{"id":15545,"date":"2021-01-05T01:23:52","date_gmt":"2021-01-04T22:23:52","guid":{"rendered":"https:\/\/www.klimikdergisi.org\/\/2021\/01\/05\/bir-ay-icinde-gorulen-suriyeli-iki-kuduz-olgusu\/"},"modified":"2021-01-05T01:23:52","modified_gmt":"2021-01-04T22:23:52","slug":"bir-ay-icinde-gorulen-suriyeli-iki-kuduz-olgusu","status":"publish","type":"post","link":"https:\/\/www.klimikdergisi.org\/tr\/2021\/01\/05\/bir-ay-icinde-gorulen-suriyeli-iki-kuduz-olgusu\/","title":{"rendered":"Bir Ay \u0130\u00e7inde G\u00f6r\u00fclen Suriyeli \u0130ki Kuduz Olgusu"},"content":{"rendered":"<h1>\u00d6zet<\/h1>\n<p> Kuduz, merkezi sinir sisteminin, akut bir viral infeksiyonudur. \u0130nsanlara infekte hayvan\u0131n \u0131s\u0131rmas\u0131 sonras\u0131 bula\u015f\u0131r ve hemen daima \u00f6l\u00fcmc\u00fcld\u00fcr. Uygun \u00f6zg\u00fcl bir tedavisinin olmamas\u0131 nedeniyle, hastal\u0131ktan korunma \u00e7ok \u00f6nemlidir. Burada, bir ay i\u00e7inde izlenen iki insan kuduz olgusu sunulmaktad\u0131r. \u0130lkin, 42 ya\u015f\u0131nda\u00a0Suriyeli\u00a0bir erkek hasta, y\u00fcksek ate\u015f, yayg\u0131n g\u00fc\u00e7s\u00fczl\u00fck, hipersalivasyon ve yutma g\u00fc\u00e7l\u00fc\u011f\u00fc \u015fikayetleriyle, yakla\u015f\u0131k 45 g\u00fcn \u00f6ncesinde bir k\u00f6pek taraf\u0131ndan \u0131s\u0131r\u0131lma \u00f6yk\u00fcs\u00fcyle acil servise ba\u015fvurdu. Daha sonra, 36 ya\u015f\u0131nda Suriyeli bir erkek hasta, y\u00fcksek ate\u015f, hidrofobi, fotofobi ve hipersalivasyon \u015fikayetleriyle, yakla\u015f\u0131k 3 ay \u00f6ncesinde bir k\u00f6pek taraf\u0131ndan \u0131s\u0131r\u0131lma \u00f6yk\u00fcs\u00fcyle \u00fclkemizin s\u0131n\u0131r b\u00f6lgesinde bulunan ba\u015fka bir ildeki hastaneye ba\u015fvurdu. Hastalarda ba\u015fvurudan k\u0131sa s\u00fcre sonra dezoryantasyon geli\u015fti. \u0130lerleyici solunum s\u0131k\u0131nt\u0131s\u0131 nedeniyle her ikisi de kuduz \u00f6n tan\u0131lar\u0131yla sedatize edilerek ventilat\u00f6re ba\u011fland\u0131. \u0130lk olgunun salya \u00f6rne\u011finde ve ense k\u00f6k\u00fc biyopsisinde floresan antikor tekni\u011fiyle kuduz etkeni g\u00f6r\u00fcld\u00fc ve revers transkriptaz-polimeraz zincir reaksiyonu testi yap\u0131larak viral n\u00fckleik asid tespit edildi. \u0130lk olgunun ba\u015fvurusunun d\u00f6rd\u00fcnc\u00fc g\u00fcn\u00fcnde kuduz tan\u0131s\u0131 do\u011fruland\u0131 ve yat\u0131\u015f\u0131n\u0131n 19. g\u00fcn\u00fcnde kuduz ensefaliti nedeniyle hasta kaybedildi. \u0130kinci olgu ise yat\u0131\u015f\u0131ndan bir g\u00fcn sonra \u00f6ld\u00fc ve al\u0131nan beyin biyopsisi \u00f6rne\u011finde kuduz antijeni saptand\u0131. Sunulan olgular, kuduz bula\u015fmas\u0131nda k\u00f6pek \u0131s\u0131rmalar\u0131n\u0131n \u00f6nemini ve kuduzu engellemede toplum e\u011fitiminin gereklili\u011fini g\u00f6stermektedir.\u00a0<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00d6zet Kuduz, merkezi sinir sisteminin, akut bir viral infeksiyonudur. \u0130nsanlara infekte hayvan\u0131n \u0131s\u0131rmas\u0131 sonras\u0131 bula\u015f\u0131r ve hemen daima \u00f6l\u00fcmc\u00fcld\u00fcr. Uygun \u00f6zg\u00fcl bir tedavisinin olmamas\u0131 nedeniyle, hastal\u0131ktan korunma \u00e7ok \u00f6nemlidir. Burada, bir ay i\u00e7inde izlenen iki insan kuduz olgusu sunulmaktad\u0131r. \u0130lkin, 42 ya\u015f\u0131nda\u00a0Suriyeli\u00a0bir erkek hasta, y\u00fcksek ate\u015f, yayg\u0131n g\u00fc\u00e7s\u00fczl\u00fck, hipersalivasyon ve yutma g\u00fc\u00e7l\u00fc\u011f\u00fc \u015fikayetleriyle, yakla\u015f\u0131k 45 [&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":[3812,4434,3279],"class_list":["post-15545","post","type-post","status-publish","format-standard","hentry","category-olgu-sunumu","tag-ensefalit","tag-isirik-ve-sokmalar","tag-kuduz"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/15545","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=15545"}],"version-history":[{"count":0,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/15545\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/media?parent=15545"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/categories?post=15545"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/tags?post=15545"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}