Aortic root fistula complicating Austrian syndrome

https://doi.org/10.4081/monaldi.2021.1834

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Abstract

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.

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References

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

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Published
2021-05-17
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Cardiology - Case Reports
Keywords:
Endocarditis, Meningitis, Pneumococcal Pneumonia, Complications
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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, May. https://doi.org/10.4081/monaldi.2021.1834.

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