Abstract
The triad of pneumonia, meningitis, and endocarditis due to Streptococcus pneumoniae is known as Austrian syndrome. We report a case with an aortic-right atrium fistula in a 39-year-old woman who had undergone splenectomy for Hodgkin's lymphoma. The review of literature shows that the prevalence of Austrian syndrome is decreasing from 19% to 3% of patients with pneumococcal endocarditis in recent years. This case emphasizes that diagnosis of endocarditis should be considered early in every patient with pneumococcal meningitis or bacteremia, particularly in immunocompromised patients.
MeSH terms
-
Adult
-
Anti-Bacterial Agents / therapeutic use
-
Aortic Diseases / complications*
-
Aortic Diseases / diagnostic imaging
-
Aortic Diseases / surgery
-
Aortic Valve / microbiology
-
Aortic Valve / pathology
-
Combined Modality Therapy
-
Endocarditis, Bacterial / complications*
-
Endocarditis, Bacterial / diagnostic imaging
-
Endocarditis, Bacterial / drug therapy
-
Endocarditis, Bacterial / surgery
-
Female
-
Fistula / complications*
-
Fistula / diagnostic imaging
-
Fistula / surgery
-
Heart Atria / diagnostic imaging
-
Heart Atria / surgery
-
Heart Diseases / complications*
-
Heart Diseases / diagnostic imaging
-
Heart Diseases / surgery
-
Heart Valve Prosthesis Implantation
-
Hodgkin Disease / therapy
-
Humans
-
Immunocompromised Host
-
Meningitis, Pneumococcal / complications*
-
Meningitis, Pneumococcal / drug therapy
-
Penicillin G / therapeutic use
-
Pneumonia, Pneumococcal / complications*
-
Pneumonia, Pneumococcal / drug therapy
-
Syndrome
-
Ultrasonography
-
Ventricular Outflow Obstruction / diagnostic imaging
-
Ventricular Outflow Obstruction / etiology
-
Ventricular Outflow Obstruction / surgery
Substances
-
Anti-Bacterial Agents
-
Penicillin G