Ama\u00e7<\/strong>: \u00dclkemizde, Plasmodium vivax\u2019\u0131n eliminasyonundan sonra, yurtd\u0131\u015f\u0131ndan edinilmi\u015f P. falciparum son y\u0131llarda en s\u0131k kar\u015f\u0131la\u015f\u0131lan s\u0131tma etkeni olmu\u015ftur. Bu \u00e7al\u0131\u015fmada, P. falciparum’un etken oldu\u011fu ithal s\u0131tma olgular\u0131n\u0131n klinik, laboratuvar ve tedavi \u00f6zellikleri tan\u0131mlanarak, bu t\u00fcr \u00f6l\u00fcmc\u00fcl s\u0131tman\u0131n benzer epidemiyolojik ve klinik \u00f6zellikleri olan viral kanamal\u0131 ate\u015fler gibi infeksiyon hastal\u0131klar\u0131ndan ay\u0131rt edilmesi ve b\u00f6ylece daha erken fark edilmesinin sa\u011flanmas\u0131 ama\u00e7lanm\u0131\u015ft\u0131r.<\/p>\n Y\u00f6ntemler<\/strong>: 2000-2016 y\u0131llar\u0131 aras\u0131nda \u0130stanbul \u00dcniversitesi \u0130stanbul T\u0131p Fak\u00fcltesi \u0130nfeksiyon Hastal\u0131klar\u0131 ve Klinik Mikrobiyoloji Anabilim Dal\u0131 Klini\u011finde s\u0131tma tan\u0131s\u0131yla yat\u0131r\u0131larak tedavi edilen hastalar retrospektif olarak incelendi. Hastan\u0131n ziyaret etti\u011fi \u00fclke, yak\u0131nmalar\u0131, fizik muayene ve laboratuvar bulgular\u0131, ald\u0131\u011f\u0131 profilaksi ve tedavi bilgileri, klinik seyri, yo\u011fun bak\u0131m birimine yat\u0131\u015f\u0131na ve ak\u0131betine ili\u015fkin verileri kaydedildi.<\/p>\n Bulgular<\/strong>: 2000-2016 y\u0131llar\u0131 aras\u0131nda klini\u011fimizde toplam16 hasta P. falciparum’a ba\u011fl\u0131 s\u0131tma tan\u0131s\u0131yla izlenmi\u015fti. Afganistan ziyareti olan bir hasta d\u0131\u015f\u0131nda hastalar\u0131n hepsi infeksiyonu Afrika seyahatleri s\u0131ras\u0131nda edinmi\u015fti. D\u00fczensiz profilaksi alan iki hasta d\u0131\u015f\u0131nda s\u0131tmaya kar\u015f\u0131 uygun bir profilaktik ajan kullanan hasta yoktu. \u00dc\u015f\u00fcme ve titremeyle y\u00fckselen ate\u015f yak\u0131nmas\u0131 t\u00fcm hastalarda vard\u0131. En s\u0131k kar\u015f\u0131la\u015f\u0131lan patolojik laboratuvar bulgular\u0131 trombositopeni ve serum LDH d\u00fczeyinde y\u00fckselmeydi. Hastalar\u0131n %50’si a\u011f\u0131r s\u0131tma tablosundayd\u0131; %31\u2019i yo\u011fun bak\u0131m biriminde izlendi. En s\u0131k (%44) kullan\u0131lan tedavi rejimi artemeter-lumefantrindi. Serebral s\u0131tma tan\u0131s\u0131yla kaybedilen bir hasta d\u0131\u015f\u0131nda t\u00fcm hastalar \u015fifayla taburcu edildi.<\/p>\n Sonu\u00e7lar<\/strong>: Yurtd\u0131\u015f\u0131 seyahati s\u0131ras\u0131nda endemik b\u00f6lgelerden P. falciparum s\u0131tmas\u0131 edinenlerde, daha \u00f6nce bu mikroorganizmayla hi\u00e7 temas edilmemi\u015f olmas\u0131 nedeniyle antikor yan\u0131t\u0131 verilemeyece\u011fi i\u00e7in hastal\u0131\u011f\u0131n a\u011f\u0131r seyretme olas\u0131l\u0131\u011f\u0131 daha y\u00fcksektir. Bu a\u011f\u0131r seyirli s\u0131tmadan ka\u00e7\u0131nmak i\u00e7in, endemik b\u00f6lgelere seyahat edecek ki\u015filere s\u0131tmaya kar\u015f\u0131 uygun profilaksi verilmesi i\u00e7in daha \u00e7ok \u00e7aba harcanmal\u0131d\u0131r.\u00a0<\/p>\n Klimik Dergisi 2017; 30(3): 120-5.<\/p>\n Cite this article as<\/strong>: Ba\u015faran S, \u015eim\u015fek-Yavuz S, \u00c7a\u011fatay A, \u00d6nc\u00fcl O, \u00d6zs\u00fct H, Eraksoy H. [Imported malaria caused by Plasmodium falciparum: a global problem]. Klimik Derg. 2017; 30(3): 120-5. Turkish.<\/p>\n","protected":false},"excerpt":{"rendered":" \u00d6zet Ama\u00e7: \u00dclkemizde, Plasmodium vivax\u2019\u0131n eliminasyonundan sonra, yurtd\u0131\u015f\u0131ndan edinilmi\u015f P. falciparum son y\u0131llarda en s\u0131k kar\u015f\u0131la\u015f\u0131lan s\u0131tma etkeni olmu\u015ftur. Bu \u00e7al\u0131\u015fmada, P. falciparum’un etken oldu\u011fu ithal s\u0131tma olgular\u0131n\u0131n klinik, laboratuvar ve tedavi \u00f6zellikleri tan\u0131mlanarak, bu t\u00fcr \u00f6l\u00fcmc\u00fcl s\u0131tman\u0131n benzer epidemiyolojik ve klinik \u00f6zellikleri olan viral kanamal\u0131 ate\u015fler gibi infeksiyon hastal\u0131klar\u0131ndan ay\u0131rt edilmesi ve b\u00f6ylece daha […]<\/p>\n","protected":false},"author":0,"featured_media":0,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[5129],"tags":[3409,2971],"class_list":["post-14933","post","type-post","status-publish","format-standard","hentry","category-ozgun-arastirma","tag-plasmodium-falciparum","tag-sitma"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/14933","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=14933"}],"version-history":[{"count":0,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/14933\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/media?parent=14933"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/categories?post=14933"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/tags?post=14933"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}