Document Detail

Renal Infarction as a Presentation of Austrian Syndrome: Thromboembolic Phenomenon of Pneumococcal Endocarditis.
MedLine Citation:
PMID:  22739559     Owner:  NLM     Status:  Publisher    
ABSTRACT:: A 52-year-old unvaccinated and splenectomized man presented with fever, altered sensorium, bilateral flank pain and chest discomfort accompanied with paroxysmal atrial fibrillation with a rapid ventricular response. An abdominal computed tomography scan was performed, which revealed a right renal infarct and splenosis. Transthoracic echocardiography was performed, which demonstrated an echodense structure on the mitral valve with mitral regurgitation and a vegetation on the aortic valve with aortic regurgitation. Subsequently, he was found to have pneumococcal infective endocarditis, pneumococcal pneumonia and bacterial meningitis, namely Austrian syndrome. He underwent an early aortic valve and mitral valve repair but still had a poor clinical outcome. Renal infarction has a mortality of approximately 13.2%, which is strongly influenced by the underlying diseases and infectious complications. Medical and surgical treatment initiated in a timely manner is often inadequate. The authors report the first case of Austrian syndrome presenting with renal infarction as a clue to an embolic event associated with infective endocarditis in this study.
Charoen Mankongpaisarnrung; Suthipong Soontrapa; Teerapat Nantsupawat; Vipul Desai; Kenneth Nugent
Related Documents :
17649589 - Studies into equine electrocardiography and vectorcardiography: ii. cardiac vector dist...
22329409 - Complex ventricular septal rupture with dissection of the right ventricular wall in isc...
21982429 - Early bare-metal stent thrombosis presenting with cardiogenic shock: a case report.
21891809 - Initial results of inflammatory response, matrix remodeling, and reactive oxygen specie...
835469 - Clinical implications of differences in pharmacodynamic action of polar and nonpolar ca...
14688689 - Surgery modifies cardiac sensory transduction.
10684399 - Reduction of myocardial infarct size in the rabbit by a carbohydrate analog of sialyl l...
9420339 - The role of a common variant of the cholesteryl ester transfer protein gene in the prog...
17452159 - Prospective assessment after pediatric cardiac ablation: fate of intracardiac structure...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-6-26
Journal Detail:
Title:  The American journal of the medical sciences     Volume:  -     ISSN:  1538-2990     ISO Abbreviation:  -     Publication Date:  2012 Jun 
Date Detail:
Created Date:  2012-6-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370506     Medline TA:  Am J Med Sci     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Department of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, Texas.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Cation Interdependency in Acute Stressor States.
Next Document:  Andersen-Tawil Syndrome Associated with Aborted Sudden Cardiac Death: Atrial Pacing Was Effective fo...