{"id":15479,"date":"2021-01-05T01:23:48","date_gmt":"2021-01-04T22:23:48","guid":{"rendered":"https:\/\/www.klimikdergisi.org\/\/2021\/01\/05\/tuberkuloz-pyojenik-ve-brucellaya-bagli-spondilodiskit-103-olgunun-klinik-ve-laboratuvar-ozellikleri\/"},"modified":"2021-01-05T01:23:48","modified_gmt":"2021-01-04T22:23:48","slug":"tuberkuloz-pyojenik-ve-brucellaya-bagli-spondilodiskit-103-olgunun-klinik-ve-laboratuvar-ozellikleri","status":"publish","type":"post","link":"https:\/\/www.klimikdergisi.org\/tr\/2021\/01\/05\/tuberkuloz-pyojenik-ve-brucellaya-bagli-spondilodiskit-103-olgunun-klinik-ve-laboratuvar-ozellikleri\/","title":{"rendered":"T\u00fcberk\u00fcl\u00f6z, Pyojenik ve Brucella&#8217;ya Ba\u011fl\u0131 Spondilodiskit: 103 Olgunun Klinik ve Laboratuvar \u00d6zellikleri"},"content":{"rendered":"<h1>\u00d6zet<\/h1>\n<p> <strong>Ama\u00e7<\/strong>: Bu \u00e7al\u0131\u015fmada t\u00fcberk\u00fcl\u00f6z spondilodiskit (TS), pyojenik spondilodiskit (PS) ve Brucella spondilodiskiti (BS) olarak \u00fc\u00e7e ayr\u0131lan olgular\u0131n, klinik ve laboratuvar \u00f6zellikleri aras\u0131ndaki farkl\u0131l\u0131klar\u0131n ve \u00f6zg\u00fcn y\u00f6nlerinin ortaya \u00e7\u0131kar\u0131lmas\u0131 ama\u00e7land\u0131.<\/p>\n<p> <strong>Y\u00f6ntemler<\/strong>: Spondilodiskit tan\u0131s\u0131yla izlenmi\u015f \u226518 ya\u015f hastalar, geriye d\u00f6n\u00fck olarak incelendi. Epidemiyolojik bilgileri sistemik brusellozla uyumlu olan ve serum Brucella t\u00fcp agl\u00fctinasyonu titresinin \u22651\/160 oldu\u011fu veya iki hafta arayla d\u00f6rt kat artt\u0131\u011f\u0131 saptananlara BS tan\u0131s\u0131 konuldu. Doku \u00f6rneklerinde Mycobacterium tuberculosis \u00fcreyen ve\/veya kronik gran\u00fclomat\u00f6z iltihap saptananlara TS tan\u0131s\u0131 konuldu. Tan\u0131sal giri\u015fim yap\u0131lamad\u0131\u011f\u0131nda t\u00fcberk\u00fclozu d\u00fc\u015f\u00fcnd\u00fcren bulgular\u0131 ve antit\u00fcberk\u00fcloz tedaviye yan\u0131t\u0131 olanlar da TS olarak de\u011ferlendirildi. \u00d6rneklerinde pyojenik bakteriler \u00fcremi\u015f ya da antibiyotik tedavisine yan\u0131t al\u0131nan k\u00fclt\u00fcr-negatif olgular, PS kabul edildi.<\/p>\n<p> <strong>Bulgular<\/strong>: 103 hastan\u0131n 46\u2019s\u0131 TS, 37\u2019si PS ve 20\u2019si BS olarak tan\u0131mland\u0131. TS olgular\u0131 daha gen\u00e7ti (p=0.011) ve yak\u0131nma s\u00fcresi daha uzundu (p=0.044). PS grubunda, lokalize s\u0131cakl\u0131k ve k\u0131zar\u0131kl\u0131k daha s\u0131k; l\u00f6kosit say\u0131s\u0131, n\u00f6trofil say\u0131s\u0131, C-reaktif protein d\u00fczeyi ve eritrosit sedimantasyon h\u0131z\u0131 daha y\u00fcksekti (p&lt;0.05). TS olgular\u0131nda, torakal (%41.3); PS olgular\u0131nda lomber (%67.6) tutulum daha s\u0131kt\u0131. Etkeni saptarken bilgisayarl\u0131 tomografi e\u015fli\u011finde biyopsinin duyarl\u0131l\u0131\u011f\u0131 %56.7&#39;ydi. Apse olu\u015fumu, en \u00e7ok TS, en az BS grubunda saptand\u0131.<\/p>\n<p> <strong>Sonu\u00e7lar<\/strong>: Manyetik rezonans g\u00f6r\u00fcnt\u00fclemesinde servikal veya torakal tutulumla birlikte yumu\u015fak doku apseleri ve paravertebral yay\u0131l\u0131m saptan\u0131rsa \u00f6ncelikle TS d\u00fc\u015f\u00fcn\u00fclmelidir. Vertebra cerrahisi ge\u00e7irmi\u015f, vertebralar\u0131 \u00fczerinde s\u0131cakl\u0131k art\u0131\u015f\u0131 ve k\u0131zar\u0131kl\u0131\u011f\u0131 olan, akut faz reaktanlar\u0131 y\u00fckselmi\u015f ve lomber tutulum saptanan olgularda \u00f6ncelikle PS d\u00fc\u015f\u00fcn\u00fclmelidir.\u00a0<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00d6zet Ama\u00e7: Bu \u00e7al\u0131\u015fmada t\u00fcberk\u00fcl\u00f6z spondilodiskit (TS), pyojenik spondilodiskit (PS) ve Brucella spondilodiskiti (BS) olarak \u00fc\u00e7e ayr\u0131lan olgular\u0131n, klinik ve laboratuvar \u00f6zellikleri aras\u0131ndaki farkl\u0131l\u0131klar\u0131n ve \u00f6zg\u00fcn y\u00f6nlerinin ortaya \u00e7\u0131kar\u0131lmas\u0131 ama\u00e7land\u0131. Y\u00f6ntemler: Spondilodiskit tan\u0131s\u0131yla izlenmi\u015f \u226518 ya\u015f hastalar, geriye d\u00f6n\u00fck olarak incelendi. Epidemiyolojik bilgileri sistemik brusellozla uyumlu olan ve serum Brucella t\u00fcp agl\u00fctinasyonu titresinin \u22651\/160 oldu\u011fu [&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":[5129],"tags":[2821,3991,3622,2911],"class_list":["post-15479","post","type-post","status-publish","format-standard","hentry","category-ozgun-arastirma","tag-bruselloz","tag-diskit","tag-spondilit","tag-tuberkuloz"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/15479","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=15479"}],"version-history":[{"count":0,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/15479\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/media?parent=15479"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/categories?post=15479"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/tags?post=15479"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}