Daha \u00f6ncesine ait bir hastal\u0131k \u00f6yk\u00fcs\u00fc ve soyge\u00e7mi\u015finde bir \u00f6zellik olmayan 25 ya\u015f\u0131nda kad\u0131n hastan\u0131n ani geli\u015fen g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131 ve nefes darl\u0131\u011f\u0131 nedeniyle yap\u0131lan transtorasik ekokardiyografisinde intraventrik\u00fcler septumda defekt ve trik\u00fcspid kapak septal k\u00fcspis \u00fczerinde hareketli gev\u015fek yap\u0131da kitle imaj\u0131 izlendi. Hastan\u0131n her iki kolundan birer \u015fi\u015fe olmak \u00fczere art arda \u00fc\u00e7 g\u00fcn boyunca toplam 6 kan k\u00fclt\u00fcr\u00fc al\u0131nd\u0131.\u00a0 T\u00fcm kan \u015fi\u015felerinde \u00fcreme saptand\u0131. \u00dcreyen etkenler Phoenix\u2122 100 (Becton Dickinson, Sparks, MD, ABD) otomatize sisteminde Neisseria animaloris olarak tan\u0131mland\u0131 ve \u201cmatrix-assisted laser desorption ionization time-of-flight mass spectrometry\u201d (MALDI-TOF MS) (Bruker Daltonik, Bremen, Almanya) ile do\u011fruland\u0131. Antibiyotik duyarl\u0131l\u0131klar\u0131 gradyan dif\u00fczyon y\u00f6ntemiyle ara\u015ft\u0131r\u0131ld\u0131 ve N. meningitidis i\u00e7in kabul edilen European Committee on Antimicrobial Susceptibility Testing (EUCAST) 2013\u00a0 standardlar\u0131yla penisilin G\u2019ye diren\u00e7li, seftriaksona duyarl\u0131 olarak yorumland\u0131. Etkenin \u00f6zelli\u011fi nedeniyle hayvan temas\u0131, hayvan \u0131s\u0131r\u0131\u011f\u0131, di\u015f veya di\u015feti sorunlar\u0131 a\u00e7\u0131s\u0131ndan sorgulanan ve de\u011ferlendirilen hastada bir risk fakt\u00f6r\u00fc saptanmad\u0131. Ate\u015finin, infektif endokardite e\u011filim yaratan kardiyak durumunun ve akci\u011fer embolisinin olmas\u0131, ekokardiyografide vejetasyonlar\u0131n g\u00f6r\u00fclmesi ve ard\u0131\u015f\u0131k kan k\u00fclt\u00fcrlerinde \u00fcreme olmas\u0131 nedeniyle modifiye Duke \u00f6l\u00e7\u00fctlerine g\u00f6re kesin infektif endokardit tan\u0131s\u0131 konuldu. \u00dcreyen N. animaloris\u2019in genellikle k\u00f6pek ya da kedi taraf\u0131ndan \u0131s\u0131r\u0131lan olgularda yara yeri infeksiyonuna neden oldu\u011funa dair yay\u0131nlar olmas\u0131na ra\u011fmen infektif endokardit etkeni oldu\u011funa dair bilgi yoktur. Olgumuz N. animaloris\u2019in etken oldu\u011fu tek infektif endokardit olgusudur.<\/p>\n
\u00d6zet Daha \u00f6ncesine ait bir hastal\u0131k \u00f6yk\u00fcs\u00fc ve soyge\u00e7mi\u015finde bir \u00f6zellik olmayan 25 ya\u015f\u0131nda kad\u0131n hastan\u0131n ani geli\u015fen g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131 ve nefes darl\u0131\u011f\u0131 nedeniyle yap\u0131lan transtorasik ekokardiyografisinde intraventrik\u00fcler septumda defekt ve trik\u00fcspid kapak septal k\u00fcspis \u00fczerinde hareketli gev\u015fek yap\u0131da kitle imaj\u0131 izlendi. Hastan\u0131n her iki kolundan birer \u015fi\u015fe olmak \u00fczere art arda \u00fc\u00e7 g\u00fcn boyunca […]<\/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":[3854,4721],"class_list":["post-14765","post","type-post","status-publish","format-standard","hentry","category-olgu-sunumu","tag-endokardit","tag-neisseria-animaloris"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/14765","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=14765"}],"version-history":[{"count":0,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/14765\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/media?parent=14765"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/categories?post=14765"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/tags?post=14765"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
<\/br> Cite this article as<\/strong>: T\u00fczemen N\u00dc, Hemi\u015f RB, Yi\u011fit M, et al. [First case of\u00a0 infective endocarditis associated with Neisseria animaloris]. Klimik Derg. 2018; 31(2): 161-4. Turkish.<\/p>\n","protected":false},"excerpt":{"rendered":"