Síndrome de Austrian: reporte de caso / Austrian syndrome: report of one case
Rev. méd. Chile
; 145(11): 1480-1484, nov. 2017. graf
Article
de Es
| LILACS
| ID: biblio-902469
Bibliothèque responsable:
CL1.1
RESUMEN
Austrian syndrome is a triad characterized by pneumonia, meningitis and endocarditis, as a result of a Streptococcus pneumoniae bacteremia. We report a previously healthy 49 year-old male, who consulted at the emergency care unit with a history of one week of pleuritic pain, fever leading to an altered level of consciousness and seizures. A diagnosis of community-acquired pneumonia and meningitis was reached, isolating Streptococcus pneumoniae in the cerebrospinal fluid and blood cultures. Antibiotic treatment was started but the patient had an unsatisfactory response. During hospitalization a new heart murmur was found in the physical examination. An echocardiography was performed and a massive aortic valve insufficiency was found along with vegetations and a perforation of the same valve. The valve was replaced by a prosthetic one and the patient responded satisfactorily to the surgical and antibiotic treatment, without complications.
Mots clés
Texte intégral:
1
Indice:
LILACS
Sujet Principal:
Pneumonie à pneumocoques
/
Streptococcus pneumoniae
/
Méningite bactérienne
/
Endocardite bactérienne
Limites du sujet:
Humans
/
Male
langue:
Es
Texte intégral:
Rev. méd. Chile
Thème du journal:
MEDICINA
Année:
2017
Type:
Article