiac sinus venosus defect discovered |