https://doi.org/10.4081/monaldi.2021.1834
Aortic root fistula complicating Austrian syndrome
Submitted: March 4, 2021
Accepted: April 21, 2021
Published: May 17, 2021
Accepted: April 21, 2021
Abstract Views: 2662
PDF: 442
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
Austrian syndrome occurs in 1.2% of all patients with pneumococcal infective endocarditis. It presents with the triad of meningitis, pneumonia, and endocarditis. It is commonly seen in elderly males with a history of alcohol abuse, an immunocompromised state, or recent valve surgery. We present a case of Austrian syndrome presenting with paravalvular complications in the form of aortic root fistula. In this report, we describe the second patient with the community-acquired, pneumococcal, native, aortic valve, endocarditis with Austrian syndrome complicated by the development of an aortic fistula.
Aronin SI, Mukherjee SK, West JC, Cooney EL. Review of pneumococcal endocarditis in adults in the penicillin era. Clin Infect Dis 1998;26:165-71.
DOI: https://doi.org/10.1086/516279
Austrian R. The syndrome of pneumococcal endocarditis, meningitis and rupture of the aortic valve. Trans Am Clin Climatol Assoc 1957;6:40.
DOI: https://doi.org/10.1001/archinte.1957.00260040039004
Rakočević R, Shapouran S, Pergament KM. Austrian Syndrome - A devastating osler's triad: Case report and literature review. Cureus 2019;11:e4486.
DOI: https://doi.org/10.7759/cureus.4486
Lucas MJ, Brouwer MC, van der Ende A, van de Beek D. 2013. Endocarditis in adults with bacterial meningitis. Circulation 2013;127:2056-62.
DOI: https://doi.org/10.1161/CIRCULATIONAHA.113.001545
Mishra AK, Sahu KK, Lal A, Menon V. Aortic valve abscess: staphylococcus epidermidis & infective endocarditis. QJM 2020;113:211-2.
DOI: https://doi.org/10.1093/qjmed/hcz151
Luzzati R, Pinamonti B, Giacomazzi D, et al. Aortic-right atrium fistula complicating Austrian Syndrome: a case report and literature review. Infez Med 2007;15:124-8.
Sahu KK, Mishra AK, Lal A, Kranis M. An interesting case of expressive aphasia: Enterococcus faecalis-related infective endocarditis complicating as septic emboli. QJM 2020;113:146-7.
DOI: https://doi.org/10.1093/qjmed/hcz169
Mishra AK, Sahu KK, Lal A, Sujata M. Systemic embolization following fungal infective endocarditis. QJM 2020;113:233-5.
DOI: https://doi.org/10.1093/qjmed/hcz274
Thomas VV, Mishra AK, Jasmine S, Sathyendra S. Gram-negative infective endocarditis: a retrospective analysis of 10 years data on clinical spectrum, risk factor and outcome. Monaldi Arch Chest Dis 2020;90:1359.
DOI: https://doi.org/10.4081/monaldi.2020.1359
Mishra AK, Sahu KK, Nagabandi S, Benotti J. Infective endocarditis with mitral leaflet perforation and multiple embolic infarcts. QJM 2020;113:757-9.
DOI: https://doi.org/10.1093/qjmed/hcaa026
Mishra AK, Sahu KK, Baddam V, Sargent J. Stroke and infective endocarditis. QJM 2020;113;515-6.
DOI: https://doi.org/10.1093/qjmed/hcaa098
Mishra AK, Sahu KK, George AA, Lal A. Safety and efficacy of thrombolysis and mechanical thrombectomy in infective endocarditis. J Stroke Cerebrovasc Dis 2020;29:104784.
DOI: https://doi.org/10.1016/j.jstrokecerebrovasdis.2020.104784
Mishra AK, Sahu KK, Lal A. Significance of prolonged PR interval in infections. QJM 2020;113:150-1.
DOI: https://doi.org/10.1093/qjmed/hcz192
Sahu KK, Mishra AK, Sherif AA, et al. An interesting case of pacemaker endocarditis. Neth Heart J 2019;27:585-6.
