, Volume 41, Issue 3, pp 695–700 | Cite as

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

  • V. Kanakadandi
  • N. Annapureddy
  • S. K. Agarwal
  • M. S. Sabharwal
  • N. Ammakkanavar
  • P. Simoes
  • H. P. Sanjani
  • G. N. Nadkarni
Case Report


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.


Meningitis Pneumonia Endocarditis Pneumococcus Sepsis 


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Copyright information

© Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  • V. Kanakadandi
    • 1
  • N. Annapureddy
    • 2
  • S. K. Agarwal
    • 3
  • M. S. Sabharwal
    • 4
  • N. Ammakkanavar
    • 5
  • P. Simoes
    • 3
  • H. P. Sanjani
    • 7
  • G. N. Nadkarni
    • 6
  1. 1.Kansas City Veterans Affairs Medical CenterKansas CityUSA
  2. 2.Rush University Medical CenterChicagoUSA
  3. 3.St. Luke’s Roosevelt Hospital CenterUniversity Hospital for College of Physicians and Surgeons of ColumbiaNew YorkUSA
  4. 4.Albert Einstein College of MedicineMontefiore Medical CenterNew YorkUSA
  5. 5.Indiana University HospitalIndianapolisUSA
  6. 6.Mount Sinai HospitalNew YorkUSA
  7. 7.Osmania Medical CollegeHyderabadIndia

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