Austrian's syndrome (endocarditis, meningitis and pneumonia caused by Streptococcus pneumoniae). An uncommon entity

We report a case of a mitral endocarditis caused by Streptococcus pneumonia e in a 48 year old man diagnosed with moderate mitral stenosis and liver ci rrhosis, The clinical features were fever with penicillin-sensitive pneumoc occal bacteremia, meningitis and pneumonia. Only transesophageal echocardiography could confirm the presence of vegetat ions. In spite of vancomycin therapy, the patient: required mitral valve re placement, with good results. Some clinical aspects of this uncommon cause of infective endocarditis are discussed.