Case Report

Infection

, Volume 41, Issue 3, pp 695-700

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

  • V. KanakadandiAffiliated withKansas City Veterans Affairs Medical Center Email author 
  • , N. AnnapureddyAffiliated withRush University Medical Center
  • , S. K. AgarwalAffiliated withSt. Luke’s Roosevelt Hospital Center, University Hospital for College of Physicians and Surgeons of Columbia
  • , M. S. SabharwalAffiliated withAlbert Einstein College of Medicine, Montefiore Medical Center
  • , N. AmmakkanavarAffiliated withIndiana University Hospital
  • , P. SimoesAffiliated withSt. Luke’s Roosevelt Hospital Center, University Hospital for College of Physicians and Surgeons of Columbia
  • , H. P. SanjaniAffiliated withOsmania Medical College
  • , G. N. NadkarniAffiliated withMount Sinai Hospital

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Abstract

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.

Keywords

Meningitis Pneumonia Endocarditis Pneumococcus Sepsis