DOI: https://doi.org/10.1007/s12471-019-01310-2
Sanchez-Nadales A, Celis-Barreto V, Khan A, et al. Aorto-cavitary fistula to the left ventricle with severe aortic regurgitation as a complication of prosthetic valve infective endocarditis: a novel report. Oxf Med Case Reports 2020;2020:omaa109.
DOI: https://doi.org/10.1093/omcr/omaa109
Endara A, Corkeron MA, Diqer AM et al. Pneumococcal aortic valve endocarditis causing aortopulmonary artery fistula. Ann Thorac Surg 2001;72:1737-8.
DOI: https://doi.org/10.1016/S0003-4975(00)02412-7
How to Cite
Bakhit, Ahmed, Ajay Kumar Mishra, Khushal Choudhary, and Mohamed Khaled Soufi. 2021. “Aortic Root Fistula Complicating Austrian Syndrome”. Monaldi Archives for Chest Disease 91 (3). https://doi.org/10.4081/monaldi.2021.1834.
Copyright (c) 2021 The Author(s)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.
Similar Articles
- Sergio C. Conte, Giulia Spagnol, Marco Confalonieri, Beatrice Brizi, Deep sedation versus minimal sedation during endobronchial ultrasound transbronchial needle aspiration , Monaldi Archives for Chest Disease: Vol. 88 No. 3 (2018)
- Alice Biffi, Giulia Dei, Federica De Giacomi, Anna Stainer, Lorenzo Olmo Parma, Maria Rosa Pozzi, Paola Faverio, Alberto Pesci, Non-specific interstitial pneumonia and features of connective tissue disease: What are the consequences of a different point of view? , Monaldi Archives for Chest Disease: Vol. 88 No. 3 (2018)
- Gianfranco Beghi, Antonio De Tanti, Paolo Serafini, Chiara Bertolino, Antonietta Celentano, Graziella Taormina, Monitoring of hospital acquired pneumonia in patients with severe brain injury on first access to intensive neurological rehabilitation: First year of observation , Monaldi Archives for Chest Disease: Vol. 88 No. 1 (2018)
- S. Al-Muhairi, T. Zoubeidi, M. Ellis, M. Gary Nicholls, W. Safa, J. Joseph, Demographics and microbiological profile of Pneumonia in United Arab Emirates , Monaldi Archives for Chest Disease: Vol. 65 No. 1 (2006): Pulmonary series
- M. Confalonieri, M. Kodric, M. Santagiuliana, C. Longo, M. Biolo, R. Cifaldi, C. Torregiani, M. Jevnikar, To use or not to use corticosteroids for pneumonia? A clinician’s perspective , Monaldi Archives for Chest Disease: Vol. 77 No. 2 (2012): Pulmonary series
- Muhammad Ijaz, Muhammad Jaffar Khan, Jawad Khan, . Usama, Association of clinical characteristics of patients presenting with influenza like illness or severe acute respiratory illness with development of acute respiratory distress syndrome , Monaldi Archives for Chest Disease: Vol. 87 No. 1 (2017)
- Angel Estella, Usefulness of CURB-65 and Pneumonia Severity Index for Influenza A H1N1v pneumonia , Monaldi Archives for Chest Disease: Vol. 77 No. 3-4 (2012): Pulmonary series
- P.A. Canessa, L. Pratticò, M. Sivori, P. Magistrelli, F. Fedeli, A. Cavazza, G. Calcina, Acute Fibrinous and Organising Pneumonia in Whipple’s disease , Monaldi Archives for Chest Disease: Vol. 69 No. 4 (2008): Pulmonary series
- Chi Fong Wong, See Wan Yan, Wai Mui Wong, Ronnie S.L. Ho, Exogenous lipoid pneumonia associated with oil pulling: Report of two cases , Monaldi Archives for Chest Disease: Vol. 88 No. 3 (2018)
- C. Carbonelli, A. Roggeri, A. Cavazza, M. Zompatori, L. Zucchi, Relapsing bronchiolitis obliterans organising pneumonia and chronic sarcoidosis in an atopic asthmatic patient , Monaldi Archives for Chest Disease: Vol. 69 No. 1 (2008): Pulmonary series
You may also start an advanced similarity search for this article.
