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Eur J Intern Med. 2007 Dec;18(8):605-6. doi: 10.1016/j.ejim.2007.03.012. Epub 2007 Jul 23.

Austrian's syndrome: The first described case of pneumococcal meningitis pneumonia and endocarditis in an injecting drug user.

European journal of internal medicine

Mike B J Beadsworth, Dan Wooton, Adrian Chenzbraun, Nick J Beeching

Affiliations

  1. Royal Liverpool University Hospital, Tropical and Infectious Diseases Unit, Prescot Street, L7 8XP, Liverpool, United Kingdom.

PMID: 18054715 DOI: 10.1016/j.ejim.2007.03.012

Abstract

We describe the first reported case of Austrian's syndrome in an injecting drug user (IDU). The triad of endocarditis, meningitis and pneumonia caused by invasive pneumococcal disease (IPD) is most commonly associated with excess alcohol. Injecting drug use is a recognised risk factor for IPD, whose prevalence and resistance continue to rise. We propose that injecting drug use is associated with Austrian's syndrome and that it should at least be considered in 'at risk' groups presenting with IPD. Furthermore, IDU presenting with IPD, meningitis and pneumonia should be considered for echocardiography.

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