{"id":15347,"date":"2021-01-05T01:23:36","date_gmt":"2021-01-04T22:23:36","guid":{"rendered":"https:\/\/www.klimikdergisi.org\/\/2021\/01\/05\/karbapeneme-direncli-aeromonas-hydrophila-caviae-ile-olusan-akut-supuratif-kolanjit-olgusu\/"},"modified":"2021-01-05T01:23:36","modified_gmt":"2021-01-04T22:23:36","slug":"karbapeneme-direncli-aeromonas-hydrophila-caviae-ile-olusan-akut-supuratif-kolanjit-olgusu","status":"publish","type":"post","link":"https:\/\/www.klimikdergisi.org\/tr\/2021\/01\/05\/karbapeneme-direncli-aeromonas-hydrophila-caviae-ile-olusan-akut-supuratif-kolanjit-olgusu\/","title":{"rendered":"Karbapeneme Diren\u00e7li Aeromonas hydrophila\/caviae ile Olu\u015fan Akut S\u00fcp\u00fcratif Kolanjit Olgusu"},"content":{"rendered":"<h1>\u00d6zet<\/h1>\n<p> Aeromonas t\u00fcrleri kromozomal olarak kodlanm\u0131\u015f \u03b2-laktamazlar olu\u015fturarak penisilin, sefalosporin ve karbapenemlere diren\u00e7li olabilirler. Bu yaz\u0131da karbapeneme diren\u00e7li A. hydrophila\/caviae\u2019n\u0131n neden oldu\u011fu akut s\u00fcp\u00fcratif kolanjit olgusu sunulmu\u015ftur. 79 ya\u015f\u0131nda erkek hasta, sar\u0131l\u0131k, kar\u0131n a\u011fr\u0131s\u0131, bulant\u0131 ve kusma \u015fikayetleriyle acil poliklini\u011fine ba\u015fvurmu\u015ftur. Ekstrahepatik safra yollar\u0131nda inoperabl olarak de\u011ferlendirilen malign t\u00fcm\u00f6r nedeniyle takip edilen hastaya, akut s\u00fcp\u00fcratif kolanjit tan\u0131s\u0131yla ampirik olarak intraven\u00f6z imipenem tedavisi ba\u015flanm\u0131\u015ft\u0131r. Perk\u00fctan apse drenaj\u0131 yap\u0131lm\u0131\u015f ve al\u0131nan \u00f6rnekte Gram boyamas\u0131yla bol l\u00f6kosit ve Gram-negatif basiller g\u00f6r\u00fclm\u00fc\u015f; gerek drenaj materyalinde gerekse ikinci g\u00fcnde pozitifle\u015fen kan k\u00fclt\u00fcr\u00fcnde \u00fcreyen Gram-negatif basiller, VITEK\u00ae 2 Compact (bioM\u00e9rieux, Marcy l&#39;Etoile, Fransa) idantifikasyon sistemiyle A. hydrophila\/caviae olarak tan\u0131mlanm\u0131\u015f; ayn\u0131 cihazda karbepenemlere diren\u00e7li, kolistin, sefepim, amikasin, gentamisin, siprofloksasin, levofloksasin, trimetoprim-s\u00fclfametoksazol ve tigesikline duyarl\u0131 oldu\u011fu tespit edilmi\u015ftir. Mikrobiyolojik sonu\u00e7lar hastan\u0131n takip edildi\u011fi Yo\u011fun Bak\u0131m \u00dcnitesi&#39;ne iletildi\u011finde hastan\u0131n sepsis tablosuyla kaybedildi\u011fi \u00f6\u011frenilmi\u015ftir. Sonu\u00e7 olarak imm\u00fcnos\u00fcprese bireylerdeki hepatobiliyer infeksiyonlarda, nadir de olsa Aeromonas t\u00fcrlerinin etken olabilece\u011fi bilinmeli ve bakterinin olas\u0131 diren\u00e7 profili antibiyotik se\u00e7iminde dikkate al\u0131nmal\u0131d\u0131r.\u00a0\u00a0<span lang=\"EN-US\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00d6zet Aeromonas t\u00fcrleri kromozomal olarak kodlanm\u0131\u015f \u03b2-laktamazlar olu\u015fturarak penisilin, sefalosporin ve karbapenemlere diren\u00e7li olabilirler. Bu yaz\u0131da karbapeneme diren\u00e7li A. hydrophila\/caviae\u2019n\u0131n neden oldu\u011fu akut s\u00fcp\u00fcratif kolanjit olgusu sunulmu\u015ftur. 79 ya\u015f\u0131nda erkek hasta, sar\u0131l\u0131k, kar\u0131n a\u011fr\u0131s\u0131, bulant\u0131 ve kusma \u015fikayetleriyle acil poliklini\u011fine ba\u015fvurmu\u015ftur. Ekstrahepatik safra yollar\u0131nda inoperabl olarak de\u011ferlendirilen malign t\u00fcm\u00f6r nedeniyle takip edilen hastaya, akut s\u00fcp\u00fcratif [&hellip;]<\/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":[4511,4509,4387],"class_list":["post-15347","post","type-post","status-publish","format-standard","hentry","category-olgu-sunumu","tag-aeromonas-hydrophilacaviae","tag-akut-supuratif-kolanjit","tag-karbapenemaz"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/15347","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=15347"}],"version-history":[{"count":0,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/15347\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/media?parent=15347"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/categories?post=15347"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/tags?post=15347"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}