{"id":16055,"date":"2021-01-05T01:24:37","date_gmt":"2021-01-04T22:24:37","guid":{"rendered":"https:\/\/www.klimikdergisi.org\/\/2021\/01\/05\/yasli-bir-hastada-streptococcus-pyogenesin-etken-oldugu-fatal-menenjit\/"},"modified":"2021-01-05T01:24:37","modified_gmt":"2021-01-04T22:24:37","slug":"yasli-bir-hastada-streptococcus-pyogenesin-etken-oldugu-fatal-menenjit","status":"publish","type":"post","link":"https:\/\/www.klimikdergisi.org\/tr\/2021\/01\/05\/yasli-bir-hastada-streptococcus-pyogenesin-etken-oldugu-fatal-menenjit\/","title":{"rendered":"Ya\u015fl\u0131 Bir Hastada Streptococcus pyogenes&#8217;in Etken Oldu\u011fu Fatal Menenjit"},"content":{"rendered":"<h1>\u00d6zet<\/h1>\n<p> Streptococcus pyogenes\u2019e ba\u011fl\u0131 menenjit nadirdir. Genelde altta yatan hastal\u0131\u011f\u0131 olanlarda, bazen de herhangi bir risk fakt\u00f6r\u00fc bulunmayan bireylerde menenjite neden olabilir. Bu yaz\u0131da, eri\u015fkin hastada akut ve fatal seyreden S. pyogenes\u2019e ba\u011fl\u0131 akut bakteriyel menenjit olgusu sunulmu\u015ftur. Seksen dokuz ya\u015f\u0131nda kad\u0131n, bilin\u00e7 bulan\u0131kl\u0131\u011f\u0131 ve ate\u015f y\u00fcksekli\u011fiyle ba\u015fvurmu\u015ftur. Fizik bak\u0131da ense sertli\u011fi olumlu, Kernig ve Brudzinski i\u015faretleri olumsuz saptanm\u0131\u015ft\u0131r. Laboratuvar bulgular\u0131nda l\u00f6kosit 19 300\/mm3 olup %85 polimorfon\u00fckleer h\u00fccre hakimiyeti g\u00f6r\u00fclm\u00fc\u015ft\u00fcr. Bilgisayarl\u0131 beyin tomografisinde pons lateralinde infeksiyonla uyumlu g\u00f6r\u00fcn\u00fcm tespit edilmi\u015ftir. Yap\u0131lan lomber ponksiyonda beyin-omurilik s\u0131v\u0131s\u0131 (BOS) bas\u0131nc\u0131 artm\u0131\u015f, g\u00f6r\u00fcn\u00fcm bulan\u0131k, Pandy reaksiyonu (++++) pozitif bulunmu\u015ftur. Do\u011frudan mikroskopide 710 l\u00f6kosit\/mm3 ve Gram-pozitif zincir yapm\u0131\u015f koklar g\u00f6r\u00fclm\u00fc\u015ft\u00fcr. Akut bakteriyel menenjit tan\u0131s\u0131yla ampirik olarak sefotaksim 4&#215;2 gr ve ampisilin 4&#215;3 gr ba\u015flanm\u0131\u015ft\u0131r. Hastan\u0131n BOS ve kan k\u00fclt\u00fcrlerinde S. pyogenes \u00fcremi\u015ftir. Ancak uygulanan tedaviye yan\u0131t vermeyen hasta bir g\u00fcn sonra kaybedilmi\u015ftir.\u00a0 S. pyogenes akut p\u00fcr\u00fclan menenjit tan\u0131l\u0131 olgularda ak\u0131lda tutulmas\u0131 gereken bir etkendir.\u00a0<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00d6zet Streptococcus pyogenes\u2019e ba\u011fl\u0131 menenjit nadirdir. Genelde altta yatan hastal\u0131\u011f\u0131 olanlarda, bazen de herhangi bir risk fakt\u00f6r\u00fc bulunmayan bireylerde menenjite neden olabilir. Bu yaz\u0131da, eri\u015fkin hastada akut ve fatal seyreden S. pyogenes\u2019e ba\u011fl\u0131 akut bakteriyel menenjit olgusu sunulmu\u015ftur. Seksen dokuz ya\u015f\u0131nda kad\u0131n, bilin\u00e7 bulan\u0131kl\u0131\u011f\u0131 ve ate\u015f y\u00fcksekli\u011fiyle ba\u015fvurmu\u015ftur. Fizik bak\u0131da ense sertli\u011fi olumlu, Kernig ve [&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":[2698,2819,4196],"class_list":["post-16055","post","type-post","status-publish","format-standard","hentry","category-olgu-sunumu","tag-menenjit","tag-streptococcus-pyogenes","tag-yasli-hasta"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/16055","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=16055"}],"version-history":[{"count":0,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/16055\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/media?parent=16055"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/categories?post=16055"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/tags?post=16055"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}