Austrian syndrome in the context of a fulminant pneumococcal native valve endocarditis
Braz. j. infect. dis
; 16(5): 486-488, Sept.-Oct. 2012. ilus
Article
in En
| LILACS
| ID: lil-653439
Responsible library:
BR1.1
ABSTRACT
This is the case of a young male suffering from Austrian syndrome, which is the triad of endocarditis, meningitis, and pneumonia due to invasive S. pneumoniae infection. He reported recurrent fever for six months without any antibiotic treatment, which may have determined the further course of the syndrome. Echocardiography revealed massive native valve endocarditis, and the patient was considered for ultima-ratio cardiac surgery. Intraoperative aspect presented extensive affection of the aortic root with full destruction of aortic valve, mitral valve, and aortomitral continuity. The myocardium showed a phlegmonlike infiltration. Microbiologic testing of intraoperatively collected specimens identified penicillin-sensitive Streptococcus pneumoniae. S. pneumoniae is a very uncommon cause for infective infiltrative endocarditis and is associated with severe clinical courses. Austrian syndrome is even more rare, with only a few reported cases worldwide. In those patients, only early diagnosis, immediate antibiotic treatment, and emergent cardiac surgery can save lives.
Key words
Full text:
1
Index:
LILACS
Main subject:
Pneumonia, Pneumococcal
/
Streptococcal Infections
/
Endocarditis, Bacterial
/
Meningitis, Pneumococcal
Type of study:
Prognostic_studies
/
Screening_studies
Limits:
Adult
/
Humans
/
Male
Language:
En
Journal:
Braz. j. infect. dis
Journal subject:
DOENCAS TRANSMISSIVEIS
Year:
2012
Type:
Article