超越奥地利综合征的肺炎球菌——一例报告
Pneumococcus beyond an Austrian syndrome - A case report.
作者信息
Guerreiro Gonçalo, Monteiro André Pina, Coelho Luís, Póvoa Pedro
机构信息
Unidade de Cuidados Intensivos Polivalente, Hospital de São Francisco Xavier, Centro Hospitalar Lisboa Ocidental, Lisbon, Portugal.
Departamento de Hematologia Clínica, Instituto Português de Oncologia de Lisboa, Portugal.
出版信息
IDCases. 2022 Mar 29;28:e01486. doi: 10.1016/j.idcr.2022.e01486. eCollection 2022.
Austrian syndrome is a rare entity characterized by Osler's triad: endocarditis, pneumonia and meningitis, caused by (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.
奥地利综合征是一种罕见病症，其特征为奥斯勒三联征：心内膜炎、肺炎和脑膜炎，由（奥地利，1957年[1]）提出。这种侵袭性综合征与高发病率和死亡率相关，通常是由于心脏瓣膜受累及其破坏（诺盖等人，2019年[2]；荒木等人，2008年[3]）。我们报告一例脾切除术后老年患者出现的奥地利综合征，其表现不寻常：感染性关节炎并发心内膜炎、感染性脑栓塞、脑膜炎和肺炎。尽管进行了适当治疗，预后仍然很差，患者在第7天死亡。
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