Infection

, Volume 41, Issue 3, pp 695–700

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

Authors

    • Kansas City Veterans Affairs Medical Center
  • N. Annapureddy
    • Rush University Medical Center
  • S. K. Agarwal
    • St. Luke’s Roosevelt Hospital CenterUniversity Hospital for College of Physicians and Surgeons of Columbia
  • M. S. Sabharwal
    • Albert Einstein College of MedicineMontefiore Medical Center
  • N. Ammakkanavar
    • Indiana University Hospital
  • P. Simoes
    • St. Luke’s Roosevelt Hospital CenterUniversity Hospital for College of Physicians and Surgeons of Columbia
  • H. P. Sanjani
    • Osmania Medical College
  • G. N. Nadkarni
    • Mount Sinai Hospital
Case Report

DOI: 10.1007/s15010-012-0361-3

Cite this article as:
Kanakadandi, V., Annapureddy, N., Agarwal, S.K. et al. Infection (2013) 41: 695. doi:10.1007/s15010-012-0361-3

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

MeningitisPneumoniaEndocarditisPneumococcusSepsis

Copyright information

© Springer-Verlag Berlin Heidelberg 2012