Septicémie à pneumocoque révélée par une arthrite septique et un pseudosyndrome d’Austrian par atteinte des valves tricuspides chez un patient infecté par le VIH

Abstract

Invasive pneumococcal infection (IPI) is a re-emerging complication of Streptococcus pneumoniae infection, particularly in patients with human immunodeficiency virus (VIH) infection. We report a case of a patient who presented with pneumococcal septicaemia, meningitis and septic arthritis, which initially responded to antibiotics, but where the patient eventually succumbed to infective endocarditis of the tricuspid valve. We discuss the spectrum of clinical manifestations of IPI, focusing especially on the Austrian syndrome (defined as pneumococcal endocarditis with rupture of the aortic valve and meningitis), its association with VIH infection, and its management in light of the emergence of penicillin-resistant strains of S. pneumonia.