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Austrian syndrome is a rare entity characterized by Osler's triad: endocarditis, pneumonia and meningitis, caused by Streptococcus pneumoniae (Austrian, 1957 [1]). This aggressive syndrome is associated with high morbidity and mortality, often due to the involvement of the heart valves and their destruction (Nogué et al., 2019 [2], Araji et al., 2008 [3]). We present a case of Austrian syndrome in a splenectomised elderly patient with an unusual presentation: septic arthritis complicated by endocarditis, septic cerebral emboli, meningitis and pneumonia. Despite appropriate therapy, the prognosis remained poor and the patient died at day 7. © 2022 The Authors.


Gonçalo Guerreiro, André Pina Monteiro, Luís Coelho, Pedro Póvoa. Pneumococcus beyond an Austrian syndrome - A case report. IDCases. 2022;28:e01486

PMID: 35392600

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