Austrian syndrome: A clinical rarity

Velázquez, Carlos; Araji, Omar; Barquero, José M.; Pérez-Duarte, E.; García-Borbolla, Mariano

doi:10.1016/j.ijcard.2007.01.085

Cited by 19 publications

(16 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…One such paper quotes a reduction in death rate from 60% to 32% when early surgical approach is adopted 4. However our case highlights the importance of balancing the need for early surgical intervention while recognising the patient who is not fit for surgery and requires medical optimisation.…”

Section: Discussionmentioning

confidence: 85%

“…An important issue is the difficulty of early recognition of heart involvement in patients whose symptoms and signs can be explained by meningitis and pneumonia3 and who typically lack peripheral stigmata of infective endocarditis at an early stage 4. Indeed, the patient described here was diagnosed as having endocarditis some weeks into her admission, after developing a new cardiac murmur associated with cardiac failure.…”

Section: Discussionmentioning

confidence: 91%

See 1 more Smart Citation

Austrian syndrome: a case report and review of the literature

Atkinson

Augustine²,

Easaw³

2009

Case Reports

View full text Add to dashboard Cite

A usually fit and well 69-year-old woman presented with headache and altered consciousness. Initial clinical findings and investigations were consistent with a diagnosis of pneumococcal meningitis and pneumonia. Cultures of blood and cerebrospinal fluid grew Streptococcus pneumoniae. The patient continued to spike temperatures and developed cardiac failure. A transoesophageal echocardiogram demonstrated a large vegetation of the aortic valve causing severe aortic regurgitation. A diagnosis of Austrian syndrome, the triad of pneumococcal meningitis, pneumonia and endocarditis, was made. The patient has completed a course of appropriate antibiotic therapy and is awaiting aortic valve surgery.

show abstract

Section: Discussionmentioning

confidence: 85%

Section: Discussionmentioning

confidence: 91%

Austrian syndrome: a case report and review of the literature

Atkinson

Augustine²,

Easaw³

2009

Case Reports

View full text Add to dashboard Cite

show abstract

“…S. pneumoniae has a predilection for native valve and the most frequent localization of the vegetation is AV 4)6). The clinical course of PE is usually acute and very aggressive, with a high rate of mortality (non-surgical 60%, early surgery 32%) and association with the rupture of AV 2)4)7). In most cases of Austrian syndrome, despite adequate antibiotic therapy, PE was acutely progressed and median time of diagnosis was 1 to 7 days after the antibiotic therapy of bacterial meningitis with a newly developed dyspnea and/or cardiac murmur by valve destruction 5)7-10).…”

Section: Discussionmentioning

confidence: 99%

Austrian Syndrome with a Delayed Onset of Heart Failure

Kim

et al. 2011

J Cardiovasc Ultrasound

View full text Add to dashboard Cite

A 59-year-old man treated with pneumococcal meningitis 4 months ago was hospitalized for acute heart failure and performed aortic valve replacement by rupture of aortic valve. The frequent association of pneumococcal meningitis and endocarditis is known as Austrian syndrome. Though Austrian syndrome is a clinically rare disease, the evolution of pneumococcal endocarditis is very aggressive and associated with high mortality, and early recognition for evidence of endocardial lesion in patients with pneumococcal meningitis is important to reduce the complications and mortality rate.

show abstract

“…1 However, infective endocarditis caused by pneumococci in an aortic valve tends to have an acute course. 2,3 We reported herein a case of prosthetic aortic valve detachment due to pneumococcal infective endocarditis.…”

Section: Introductionmentioning

confidence: 98%