Síndrome de Austrian, reporte de caso
- Autores: Alejandra Salinas G., Juan Contreras R., Fernando Lanas Z., Víctor Neira V., Mauricio Soto, Abelardo Silva, Juan Carlos Bahamondes, Andrés Díaz
- Localización: Revista Médica de Chile, ISSN-e 0034-9887, Vol. 145, Nº. 11, 2017, págs. 1480-1484
- Idioma: español
- Títulos paralelos:
- Austrian syndrome. Report of one case
- Enlaces
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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.
