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Case Reports
. 2022 Mar 29:28:e01486.
doi: 10.1016/j.idcr.2022.e01486. eCollection 2022.

Pneumococcus beyond an Austrian syndrome - A case report

Gonçalo Guerreiro  1 , André Pina Monteiro  2 , Luís Coelho  1 , Pedro Póvoa  1
Affiliations
Case Reports

Pneumococcus beyond an Austrian syndrome - A case report

Gonçalo Guerreiro et al. IDCases. .

Abstract

Austrian syndrome is a rare entity characterized by Osler's triad: endocarditis, pneumonia and meningitis, caused by Streptococcus pneumoniae (Austrian, 1957 [1]). This aggressive syndrome is associated with high morbidity and mortality, often due to the involvement of the heart valves and their destruction (Nogué et al., 2019 [2], Araji et al., 2008 [3]). We present a case of Austrian syndrome in a splenectomised elderly patient with an unusual presentation: septic arthritis complicated by endocarditis, septic cerebral emboli, meningitis and pneumonia. Despite appropriate therapy, the prognosis remained poor and the patient died at day 7.

Keywords: Austrian syndrome; Invasive pneumococcal disease; Pneumococcal vaccine; Pneumococcus; Splenectomy.

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Conflict of interest statement

No conflicts to declare.

References

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