TORTİKOLLİS İLE BAŞVURAN İKİ PARAFARENGEAL ABSE VAKASI. CERRAHİ TEDAVİ Mİ? MEDİKAL TEDAVİ Mİ?

Ahmet Özen; Hülya Ercan Sarıçoban; Mustafa Berber; Hande Özgün Karatepe; Filiz Bakar; Reha Cengizlier; Ayça Vitrinlier

TORTİKOLLİS İLE BAŞVURAN İKİ PARAFARENGEAL ABSE VAKASI. CERRAHİ TEDAVİ Mİ? MEDİKAL TEDAVİ Mİ?

Abstract

Bu yazıda tortikollis ile başvuran iki parafarengeal abse olgusu sunuyoruz. Çocuklarda parafarengeal abselere yönelik tedavi seçeneklerini tartışacağız.

VAKA 1: Yirmibeş aylık erkek çocuk, boynunu hareket ettirmek istememe şikayetiyle getirildi. Laboratuar incelemesinde WBC:20400 / mm3 ve CRP:76,8 mg/L bulundu. Boyun BT incelemelerinde parafarengeal abse ile uyumlu görünüm saptandı. intravenöz ampisilin-sulbaktam ve metronidazol tedavileri başlandı. Tedavi altındayken abse boyutunda büyüme ve enflamasyon göstergelerinde yükselme saptandı. Abse drene edildi ve kültüre gönderildi. Kültürde MRSA üremesi oldu. intravenöz vankomisin ve rifampisin tedavisi başlandı. Tedavinin birinci haftası bittiğinde kontrol BT incelemesinde absenin kaybolduğu gözlendi.

VAKA 2: Sekiz yaşında erkek hasta, boyunda şişlik ve eğrilik şikayetiyle getirildi. Anterior servikal lenf nodu palpe edilmekteydi. Enflamasyon göstergelerinde yükselme saptandı. Boyun BT incelemesinde parafarengeal abse ile uyumlu görünüm saptandı. Hastaya intravenöz ampisilin-sulbaktam ve metronidazol kombinasyonu baĢlandı. Medikal tedavi ile hasta komplikasyonsuz iyileşti.

Sonuç olarak, parafarengeal abselerde tedavi şekli hastaların klinik bulgularına göre seçilmeli ve klinik izlemdeki bulgulara göre yönlendirilmelidir.

Anahtar kelimeler: Parafarengeal abse; derin boyun enfeksiyonu; tortikollis; çocuk; tedavi

Keywords

Parafarengeal abse, derin boyun enfeksiyonu, tortikollis, çocuk, tedavi

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Details

Primary Language

Turkish

Subjects

-

Journal Section

-

Authors

Ahmet Özen This is me

Hülya Ercan Sarıçoban This is me

Mustafa Berber This is me

Hande Özgün Karatepe This is me

Filiz Bakar This is me

Reha Cengizlier This is me

Ayça Vitrinlier This is me

Publication Date

November 10, 2011

Submission Date

November 10, 2011

Acceptance Date

-

Published in Issue

Year 2010 Volume: 73 Number: 1

IZ

https://izlik.org/JA49JZ93DG

Cite

RIS / Bibtex

APA

Özen, A., Ercan Sarıçoban, H., Berber, M., Özgün Karatepe, H., Bakar, F., Cengizlier, R., & Vitrinlier, A. (2011). TORTİKOLLİS İLE BAŞVURAN İKİ PARAFARENGEAL ABSE VAKASI. CERRAHİ TEDAVİ Mİ? MEDİKAL TEDAVİ Mİ? Journal of Istanbul Faculty of Medicine, 73(1), 23-26. https://izlik.org/JA49JZ93DG

AMA

1.Özen A, Ercan Sarıçoban H, Berber M, et al. TORTİKOLLİS İLE BAŞVURAN İKİ PARAFARENGEAL ABSE VAKASI. CERRAHİ TEDAVİ Mİ? MEDİKAL TEDAVİ Mİ? İst Tıp Fak Derg. 2011;73(1):23-26. https://izlik.org/JA49JZ93DG

Chicago

Özen, Ahmet, Hülya Ercan Sarıçoban, Mustafa Berber, et al. 2011. “TORTİKOLLİS İLE BAŞVURAN İKİ PARAFARENGEAL ABSE VAKASI. CERRAHİ TEDAVİ Mİ? MEDİKAL TEDAVİ Mİ?”. Journal of Istanbul Faculty of Medicine 73 (1): 23-26. https://izlik.org/JA49JZ93DG.

EndNote

Özen A, Ercan Sarıçoban H, Berber M, Özgün Karatepe H, Bakar F, Cengizlier R, Vitrinlier A (November 1, 2011) TORTİKOLLİS İLE BAŞVURAN İKİ PARAFARENGEAL ABSE VAKASI. CERRAHİ TEDAVİ Mİ? MEDİKAL TEDAVİ Mİ? Journal of Istanbul Faculty of Medicine 73 1 23–26.

IEEE

[1]A. Özen et al., “TORTİKOLLİS İLE BAŞVURAN İKİ PARAFARENGEAL ABSE VAKASI. CERRAHİ TEDAVİ Mİ? MEDİKAL TEDAVİ Mİ?”, İst Tıp Fak Derg, vol. 73, no. 1, pp. 23–26, Nov. 2011, [Online]. Available: https://izlik.org/JA49JZ93DG

ISNAD

Özen, Ahmet - Ercan Sarıçoban, Hülya - Berber, Mustafa - Özgün Karatepe, Hande - Bakar, Filiz - Cengizlier, Reha - Vitrinlier, Ayça. “TORTİKOLLİS İLE BAŞVURAN İKİ PARAFARENGEAL ABSE VAKASI. CERRAHİ TEDAVİ Mİ? MEDİKAL TEDAVİ Mİ?”. Journal of Istanbul Faculty of Medicine 73/1 (November 1, 2011): 23-26. https://izlik.org/JA49JZ93DG.

JAMA

1.Özen A, Ercan Sarıçoban H, Berber M, Özgün Karatepe H, Bakar F, Cengizlier R, Vitrinlier A. TORTİKOLLİS İLE BAŞVURAN İKİ PARAFARENGEAL ABSE VAKASI. CERRAHİ TEDAVİ Mİ? MEDİKAL TEDAVİ Mİ? İst Tıp Fak Derg. 2011;73:23–26.

MLA

Özen, Ahmet, et al. “TORTİKOLLİS İLE BAŞVURAN İKİ PARAFARENGEAL ABSE VAKASI. CERRAHİ TEDAVİ Mİ? MEDİKAL TEDAVİ Mİ?”. Journal of Istanbul Faculty of Medicine, vol. 73, no. 1, Nov. 2011, pp. 23-26, https://izlik.org/JA49JZ93DG.

Vancouver

1.Ahmet Özen, Hülya Ercan Sarıçoban, Mustafa Berber, Hande Özgün Karatepe, Filiz Bakar, Reha Cengizlier, Ayça Vitrinlier. TORTİKOLLİS İLE BAŞVURAN İKİ PARAFARENGEAL ABSE VAKASI. CERRAHİ TEDAVİ Mİ? MEDİKAL TEDAVİ Mİ? İst Tıp Fak Derg [Internet]. 2011 Nov. 1;73(1):23-6. Available from: https://izlik.org/JA49JZ93DG