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A rare presentation of Austrian syndrome with septic arthritis in an immunocompetent female

BACKGROUND: Austrian syndrome, which is also known as Osler’s triad, is a rare aggressive pathology consisting of pneumonia, endocarditis, and meningitis caused by Streptococcus pneumoniae and carries drastic complications. CASE PRESENTATION: A case of a 68-year-old female with a past medical histor...

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Autores principales: Battisha, Ayman, Madoukh, Bader, Altibi, Ahmed, Sheikh, Omar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6821411/
https://www.ncbi.nlm.nih.gov/pubmed/31659532
http://dx.doi.org/10.1186/s43044-019-0010-6
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author Battisha, Ayman
Madoukh, Bader
Altibi, Ahmed
Sheikh, Omar
author_facet Battisha, Ayman
Madoukh, Bader
Altibi, Ahmed
Sheikh, Omar
author_sort Battisha, Ayman
collection PubMed
description BACKGROUND: Austrian syndrome, which is also known as Osler’s triad, is a rare aggressive pathology consisting of pneumonia, endocarditis, and meningitis caused by Streptococcus pneumoniae and carries drastic complications. CASE PRESENTATION: A case of a 68-year-old female with a past medical history of hypertension and had a recent viral influenza is presented. She developed bacterial pneumonia, endocarditis with mitral and aortic vegetations and perforation, meningitis, and right sternoclavicular septic arthritis. Two prior case reports have described sternoclavicular septic arthritis as part of Austrian syndrome. Our case is the third case; however, it is the first case to have this tetrad in an immunocompetent patient with no risk factors, i.e., males, chronic alcoholism, immunosuppression, and splenectomy. CONCLUSIONS: Clinicians should maintain a high index of suspicion for the possibility of sternoclavicular joint septic arthritis as a complication of Austrian syndrome in immunocompetent patients.
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spelling pubmed-68214112019-11-14 A rare presentation of Austrian syndrome with septic arthritis in an immunocompetent female Battisha, Ayman Madoukh, Bader Altibi, Ahmed Sheikh, Omar Egypt Heart J Case Report BACKGROUND: Austrian syndrome, which is also known as Osler’s triad, is a rare aggressive pathology consisting of pneumonia, endocarditis, and meningitis caused by Streptococcus pneumoniae and carries drastic complications. CASE PRESENTATION: A case of a 68-year-old female with a past medical history of hypertension and had a recent viral influenza is presented. She developed bacterial pneumonia, endocarditis with mitral and aortic vegetations and perforation, meningitis, and right sternoclavicular septic arthritis. Two prior case reports have described sternoclavicular septic arthritis as part of Austrian syndrome. Our case is the third case; however, it is the first case to have this tetrad in an immunocompetent patient with no risk factors, i.e., males, chronic alcoholism, immunosuppression, and splenectomy. CONCLUSIONS: Clinicians should maintain a high index of suspicion for the possibility of sternoclavicular joint septic arthritis as a complication of Austrian syndrome in immunocompetent patients. Springer Berlin Heidelberg 2019-09-09 /pmc/articles/PMC6821411/ /pubmed/31659532 http://dx.doi.org/10.1186/s43044-019-0010-6 Text en © The Author(s) 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Case Report
Battisha, Ayman
Madoukh, Bader
Altibi, Ahmed
Sheikh, Omar
A rare presentation of Austrian syndrome with septic arthritis in an immunocompetent female
title A rare presentation of Austrian syndrome with septic arthritis in an immunocompetent female
title_full A rare presentation of Austrian syndrome with septic arthritis in an immunocompetent female
title_fullStr A rare presentation of Austrian syndrome with septic arthritis in an immunocompetent female
title_full_unstemmed A rare presentation of Austrian syndrome with septic arthritis in an immunocompetent female
title_short A rare presentation of Austrian syndrome with septic arthritis in an immunocompetent female
title_sort rare presentation of austrian syndrome with septic arthritis in an immunocompetent female
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6821411/
https://www.ncbi.nlm.nih.gov/pubmed/31659532
http://dx.doi.org/10.1186/s43044-019-0010-6
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