{"id":16883,"date":"2021-01-05T01:25:39","date_gmt":"2021-01-04T22:25:39","guid":{"rendered":"https:\/\/www.klimikdergisi.org\/\/2021\/01\/05\/leptospiroz-guney-marmaradan-uc-olgu\/"},"modified":"2021-01-05T01:25:39","modified_gmt":"2021-01-04T22:25:39","slug":"leptospiroz-guney-marmaradan-uc-olgu","status":"publish","type":"post","link":"https:\/\/www.klimikdergisi.org\/tr\/2021\/01\/05\/leptospiroz-guney-marmaradan-uc-olgu\/","title":{"rendered":"Leptospiroz: G\u00fcney Marmara&#8217;dan \u00dc\u00e7 Olgu"},"content":{"rendered":"<h1>\u00d6zet<\/h1>\n<p> Leptospiroz, t\u00fcm d\u00fcnyada yayg\u0131n bir infeksiyondur. \u00dclkemizden leptospiroz ile ilgili olarak yap\u0131lan yay\u0131nlarda olgu serilerinin ve sporadik olgu sunumlar\u0131n\u0131n a\u011f\u0131rl\u0131kta oldu\u011funu g\u00f6rmekteyiz. Bu sunumda ate\u015f, myalji ve ba\u015f a\u011fr\u0131s\u0131 semptomlar\u0131 ile ba\u015fvurup, leptospiroz tan\u0131s\u0131 alan \u00fc\u00e7 olgu bildirilmi\u015ftir. \u0130ki olguda bilir\u00fcbin de\u011ferlerinde y\u00fckseklik saptan\u0131rken, bir olgu a\u011f\u0131r klinik form olan hepatorenal sendrom (Weil hastal\u0131\u011f\u0131) \u015feklinde klinik seyir g\u00f6stermi\u015ftir. Bu olguda, renal yetmezlik bulgular\u0131na n\u00f6rolojik semptomlar ve trombositopeni \u00a0e\u015flik etmi\u015ftir. \u00c7ift\u00e7ilik ve bal\u0131k avlama gibi leptospiroz a\u00e7\u0131s\u0131ndan anlaml\u0131 olabilecek risk fakt\u00f6rleri bulunan \u00a0olgular\u0131n tan\u0131s\u0131 mikroskopik agl\u00fctinasyon test (MAT) ile konulmu\u015ftur. \u00dc\u00e7 olguda da \u00a0Leptospira interrogans serovar bratislava\u2019ya kar\u015f\u0131 antikor yan\u0131t\u0131 saptanm\u0131\u015ft\u0131r. Olgular\u0131n t\u00fcm\u00fcne oral doksisiklin 2&#215;100 mg\/g\u00fcn \u00a0tedavisi verilmi\u015f ve \u00fc\u00e7 olgu da \u015fifa ile taburcu edilmi\u015ftir. Sonu\u00e7 olarak \u00f6zg\u00fcl olmayan kinik ve laboratuvar bulgular\u0131 ile ba\u015fvuran hastalar\u0131n, anamnezinde risk fakt\u00f6rlerinin dikkatle sorgulanmas\u0131, leptospiroz tan\u0131s\u0131n\u0131 kolayla\u015ft\u0131racakt\u0131r. Erken d\u00f6nemde ba\u015flanan tedavi hastal\u0131\u011f\u0131n seyri a\u00e7\u0131s\u0131ndan b\u00fcy\u00fck \u00f6nem ta\u015f\u0131maktad\u0131r.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00d6zet Leptospiroz, t\u00fcm d\u00fcnyada yayg\u0131n bir infeksiyondur. \u00dclkemizden leptospiroz ile ilgili olarak yap\u0131lan yay\u0131nlarda olgu serilerinin ve sporadik olgu sunumlar\u0131n\u0131n a\u011f\u0131rl\u0131kta oldu\u011funu g\u00f6rmekteyiz. Bu sunumda ate\u015f, myalji ve ba\u015f a\u011fr\u0131s\u0131 semptomlar\u0131 ile ba\u015fvurup, leptospiroz tan\u0131s\u0131 alan \u00fc\u00e7 olgu bildirilmi\u015ftir. \u0130ki olguda bilir\u00fcbin de\u011ferlerinde y\u00fckseklik saptan\u0131rken, bir olgu a\u011f\u0131r klinik form olan hepatorenal sendrom (Weil hastal\u0131\u011f\u0131) [&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":[2729,3899,3386],"class_list":["post-16883","post","type-post","status-publish","format-standard","hentry","category-olgu-sunumu","tag-leptospiroz","tag-mikroskopik-aglutinasyon-testi","tag-weil-hastaligi"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/16883","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=16883"}],"version-history":[{"count":0,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/16883\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/media?parent=16883"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/categories?post=16883"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/tags?post=16883"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}