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2017 ; 10
(1
): 456
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Successful medical management of a case of Austrian syndrome-an uncommon entity
in the modern antibiotic era: a case report
#MMPMID28877714
Rahim MA
; Zaman S
; Haque HF
; Afroze SR
; Uddin KN
BMC Res Notes
2017[Sep]; 10
(1
): 456
PMID28877714
show ga
BACKGROUND: Austrian syndrome-the combination of meningitis, pneumonia and
infective endocarditis due to Streptococcus pneumoniae infection, is a rare
entity. In literature only a few hundreds of cases are reported but surprisingly
we did not find any report on Austrian syndrome in or from Bangladesh. CASE
PRESENTATION: We report the case history of a middle aged Bangladeshi diabetic
man, who had fever, cough, shortness of breath and altered mentation. He had
tachycardia, bi-basal lung crepitations, new cardiac murmurs and meningism.
Diagnostic work-up revealed Austrian syndrome. Because of the rarity of the
condition, this case is reported. CONCLUSION: A case of pneumococcal pneumonia or
meningitis should raise suspicion of concomitant endocarditis and Austrian
syndrome, specially if there is heart failure, as early recognition and treatment
may appear life-saving.