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Case Reports in Pulmonology
Volume 2017, Article ID 8189658, 3 pages
Case Report

A Rare Case of Aortoatrial Fistula from Streptococcal Endocarditis

1Division of Pulmonary and Critical Care, Allegheny General Hospital, Pittsburgh, PA 15212, USA
2Division of Internal Medicine, Allegheny General Hospital, Pittsburgh, PA 15212, USA

Correspondence should be addressed to Parth Rali; moc.oohay@ilar_htrap_rd

Received 18 March 2017; Revised 16 May 2017; Accepted 7 June 2017; Published 5 July 2017

Academic Editor: Tun-Chieh Chen

Copyright © 2017 Hammad Arshad et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


We represent an unfortunate case of postinfluenza streptococcal endocarditis in a 34-year-old healthy male. He presented with hypoxic respiratory failure and was found to have mitral and aortic valve vegetation. Hospital course was complicated by the presence of an aortoatrial fistula from an aortic root abscess, persistent septic shock, and multiorgan failure.