The Austrian syndrome: a case report and review of the literature

被引:15
|
作者
Kanakadandi, V. [1 ]
Annapureddy, N. [2 ]
Agarwal, S. K. [3 ]
Sabharwal, M. S. [4 ]
Ammakkanavar, N. [5 ]
Simoes, P. [3 ]
Sanjani, H. P. [6 ]
Nadkarni, G. N. [7 ]
机构
[1] Kansas City Vet Affairs Med Ctr, Kansas City, MO 64128 USA
[2] Rush Univ, Med Ctr, Chicago, IL 60612 USA
[3] Univ Hosp, Coll Phys & Surg Columbia, St Lukes Roosevelt Hosp Ctr, New York, NY USA
[4] Montefiore Med Ctr, Albert Einstein Coll Med, New York, NY USA
[5] Indiana Univ Hosp, Indianapolis, IN 46202 USA
[6] Osmania Med Coll & Hosp, Hyderabad, Andhra Pradesh, India
[7] Mt Sinai Hosp, New York, NY 10029 USA
关键词
Meningitis; Pneumonia; Endocarditis; Pneumococcus; Sepsis; BACTERIAL-MENINGITIS; ENDOCARDITIS; ADULTS; ALCOHOLISM; GUIDELINES; MANAGEMENT; ERA;
D O I
10.1007/s15010-012-0361-3
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
A 61-year-old man presented with fever and altered mental status. He was intubated for respiratory distress and was found to have multilobar pneumonia for which antibiotic therapy was instituted. However, his mental status continued to deteriorate despite appropriate antibiotic therapy for his pneumonia. The results from lumar puncture revealed meningitis and endocarditis was evident on a trans-esophageal echocardiogram. His blood and respiratory cultures grew Streptococcus pneumoniae. The patient was diagnosed with Austrian syndrome. After appropriate changes to his antibiotic regimen and an aortic valve replacement, he recovered and was discharged.
引用
收藏
页码:695 / 700
页数:6
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