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Austrian syndrome in the context of a fulminant pneumococcal native valve endocarditis
Wilbring, Manuel; Tugtekin, Sems-Malte; Matschke, Klaus; Kappert, Utz.
Afiliação
  • Wilbring, Manuel; Technical University of Dresden. Department of Cardiac Surgery. Heart Center Dresden. DE
  • Tugtekin, Sems-Malte; Technical University of Dresden. Department of Cardiac Surgery. Heart Center Dresden. DE
  • Matschke, Klaus; Technical University of Dresden. Department of Cardiac Surgery. Heart Center Dresden. DE
  • Kappert, Utz; Technical University of Dresden. Department of Cardiac Surgery. Heart Center Dresden. DE
Braz. j. infect. dis ; Braz. j. infect. dis;16(5): 486-488, Sept.-Oct. 2012. ilus
Article em En | LILACS | ID: lil-653439
Biblioteca responsável: 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.
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Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Assunto principal: Pneumonia Pneumocócica / Infecções Estreptocócicas / Endocardite Bacteriana / Meningite Pneumocócica Tipo de estudo: Prognostic_studies / Screening_studies Limite: Adult / Humans / Male Idioma: En Revista: Braz. j. infect. dis Assunto da revista: DOENCAS TRANSMISSIVEIS Ano de publicação: 2012 Tipo de documento: Article País de afiliação: Alemanha País de publicação: Brasil
Texto completo
Adicionar na Minha BVS
Imprimir
XML
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Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Assunto principal: Pneumonia Pneumocócica / Infecções Estreptocócicas / Endocardite Bacteriana / Meningite Pneumocócica Tipo de estudo: Prognostic_studies / Screening_studies Limite: Adult / Humans / Male Idioma: En Revista: Braz. j. infect. dis Assunto da revista: DOENCAS TRANSMISSIVEIS Ano de publicação: 2012 Tipo de documento: Article País de afiliação: Alemanha País de publicação: Brasil