Εμφάνιση απλής εγγραφής

dc.creatorGeorgiadou S.P., Manoulakas E., Makaritsis K.P., Dalekos G.N.en
dc.date.accessioned2023-01-31T07:40:44Z
dc.date.available2023-01-31T07:40:44Z
dc.date.issued2018
dc.identifier10.1136/bcr-2018-225010
dc.identifier.issn1757790X
dc.identifier.urihttp://hdl.handle.net/11615/72139
dc.description.abstractAustrian syndrome is a rare medical condition characterised by the triad of pneumonia, meningitis and endocarditis due to Streptococcus pneumoniae. Native aortic valve insufficiency is the most common cause of cardiac failure in these patients, requiring valve replacement. We report a 52-year-old chronic alcoholic man who presented with fever, neck rigidity and loss of consciousness. Lumbar puncture revealed central nervous system infection while chest X-ray showed pneumonia. Blood and cerebrospinal fluid cultures revealed S. pneumonia. Transoesophageal echocardiography revealed aortic endocarditis with severe valve insufficiency. The patient underwent aortic valve replacement and was finally discharged after completion of 6 weeks intravenous antibiotic treatment. Nowadays, Austrian syndrome is seen infrequently in the antibiotic era. However, clinicians should be aware of this syndrome as its early recognition and prompt combined medical and surgical treatment could reduce morbidity and mortality due to this potentially catastrophic clinical entity. © BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.en
dc.language.isoenen
dc.sourceBMJ Case Reportsen
dc.source.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85047852894&doi=10.1136%2fbcr-2018-225010&partnerID=40&md5=b1d977468aa332ef081e413a05a30f98
dc.subjectalanine aminotransferaseen
dc.subjectampicillinen
dc.subjectaspartate aminotransferaseen
dc.subjectbilirubinen
dc.subjectC reactive proteinen
dc.subjectceftriaxoneen
dc.subjectchloramphenicolen
dc.subjectclindamycinen
dc.subjectcotrimoxazoleen
dc.subjectdexamethasoneen
dc.subjectgamma glutamyltransferaseen
dc.subjectlactate dehydrogenaseen
dc.subjectlinezoliden
dc.subjectmeropenemen
dc.subjectmoxifloxacinen
dc.subjectpenicillin derivativeen
dc.subjectpenicillin Gen
dc.subjectrifampicinen
dc.subjectureaen
dc.subjectvancomycinen
dc.subjectacute respiratory failureen
dc.subjectadulten
dc.subjectalanine aminotransferase blood levelen
dc.subjectalcoholismen
dc.subjectalkaline phosphatase blood levelen
dc.subjectanemiaen
dc.subjectantibiotic sensitivityen
dc.subjectaortic regurgitationen
dc.subjectaortic valve replacementen
dc.subjectArticleen
dc.subjectaspartate aminotransferase blood levelen
dc.subjectAustralian syndromeen
dc.subjectbilirubin blood levelen
dc.subjectblood pressure measurementen
dc.subjectbody temperature measurementen
dc.subjectbreathing rateen
dc.subjectcase reporten
dc.subjectCaucasianen
dc.subjectcentral nervous system infectionen
dc.subjectcerebrospinal fluid analysisen
dc.subjectclinical articleen
dc.subjectcrackleen
dc.subjectdeteriorationen
dc.subjectelectrocardiographyen
dc.subjectendocarditisen
dc.subjecterythrocyte sedimentation rateen
dc.subjectfeveren
dc.subjectgamma glutamyl transferase blood levelen
dc.subjectGreek (people)en
dc.subjectheart murmuren
dc.subjectheart rate measurementen
dc.subjecthospital admissionen
dc.subjecthospital dischargeen
dc.subjecthumanen
dc.subjectlactate dehydrogenase blood levelen
dc.subjectleukocyte counten
dc.subjectlumbar punctureen
dc.subjectlung infiltrateen
dc.subjectmaleen
dc.subjectmeningitisen
dc.subjectmiddle ageden
dc.subjectmuscle rigidityen
dc.subjectnonhumanen
dc.subjectoxygen saturationen
dc.subjectpleura effusionen
dc.subjectpneumoniaen
dc.subjectpriority journalen
dc.subjectsinus tachycardiaen
dc.subjectStreptococcus pneumoniaen
dc.subjectStreptococcus pneumoniaeen
dc.subjectthorax radiographyen
dc.subjecttransesophageal echocardiographyen
dc.subjectunconsciousnessen
dc.subjecturea blood levelen
dc.subjectalcoholismen
dc.subjectaortic regurgitationen
dc.subjectbacterial endocarditisen
dc.subjectbacterial meningitisen
dc.subjectchronic diseaseen
dc.subjectcomplicationen
dc.subjectfeveren
dc.subjectheart valve replacementen
dc.subjectmicrobiologyen
dc.subjectpneumococcal infectionen
dc.subjectStreptococcus pneumoniaen
dc.subjectsyndromeen
dc.subjectunconsciousnessen
dc.subjectAlcoholismen
dc.subjectAortic Valve Insufficiencyen
dc.subjectChronic Diseaseen
dc.subjectEndocarditis, Bacterialen
dc.subjectFeveren
dc.subjectHeart Valve Prosthesis Implantationen
dc.subjectHumansen
dc.subjectMaleen
dc.subjectMeningitis, Bacterialen
dc.subjectMiddle Ageden
dc.subjectPneumococcal Infectionsen
dc.subjectPneumonia, Pneumococcalen
dc.subjectStreptococcus pneumoniaeen
dc.subjectSyndromeen
dc.subjectUnconsciousnessen
dc.subjectBMJ Publishing Groupen
dc.titleA chronic alcoholic man with high fever, neck rigidity and loss of consciousness: Remember the Austrian syndrome a commonly unrecognised invasive pneumococcus triaden
dc.typejournalArticleen


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