A chronic alcoholic man with high fever, neck rigidity and loss of consciousness: Remember the Austrian syndrome a commonly unrecognised invasive pneumococcus triad
dc.creator | Georgiadou S.P., Manoulakas E., Makaritsis K.P., Dalekos G.N. | en |
dc.date.accessioned | 2023-01-31T07:40:44Z | |
dc.date.available | 2023-01-31T07:40:44Z | |
dc.date.issued | 2018 | |
dc.identifier | 10.1136/bcr-2018-225010 | |
dc.identifier.issn | 1757790X | |
dc.identifier.uri | http://hdl.handle.net/11615/72139 | |
dc.description.abstract | Austrian 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.iso | en | en |
dc.source | BMJ Case Reports | en |
dc.source.uri | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85047852894&doi=10.1136%2fbcr-2018-225010&partnerID=40&md5=b1d977468aa332ef081e413a05a30f98 | |
dc.subject | alanine aminotransferase | en |
dc.subject | ampicillin | en |
dc.subject | aspartate aminotransferase | en |
dc.subject | bilirubin | en |
dc.subject | C reactive protein | en |
dc.subject | ceftriaxone | en |
dc.subject | chloramphenicol | en |
dc.subject | clindamycin | en |
dc.subject | cotrimoxazole | en |
dc.subject | dexamethasone | en |
dc.subject | gamma glutamyltransferase | en |
dc.subject | lactate dehydrogenase | en |
dc.subject | linezolid | en |
dc.subject | meropenem | en |
dc.subject | moxifloxacin | en |
dc.subject | penicillin derivative | en |
dc.subject | penicillin G | en |
dc.subject | rifampicin | en |
dc.subject | urea | en |
dc.subject | vancomycin | en |
dc.subject | acute respiratory failure | en |
dc.subject | adult | en |
dc.subject | alanine aminotransferase blood level | en |
dc.subject | alcoholism | en |
dc.subject | alkaline phosphatase blood level | en |
dc.subject | anemia | en |
dc.subject | antibiotic sensitivity | en |
dc.subject | aortic regurgitation | en |
dc.subject | aortic valve replacement | en |
dc.subject | Article | en |
dc.subject | aspartate aminotransferase blood level | en |
dc.subject | Australian syndrome | en |
dc.subject | bilirubin blood level | en |
dc.subject | blood pressure measurement | en |
dc.subject | body temperature measurement | en |
dc.subject | breathing rate | en |
dc.subject | case report | en |
dc.subject | Caucasian | en |
dc.subject | central nervous system infection | en |
dc.subject | cerebrospinal fluid analysis | en |
dc.subject | clinical article | en |
dc.subject | crackle | en |
dc.subject | deterioration | en |
dc.subject | electrocardiography | en |
dc.subject | endocarditis | en |
dc.subject | erythrocyte sedimentation rate | en |
dc.subject | fever | en |
dc.subject | gamma glutamyl transferase blood level | en |
dc.subject | Greek (people) | en |
dc.subject | heart murmur | en |
dc.subject | heart rate measurement | en |
dc.subject | hospital admission | en |
dc.subject | hospital discharge | en |
dc.subject | human | en |
dc.subject | lactate dehydrogenase blood level | en |
dc.subject | leukocyte count | en |
dc.subject | lumbar puncture | en |
dc.subject | lung infiltrate | en |
dc.subject | male | en |
dc.subject | meningitis | en |
dc.subject | middle aged | en |
dc.subject | muscle rigidity | en |
dc.subject | nonhuman | en |
dc.subject | oxygen saturation | en |
dc.subject | pleura effusion | en |
dc.subject | pneumonia | en |
dc.subject | priority journal | en |
dc.subject | sinus tachycardia | en |
dc.subject | Streptococcus pneumonia | en |
dc.subject | Streptococcus pneumoniae | en |
dc.subject | thorax radiography | en |
dc.subject | transesophageal echocardiography | en |
dc.subject | unconsciousness | en |
dc.subject | urea blood level | en |
dc.subject | alcoholism | en |
dc.subject | aortic regurgitation | en |
dc.subject | bacterial endocarditis | en |
dc.subject | bacterial meningitis | en |
dc.subject | chronic disease | en |
dc.subject | complication | en |
dc.subject | fever | en |
dc.subject | heart valve replacement | en |
dc.subject | microbiology | en |
dc.subject | pneumococcal infection | en |
dc.subject | Streptococcus pneumonia | en |
dc.subject | syndrome | en |
dc.subject | unconsciousness | en |
dc.subject | Alcoholism | en |
dc.subject | Aortic Valve Insufficiency | en |
dc.subject | Chronic Disease | en |
dc.subject | Endocarditis, Bacterial | en |
dc.subject | Fever | en |
dc.subject | Heart Valve Prosthesis Implantation | en |
dc.subject | Humans | en |
dc.subject | Male | en |
dc.subject | Meningitis, Bacterial | en |
dc.subject | Middle Aged | en |
dc.subject | Pneumococcal Infections | en |
dc.subject | Pneumonia, Pneumococcal | en |
dc.subject | Streptococcus pneumoniae | en |
dc.subject | Syndrome | en |
dc.subject | Unconsciousness | en |
dc.subject | BMJ Publishing Group | en |
dc.title | A chronic alcoholic man with high fever, neck rigidity and loss of consciousness: Remember the Austrian syndrome a commonly unrecognised invasive pneumococcus triad | en |
dc.type | journalArticle | en |
Αρχεία σε αυτό το τεκμήριο
Αρχεία | Μέγεθος | Τύπος | Προβολή |
---|---|---|---|
Δεν υπάρχουν αρχεία που να σχετίζονται με αυτό το τεκμήριο. |