Síndrome de Austrian, reporte de caso

Austrian syndrome is a triad characterized by pneumonia, meningitis and endocarditis, as a result of a Streptococcus pneumoniae bacteremia. We report a previously healthy 49 year-old male, who consulted at the emergency care unit with a history of one week of pleuritic pain, fever leading to an alte...

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Autores principales: Salinas G.,Alejandra, Contreras R.,Juan, Lanas Z.,Fernando, Neira V.,Víctor, Soto,Mauricio, Silva,Abelardo, Bahamondes,Juan Carlos, Díaz,Andrés
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2017
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872017001101480
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spelling oai:scielo:S0034-988720170011014802018-04-06Síndrome de Austrian, reporte de casoSalinas G.,AlejandraContreras R.,JuanLanas Z.,FernandoNeira V.,VíctorSoto,MauricioSilva,AbelardoBahamondes,Juan CarlosDíaz,Andrés Endocarditis Bacterial; Meningitis Bacterial; Pneumonia Pneumococcal Austrian syndrome is a triad characterized by pneumonia, meningitis and endocarditis, as a result of a Streptococcus pneumoniae bacteremia. We report a previously healthy 49 year-old male, who consulted at the emergency care unit with a history of one week of pleuritic pain, fever leading to an altered level of consciousness and seizures. A diagnosis of community-acquired pneumonia and meningitis was reached, isolating Streptococcus pneumoniae in the cerebrospinal fluid and blood cultures. Antibiotic treatment was started but the patient had an unsatisfactory response. During hospitalization a new heart murmur was found in the physical examination. An echocardiography was performed and a massive aortic valve insufficiency was found along with vegetations and a perforation of the same valve. The valve was replaced by a prosthetic one and the patient responded satisfactorily to the surgical and antibiotic treatment, without complications.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.145 n.11 20172017-11-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872017001101480es10.4067/s0034-98872017001101480
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Endocarditis
Bacterial; Meningitis
Bacterial; Pneumonia
Pneumococcal
spellingShingle Endocarditis
Bacterial; Meningitis
Bacterial; Pneumonia
Pneumococcal
Salinas G.,Alejandra
Contreras R.,Juan
Lanas Z.,Fernando
Neira V.,Víctor
Soto,Mauricio
Silva,Abelardo
Bahamondes,Juan Carlos
Díaz,Andrés
Síndrome de Austrian, reporte de caso
description Austrian syndrome is a triad characterized by pneumonia, meningitis and endocarditis, as a result of a Streptococcus pneumoniae bacteremia. We report a previously healthy 49 year-old male, who consulted at the emergency care unit with a history of one week of pleuritic pain, fever leading to an altered level of consciousness and seizures. A diagnosis of community-acquired pneumonia and meningitis was reached, isolating Streptococcus pneumoniae in the cerebrospinal fluid and blood cultures. Antibiotic treatment was started but the patient had an unsatisfactory response. During hospitalization a new heart murmur was found in the physical examination. An echocardiography was performed and a massive aortic valve insufficiency was found along with vegetations and a perforation of the same valve. The valve was replaced by a prosthetic one and the patient responded satisfactorily to the surgical and antibiotic treatment, without complications.
author Salinas G.,Alejandra
Contreras R.,Juan
Lanas Z.,Fernando
Neira V.,Víctor
Soto,Mauricio
Silva,Abelardo
Bahamondes,Juan Carlos
Díaz,Andrés
author_facet Salinas G.,Alejandra
Contreras R.,Juan
Lanas Z.,Fernando
Neira V.,Víctor
Soto,Mauricio
Silva,Abelardo
Bahamondes,Juan Carlos
Díaz,Andrés
author_sort Salinas G.,Alejandra
title Síndrome de Austrian, reporte de caso
title_short Síndrome de Austrian, reporte de caso
title_full Síndrome de Austrian, reporte de caso
title_fullStr Síndrome de Austrian, reporte de caso
title_full_unstemmed Síndrome de Austrian, reporte de caso
title_sort síndrome de austrian, reporte de caso
publisher Sociedad Médica de Santiago
publishDate 2017
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872017001101480
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