{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T12:08:58Z","timestamp":1747224538203,"version":"3.40.5"},"reference-count":16,"publisher":"PAGEPress Publications","license":[{"start":{"date-parts":[[2021,5,17]],"date-time":"2021-05-17T00:00:00Z","timestamp":1621209600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Monaldi Arch Chest Dis"],"abstract":"<jats:p>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.<\/jats:p>","DOI":"10.4081\/monaldi.2021.1834","type":"journal-article","created":{"date-parts":[[2021,5,18]],"date-time":"2021-05-18T04:32:29Z","timestamp":1621312349000},"source":"Crossref","is-referenced-by-count":3,"title":["Aortic root fistula complicating Austrian syndrome"],"prefix":"10.4081","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0538-5395","authenticated-orcid":false,"given":"Ahmed","family":"Bakhit","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4862-5053","authenticated-orcid":false,"given":"Ajay Kumar","family":"Mishra","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Khushal","family":"Choudhary","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3253-9281","authenticated-orcid":false,"given":"Mohamed","family":"Khaled Soufi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2549","published-online":{"date-parts":[[2021,5,17]]},"reference":[{"key":"4894","doi-asserted-by":"crossref","unstructured":"Aronin SI, Mukherjee SK, West JC, Cooney EL. Review of pneumococcal endocarditis in adults in the penicillin era. Clin Infect Dis 1998;26:165-71.","DOI":"10.1086\/516279"},{"key":"4895","doi-asserted-by":"crossref","unstructured":"Austrian R. The syndrome of pneumococcal endocarditis, meningitis and rupture of the aortic valve. Trans Am Clin Climatol Assoc 1957;6:40.","DOI":"10.1001\/archinte.1957.00260040039004"},{"key":"4896","doi-asserted-by":"crossref","unstructured":"Rako\u010devi\u0107 R, Shapouran S, Pergament KM. Austrian Syndrome - A devastating osler's triad: Case report and literature review. Cureus 2019;11:e4486.","DOI":"10.7759\/cureus.4486"},{"key":"4897","doi-asserted-by":"crossref","unstructured":"Lucas MJ, Brouwer MC, van der Ende A, van de Beek D. 2013. Endocarditis in adults with bacterial meningitis. Circulation 2013;127:2056-62.","DOI":"10.1161\/CIRCULATIONAHA.113.001545"},{"key":"4898","doi-asserted-by":"crossref","unstructured":"Mishra AK, Sahu KK, Lal A, Menon V. 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J Stroke Cerebrovasc Dis 2020;29:104784.","DOI":"10.1016\/j.jstrokecerebrovasdis.2020.104784"},{"key":"4906","doi-asserted-by":"crossref","unstructured":"Mishra AK, Sahu KK, Lal A. Significance of prolonged PR interval in infections. QJM 2020;113:150-1.","DOI":"10.1093\/qjmed\/hcz192"},{"key":"4907","doi-asserted-by":"crossref","unstructured":"Sahu KK, Mishra AK, Sherif AA, et al. An interesting case of pacemaker endocarditis. Neth Heart J 2019;27:585-6.","DOI":"10.1007\/s12471-019-01310-2"},{"key":"4908","doi-asserted-by":"crossref","unstructured":"Sanchez-Nadales A, Celis-Barreto V, Khan A, et al. Aorto-cavitary fistula to the left ventricle with severe aortic regurgitation as a complication of prosthetic valve infective endocarditis: a novel report. Oxf Med Case Reports 2020;2020:omaa109.","DOI":"10.1093\/omcr\/omaa109"},{"key":"4909","doi-asserted-by":"crossref","unstructured":"Endara A, Corkeron MA, Diqer AM et al. Pneumococcal aortic valve endocarditis causing aortopulmonary artery fistula. 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