Halsizlik, subfebril ate\u015f, el ve ayaklarda a\u011fr\u0131l\u0131 \u015fi\u015flikler ve intrakraniyal hemorajiyle seyreden; tan\u0131nmas\u0131 16 ay s\u00fcren bir infektif endokardit (\u0130E) olgusu sunulmu\u015ftur. Daha \u00f6nce bilinen ba\u015fka hastal\u0131\u011f\u0131 olmayan 35 ya\u015f\u0131ndaki kad\u0131n hasta, \u00e7e\u015fitli dallardan hekimlerce incelenmi\u015f, ekokardiyografide altta yatan bir kapak hastal\u0131\u011f\u0131 saptanmas\u0131na kar\u015f\u0131n, vejetasyon g\u00f6r\u00fclmedi\u011fi ve romatoid fakt\u00f6r, perin\u00fckleer ve sitoplazmik anti-n\u00f6trofil sitoplazmik antikorlar gibi otoantikorlar\u0131 pozitif olarak belirlendi\u011fi i\u00e7in vask\u00fclit olabilece\u011fi d\u00fc\u015f\u00fcn\u00fclm\u00fc\u015ft\u00fcr. \u0130E tan\u0131s\u0131 merkezi sinir sisteminde mikotik anevrizmalar\u0131n g\u00f6r\u00fclmesiyle akla gelmi\u015f; kan k\u00fclt\u00fcr\u00fcnde \u00fcreyen difteroid \u00e7omaklar, biyokimyasal testlerle \u00f6nce Listeria sp. olarak tan\u0131mlanm\u0131\u015f; ancak 16S rRNA analiziyle etkenin Streptococcus mutans oldu\u011fu anla\u015f\u0131lm\u0131\u015ft\u0131r. Bu olgunun da \u00f6\u011fretti\u011fi gibi \u0130E olgular\u0131nda otoantikorlar dahil \u00e7ok \u00e7e\u015fitli antikorlar\u0131n pozitifle\u015febilece\u011fi, ekokardiyografide vejetasyon g\u00f6r\u00fclmeyebilece\u011fi ve Gram boyamas\u0131nda S. mutans\u2019\u0131n difteroid \u00e7omak morfolojisi g\u00f6sterebilece\u011fi ak\u0131lda tutulmal\u0131d\u0131r.<\/p>\n","protected":false},"excerpt":{"rendered":"
\u00d6zet Halsizlik, subfebril ate\u015f, el ve ayaklarda a\u011fr\u0131l\u0131 \u015fi\u015flikler ve intrakraniyal hemorajiyle seyreden; tan\u0131nmas\u0131 16 ay s\u00fcren bir infektif endokardit (\u0130E) olgusu sunulmu\u015ftur. Daha \u00f6nce bilinen ba\u015fka hastal\u0131\u011f\u0131 olmayan 35 ya\u015f\u0131ndaki kad\u0131n hasta, \u00e7e\u015fitli dallardan hekimlerce incelenmi\u015f, ekokardiyografide altta yatan bir kapak hastal\u0131\u011f\u0131 saptanmas\u0131na kar\u015f\u0131n, vejetasyon g\u00f6r\u00fclmedi\u011fi ve romatoid fakt\u00f6r, perin\u00fckleer ve sitoplazmik anti-n\u00f6trofil sitoplazmik […]<\/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":[4478,3854,4477],"class_list":["post-15425","post","type-post","status-publish","format-standard","hentry","category-olgu-sunumu","tag-difteroid-comak","tag-endokardit","tag-streptococcus-mutans"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/15425","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=15425"}],"version-history":[{"count":0,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/15425\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/media?parent=15425"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/categories?post=15425"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/tags?post=15425"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}