The Austrian syndrome: a case report and review of the literature

被引：17

作者：

Kanakadandi, V. ^{[1
]}

Annapureddy, N. ^{[2
]}

Agarwal, S. K. ^{[3
]}

Sabharwal, M. S. ^{[4
]}

Ammakkanavar, N. ^{[5
]}

Simoes, P. ^{[3
]}

Sanjani, H. P. ^{[6
]}

Nadkarni, G. N. ^{[7
]}

机构：

[1] Kansas City Vet Affairs Med Ctr, Kansas City, MO 64128 USA

[2] Rush Univ, Med Ctr, Chicago, IL 60612 USA

[3] Univ Hosp, Coll Phys & Surg Columbia, St Lukes Roosevelt Hosp Ctr, New York, NY USA

[4] Montefiore Med Ctr, Albert Einstein Coll Med, New York, NY USA

[5] Indiana Univ Hosp, Indianapolis, IN 46202 USA

[6] Osmania Med Coll & Hosp, Hyderabad, Andhra Pradesh, India

[7] Mt Sinai Hosp, New York, NY 10029 USA

来源：

INFECTION | 2013年 / 41卷 / 03期

关键词：

Meningitis; Pneumonia; Endocarditis; Pneumococcus; Sepsis; BACTERIAL-MENINGITIS; ENDOCARDITIS; ADULTS; ALCOHOLISM; GUIDELINES; MANAGEMENT; ERA;

D O I：

10.1007/s15010-012-0361-3

中图分类号：

R51 [传染病];

学科分类号：

100401 ;

摘要：

A 61-year-old man presented with fever and altered mental status. He was intubated for respiratory distress and was found to have multilobar pneumonia for which antibiotic therapy was instituted. However, his mental status continued to deteriorate despite appropriate antibiotic therapy for his pneumonia. The results from lumar puncture revealed meningitis and endocarditis was evident on a trans-esophageal echocardiogram. His blood and respiratory cultures grew Streptococcus pneumoniae. The patient was diagnosed with Austrian syndrome. After appropriate changes to his antibiotic regimen and an aortic valve replacement, he recovered and was discharged.

引用

页码：695 / 700

页数：6

共 15 条

[1] Review of pneumococcal endocarditis in adults in the penicillin era [J].

Aronin, SI ;

Mukherjee, SK ;

West, JC ;

Cooney, EL .

CLINICAL INFECTIOUS DISEASES, 1998, 26 (01) :165-171

[2]

Atkinson K, 2009, BMJ CASE REP 2009, DOI [10.1136/bcr.03.2009.1724, DOI 10.1136/BCR.03.2009.1724]

[3]

AUSTRIAN R, 1956, Trans Am Clin Climatol Assoc, V68, P40

[4]

Austrian R., 1956, T AM CLIN CLIMATOL A, V68, P48

[5] ALCOHOLISM - IMPORTANT BUT UNEMPHASIZED FACTOR PREDISPOSING TO INFECTIVE ENDOCARDITIS [J].

BUCHBIND.NA ;

ROBERTS, WC .

ARCHIVES OF INTERNAL MEDICINE, 1973, 132 (05) :689-692

[6]

DEMEO AN, 1971, J LAB CLIN MED, V78, P980

[7] Streptococcus pneumoniae endocarditis in adults -: A multicenter study in France in the era of penicillin resistance (1991-1998) [J].

Lefort, A ;

Mainardi, JL ;

Selton-Suty, C ;

Casassus, P ;

Guillevin, L ;

Lortholary, O .

MEDICINE, 2000, 79 (05) :327-337

[8] Infectious Diseases Society of America/American Thoracic Society consensus guidelines on the management of community-acquired pneumonia in adults [J].

Mandell, Lionel A. ;

Wunderink, Richard G. ;

Anzueto, Antonio ;

Bartlett, John G. ;

Campbell, G. Douglas ;

Dean, Nathan C. ;

Dowell, Scott F. ;

File, Thomas M., Jr. ;

Musher, Daniel M. ;

Niederman, Michael S. ;

Torres, Antonio ;

Whitney, Cynthia G. .

CLINICAL INFECTIOUS DISEASES, 2007, 44 :S27-S72

[9] ABNORMAL LEUKOCYTE RESPONSE IN ALCOHOLISM [J].

MCFARLAND, W ;

LIBRE, EP .

ANNALS OF INTERNAL MEDICINE, 1963, 59 (06) :865-+

[10] Austrian syndrome in a child-aortic valve endocarditis following pneumococcal meningitis [J].

Rammeloo, L ;

Hruda, J ;

Sobotka-Plojhar, M ;

Avis, W ;

Schoof, P .

INTERNATIONAL JOURNAL OF CARDIOLOGY, 2004, 94 (2-3) :321-322

← 1 2 →