Síndrome de Austrian: reporte de caso / Austrian syndrome: report of one case
Rev. méd. Chile
;
145(11): 1480-1484, nov. 2017. graf
Article
in Spanish
| LILACS
| ID: biblio-902469
RESUMEN
Austrian syndrome is a triad characterized by pneumonia, meningitis and endocarditis, as a result of a Streptococcus pneumoniae bacteremia. We report a previously healthy 49 year-old male, who consulted at the emergency care unit with a history of one week of pleuritic pain, fever leading to an altered level of consciousness and seizures. A diagnosis of community-acquired pneumonia and meningitis was reached, isolating Streptococcus pneumoniae in the cerebrospinal fluid and blood cultures. Antibiotic treatment was started but the patient had an unsatisfactory response. During hospitalization a new heart murmur was found in the physical examination. An echocardiography was performed and a massive aortic valve insufficiency was found along with vegetations and a perforation of the same valve. The valve was replaced by a prosthetic one and the patient responded satisfactorily to the surgical and antibiotic treatment, without complications.
Full text:
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Index:
LILACS (Americas)
Main subject:
Pneumonia, Pneumococcal
/
Streptococcus pneumoniae
/
Meningitis, Bacterial
/
Endocarditis, Bacterial
Limits:
Humans
/
Male
Language:
Spanish
Journal:
Rev. méd. Chile
Journal subject:
Medicine
Year:
2017
Type:
Article
Affiliation country:
Chile
Institution/Affiliation country:
Universidad de La Frontera/CL
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