Fukui Takahiko, Muraoka Shinsuke, Asai Takumi, Nisizawa Toshihisa, Araki Yoshio, Saito Ryuta
Neurosurgery, Kariya Toyota General Hospital, Kariya, JPN.
Neurosurgery, Japanese Red Cross Nagoya Daini Hospital, Nagoya, JPN.
Cureus. 2024 Dec 2;16(12):e74971. doi: 10.7759/cureus.74971. eCollection 2024 Dec.
Austrian syndrome is a rare triad of meningitis, pneumonia, and endocarditis caused by . It is associated with high morbidity and mortality rates. Most reports describe pneumonia as the initial illness, followed by multi-organ involvement. Here, we present a case of Austrian syndrome initially diagnosed with cerebral infarction. The patient died due to the rapid progression of symptoms. There are few reports of cerebral infarction as an initial symptom; therefore, the relationship between the presence of cerebral infarction and its prognosis is not well known. We did a systematic review of the literature to investigate articles from 1980 to 2022. Austrian syndrome initiated by cerebral infarction was not associated with mortality in these articles. Valve vegetation results in congestive heart failure and this may be related to patient mortality. Therefore, valve replacement surgery in an appropriate time period is critical for patient mortality regardless of the presence or absence of cerebral infarction.
奥地利综合征是一种由……引起的罕见三联征，包括脑膜炎、肺炎和心内膜炎。它与高发病率和死亡率相关。大多数报告将肺炎描述为首发疾病，随后出现多器官受累。在此，我们报告一例最初被诊断为脑梗死的奥地利综合征病例。患者因症状迅速进展而死亡。很少有以脑梗死作为首发症状的报道；因此，脑梗死的存在与其预后之间的关系尚不清楚。我们对1980年至2022年的文献进行了系统综述，以研究相关文章。这些文章中，由脑梗死引发的奥地利综合征与死亡率无关。瓣膜赘生物会导致充血性心力衰竭，这可能与患者死亡率有关。因此，无论是否存在脑梗死，在适当的时间段内进行瓣膜置换手术对患者死亡率至关重要。
