Austrian syndrome is a rare clinical entity that involves Streptococcus pneumoniae leading to the triad of pneumonia, meningitis, and endocarditis.
(2) At present, this triad is known as Austrian syndrome, in honor of Robert Austrian, who described eight cases of pneumococcal endocarditis complicated by aortic valve rupture and associated with meningitis.
The sequence of infection in Austrian syndrome is usually pneumonia followed by endocarditis or meningitis
Current data suggests that the best approach in treating patients with Austrian syndrome may be a combined medical and surgical intervention.
Austrian syndrome is a rare but serious clinical entity that is associated with a highly aggressive clinical course.
To the Editor: In 1957, an American internist reported the preference of Streptococcus pneumoniae for the aortic valve and its frequent association with meningitis and pneumonia 1), an association now known as Austrian syndrome. This syndrome mainly occurs in middle-age men who have predisposing factors, such as chronic alcoholism, altered immune state, dural fistula, and ear or sinus infections.
One case of Austrian syndrome has been reported in the pediatric age group, in a 7-year-old girl in whom aortic valve endocarditis developed after pneumococcal meningitis infection (2).
We report a previously healthy adolescent with Austrian syndrome associated with pandemic (H1N1) 2009 infection.
Thus, Austrian syndrome should be considered in any patient with pandemic (H1N1) 2009 complicated by pneumococcal infection and a new heart murmur.