Síndrome de Austrian, reporte de caso

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.

Bibliographic Details

Main Authors:	Salinas G.,Alejandra, Contreras R.,Juan, Lanas Z.,Fernando, Neira V.,Víctor, Soto,Mauricio, Silva,Abelardo, Bahamondes,Juan Carlos, Díaz,Andrés
Format:	Digital revista
Language:	Spanish / Castilian
Published:	Sociedad Médica de Santiago 2017
Online Access:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872017001101480
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