Aortic root fistula complicating Austrian syndrome

• Main Authors: Ahmed Bakhit, Ajay Kumar Mishra, Khushal Choudhary, Mohamed Khaled Soufi
• Format: Article
• Language: English
• Published: PAGEPress Publications 2021-05-01
• Series: Monaldi Archives for Chest Disease
• Subjects: Endocarditis, Meningitis, Pneumococcal Pneumonia, Complications
• Online Access: https://www.monaldi-archives.org/index.php/macd/article/view/1834

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.