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Revista médica de Chile

Print version ISSN 0034-9887

Abstract

SALINAS G., Alejandra et al. Síndrome de Austrian, reporte de caso. Rev. méd. Chile [online]. 2017, vol.145, n.11, pp.1480-1484. ISSN 0034-9887.  http://dx.doi.org/10.4067/s0034-98872017001101480.

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.

Keywords : Endocarditis; Bacterial; Meningitis; Bacterial; Pneumonia; Pneumococcal.

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