Tularemi salg\u0131nlar ya da sporadik olgular \u015feklinde ortaya \u00e7\u0131kan ve halk sa\u011fl\u0131\u011f\u0131 i\u00e7in \u00f6nemini yitirmeyen zoonotik hastal\u0131klardan biridir. Klinik \u00e7e\u015fitlilik g\u00f6stermesi nedeniyle infeksiy\u00f6z ve infeksiyon d\u0131\u015f\u0131 bir\u00e7ok hastal\u0131kla kar\u0131\u015fabilmektedir. \u00d6zellikle endemik olmayan b\u00f6lgelerde, ay\u0131r\u0131c\u0131 tan\u0131da akla gelmezse, invazif tetkikler ve gereksiz tedaviler uygulanabilmektedir. Servikal lenfadenopati etyolojisi ara\u015ft\u0131r\u0131lmak \u00fczere infeksiyon hastal\u0131klar\u0131 ve klinik mikrobiyoloji poliklini\u011fine sevk edilen ilk olguda, di\u011fer testlerin negatif olmas\u0131na, izlemde geli\u015fen erythema nodosum lezyonlar\u0131na ve epidemiyolojik \u00f6yk\u00fcye dayan\u0131larak tularemi d\u00fc\u015f\u00fcn\u00fclm\u00fc\u015f; tan\u0131, serolojik olarak mikroagl\u00fctinasyon testiyle do\u011frulanm\u0131\u015ft\u0131r. \u0130kinci ve \u00fc\u00e7\u00fcnc\u00fc olgularda ise serum \u00f6rne\u011fi, tularemiyi d\u00fc\u015f\u00fcnd\u00fcren epidemiyolojik \u00f6yk\u00fclerine dayan\u0131larak, hastalar\u0131n ilk ba\u015fvurular\u0131nda g\u00f6nderilmi\u015ftir. Yine de hastalar\u0131n yak\u0131nmalar\u0131n\u0131n ba\u015flang\u0131c\u0131yla tularemi tan\u0131s\u0131 konmas\u0131 aras\u0131nda yakla\u015f\u0131k \u00fc\u00e7 ay ge\u00e7mesi dikkat \u00e7ekici bulunmu\u015ftur. Klimik Dergisi 2019; 32(2): 206-9.<\/p>\n
Cite this article as<\/strong>: Uyar-G\u00fcle\u00e7 G. [Delayed diagnosis of tularemia in a nonendemic area: a report of three cases]. Klimik Derg. 2019; 32(2): 206-9. Turkish.<\/p>\n","protected":false},"excerpt":{"rendered":" Tularemi salg\u0131nlar ya da sporadik olgular \u015feklinde ortaya \u00e7\u0131kan ve halk sa\u011fl\u0131\u011f\u0131 i\u00e7in \u00f6nemini yitirmeyen zoonotik hastal\u0131klardan biridir. Klinik \u00e7e\u015fitlilik g\u00f6stermesi nedeniyle infeksiy\u00f6z ve infeksiyon d\u0131\u015f\u0131 bir\u00e7ok hastal\u0131kla kar\u0131\u015fabilmektedir. \u00d6zellikle endemik olmayan b\u00f6lgelerde, ay\u0131r\u0131c\u0131 tan\u0131da akla gelmezse, invazif tetkikler ve gereksiz tedaviler uygulanabilmektedir. Servikal lenfadenopati etyolojisi ara\u015ft\u0131r\u0131lmak \u00fczere infeksiyon hastal\u0131klar\u0131 ve klinik mikrobiyoloji poliklini\u011fine sevk […]<\/p>\n","protected":false},"author":0,"featured_media":0,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[5131],"tags":[4011,3548,3174],"class_list":["post-14363","post","type-post","status-publish","format-standard","hentry","category-olgu-sunumu","tag-francisella-tularensis","tag-lenfadenopati","tag-tularemi"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/14363","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/types\/post"}],"replies":[{"embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/comments?post=14363"}],"version-history":[{"count":0,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/14363\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/media?parent=14363"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/categories?post=14363"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/tags?post=14363"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}