K\u0131r\u0131m-Kongo kanamal\u0131 ate\u015fi (KKKA), y\u00fcksek mortalite ile seyredebilen viral zoonotik bir infeksiyon hastal\u0131\u011f\u0131d\u0131r. Kene \u0131s\u0131r\u0131\u011f\u0131 sonras\u0131, halsizlik, yorgunluk, yayg\u0131n kas a\u011fr\u0131lar\u0131, ba\u015f a\u011fr\u0131s\u0131 ve y\u00fcksek ate\u015f yak\u0131nmalar\u0131yla ba\u015fvuran 53 ya\u015f\u0131nda erkek hasta yat\u0131r\u0131ld\u0131. Genel durumu iyi ve bilinci a\u00e7\u0131k olan hastan\u0131n fizik incelemesinde sa\u011f hipokondriyumda hafif hassasiyet saptand\u0131. Laboratuvar incelemesinde l\u00f6kosit 2400\/mm3 (%59 PMNL), hemoglobin 11.6 gr\/dl, hematokrit %33.1, trombosit 67 000\/mm3, CRP 7.3 \u0130\u00dc\/ml, eritrosit sedimantasyon h\u0131z\u0131 (ESH) 12 mm\/saat, PTZ 17.1 saniye, AST 121 \u0130\u00dc\/lt, ALT 93 \u0130\u00dc\/lt, LDH 601 \u0130\u00dc\/lt, CK 340 \u0130\u00dc\/lt, GGT 126 \u0130\u00dc\/lt bulundu. Klinik ve laboratuvar bulgulara g\u00f6re KKKA d\u00fc\u015f\u00fcn\u00fclen hastaya, D\u00fcnya Sa\u011fl\u0131k \u00d6rg\u00fct\u00fc\u2019n\u00fcn \u00f6nerisi do\u011frultusunda 10 g\u00fcnl\u00fck empirik ribavirin tedavisi ba\u015fland\u0131. Hasta ribavirin tedavisinden sonra h\u0131zla d\u00fczeldi. Daha sonra, Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131\u2019ndan gelen sonu\u00e7ta KKKA polimeraz zincir reaksiyonu (PCR) testinin pozitif oldu\u011fu g\u00f6r\u00fcld\u00fc. Son y\u0131llarda \u00fclkemizde endemik olarak g\u00f6r\u00fclen KKKA, bu olgumuzla birlikte Elaz\u0131\u011f ilinde de ortaya \u00e7\u0131km\u0131\u015ft\u0131r.<\/p>\n","protected":false},"excerpt":{"rendered":"
\u00d6zet K\u0131r\u0131m-Kongo kanamal\u0131 ate\u015fi (KKKA), y\u00fcksek mortalite ile seyredebilen viral zoonotik bir infeksiyon hastal\u0131\u011f\u0131d\u0131r. Kene \u0131s\u0131r\u0131\u011f\u0131 sonras\u0131, halsizlik, yorgunluk, yayg\u0131n kas a\u011fr\u0131lar\u0131, ba\u015f a\u011fr\u0131s\u0131 ve y\u00fcksek ate\u015f yak\u0131nmalar\u0131yla ba\u015fvuran 53 ya\u015f\u0131nda erkek hasta yat\u0131r\u0131ld\u0131. Genel durumu iyi ve bilinci a\u00e7\u0131k olan hastan\u0131n fizik incelemesinde sa\u011f hipokondriyumda hafif hassasiyet saptand\u0131. Laboratuvar incelemesinde l\u00f6kosit 2400\/mm3 (%59 PMNL), […]<\/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":[3872,3788,3791,3874,2592],"class_list":["post-16949","post","type-post","status-publish","format-standard","hentry","category-olgu-sunumu","tag-kene-isirigi","tag-kirimkongo-kanamali-atesi","tag-nairovirus","tag-ribavirin","tag-zoonoz"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/16949","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=16949"}],"version-history":[{"count":0,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/16949\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/media?parent=16949"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/categories?post=16949"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/tags?post=16949"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}