{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T13:36:50Z","timestamp":1762004210815,"version":"3.40.4"},"reference-count":5,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"published-print":{"date-parts":[[2009]]},"abstract":"<jats:p>A usually fit and well 69-year-old woman presented with headache and altered consciousness. Initial clinical findings and investigations were consistent with a diagnosis of pneumococcal meningitis and pneumonia. Cultures of blood and cerebrospinal fluid grew<jats:italic>Streptococcus<\/jats:italic>pneumoniae. The patient continued to spike temperatures and developed cardiac failure. A transoesophageal echocardiogram demonstrated a large vegetation of the aortic valve causing severe aortic regurgitation. A diagnosis of Austrian syndrome, the triad of pneumococcal meningitis, pneumonia and endocarditis, was made. The patient has completed a course of appropriate antibiotic therapy and is awaiting aortic valve surgery.<\/jats:p>","DOI":"10.1136\/bcr.03.2009.1724","type":"journal-article","created":{"date-parts":[[2009,9,15]],"date-time":"2009-09-15T10:18:50Z","timestamp":1253009930000},"page":"bcr0320091724","source":"Crossref","is-referenced-by-count":9,"title":["Austrian syndrome: a case report and review of the literature"],"prefix":"10.1136","volume":"2009","author":[{"given":"Kate","family":"Atkinson","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel Xavier","family":"Augustine","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacob","family":"Easaw","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2009,9,15]]},"reference":[{"key":"2025042508152189000_2009.sep15_1.bcr0320091724.1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.1957.00260040039004"},{"key":"2025042508152189000_2009.sep15_1.bcr0320091724.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2005.02.045"},{"key":"2025042508152189000_2009.sep15_1.bcr0320091724.3","doi-asserted-by":"publisher","DOI":"10.1007\/BF02565173"},{"key":"2025042508152189000_2009.sep15_1.bcr0320091724.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2007.01.085"},{"key":"2025042508152189000_2009.sep15_1.bcr0320091724.5","doi-asserted-by":"crossref","unstructured":"Shapiro SM Young E De Guzman S . Transesophageal echocardiography in the diagnosis of infective endocarditis Chest 1994; 105: 377\u201382.","DOI":"10.1378\/chest.105.2.377"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr.03.2009.1724","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,25]],"date-time":"2025-04-25T15:15:29Z","timestamp":1745594129000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr.03.2009.1724"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009]]},"references-count":5,"alternative-id":["10.1136\/bcr.03.2009.1724"],"URL":"https:\/\/doi.org\/10.1136\/bcr.03.2009.1724","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2009]]}}}