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Arq. bras. cardiol ; 97(3): e50-e52, set. 2011. ilus
Article in Portuguese | LILACS | ID: lil-601797

ABSTRACT

Neste relato, é descrito o caso de um paciente masculino, 64 anos, sem história de etilismo, que se apresentou com a Tríade de Osler, que consiste no desenvolvimento de endocardite, pneumonia e meningite, por um mesmo agente. A síndrome é denominada síndrome de Austrian, quando a infecção for por Streptococcus pneumoniae. Serão discutidas as manifestações clínicas, fisiopatológicas e a terapêutica mais adequada para esse quadro. Tendo em vista a raridade do caso e a elevada morbimortalidade, serão enfatizadas a importância do diagnóstico precoce e o tratamento adequado, visando reduzir as complicações inerentes a essa doença.


In this report, we describe the case of a 64-year-old male patient, with no history of alcohol consumption, who presented the Osler's triad, which is the association of endocarditis, pneumonia, and meningitis caused by a single agent. This syndrome is called Austrian syndrome, when the infection is caused by Streptococcus pneumoniae. We discuss the clinical manifestations, the pathophysiology, and the therapeutic approach to this condition. Given the rarity of the condition and its high morbidity and mortality, the importance of an early diagnosis and an appropriate treatment to reduce the complications associated with this disease will be emphasized.


Subject(s)
Humans , Male , Middle Aged , Endocarditis, Bacterial/diagnosis , Meningitis, Pneumococcal/diagnosis , Streptococcus pneumoniae , Streptococcal Infections/diagnosis , Endocarditis, Bacterial/therapy , Meningitis, Pneumococcal/therapy , Syndrome , Streptococcal Infections/therapy , Streptococcus pneumoniae/isolation & purification
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