A chronic alcoholic man with high fever, neck rigidity and loss of consciousness: remember the Austrian syndrome a commonly unrecognised invasive pneumococcus triad

BMJ Case Reports
Sarah P GeorgiadouGeorge N Dalekos

Abstract

Austrian syndrome is a rare medical condition characterised by the triad of pneumonia, meningitis and endocarditis due to Streptococcus pneumoniae Native aortic valve insufficiency is the most common cause of cardiac failure in these patients, requiring valve replacement. We report a 52-year-old chronic alcoholic man who presented with fever, neck rigidity and loss of consciousness. Lumbar puncture revealed central nervous system infection while chest X-ray showed pneumonia. Blood and cerebrospinal fluid cultures revealed S. pneumonia Transoesophageal echocardiography revealed aortic endocarditis with severe valve insufficiency. The patient underwent aortic valve replacement and was finally discharged after completion of 6 weeks intravenous antibiotic treatment. Nowadays, Austrian syndrome is seen infrequently in the antibiotic era. However, clinicians should be aware of this syndrome as its early recognition and prompt combined medical and surgical treatment could reduce morbidity and mortality due to this potentially catastrophic clinical entity.

References

Feb 10, 1998·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·S I AroninE L Cooney
Dec 10, 1999·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·P MuñozE Bouza
Sep 6, 2005·International Journal of Cardiology·Carlos Gonzalez-JuanateyMiguel A Gonzalez-Gay
Oct 16, 2008·The American Journal of the Medical Sciences·Aman Dalal, Hameed Ahmad
Jan 1, 2009·BMJ Case Reports·Kate AtkinsonJacob Easaw
Jan 1, 2011·BMJ Case Reports·J B PoulsenK Moller
Sep 15, 2012·The Brazilian Journal of Infectious Diseases : an Official Publication of the Brazilian Society of Infectious Diseases·Manuel WilbringUtz Kappert
Nov 6, 2012·Infection·V KanakadandiG N Nadkarni
Sep 17, 2015·Circulation·Larry M BaddourUNKNOWN American Heart Association Committee on Rheumatic Fever, Endocarditis, and Kawasaki Disease of the Council on Cardiovascular
Nov 10, 2016·Current Opinion in Infectious Diseases·Joost M CosterusDiederik van de Beek
Mar 18, 2017·Infectious Diseases·Lene Fogt Lundbo, Thomas Benfield

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