Plesiomonas Shigelloides Gastroenteritis in Child with Liver and Kidney Transplantation

Year 2020, Volume: 20 Issue: 2, 80 - 82, 31.08.2020

Nadire Beyza Can , Hatice Kübra Dursun Önder Yavaşcan

Abstract

Much of our limited knowledge in this area comes from multiple case reports describing a common underlying risk factor that appeared associated with Plesiomonas illness. Immunocompromised patients and foreign travel is a major major risk factors associated with plesiomonas gastroenteritis. Plesiomonas shigelloides is a rare etiologic agent of gastroenteritis in our country that can lead to different severity of diarrhea. Watery diarrhea is the most common clinical presentation of Plesiomonas gastroenteritis, with between 50% and 88% of all patients presenting with this type of diarrhea.
In this report, we want to present the difficulties such as acute kidney injury, metabolic acidosis, electrolyte imbalances, immusupressive dose adjustments of severe cholera-like diarrhea due to Plesiomonas shigelloides in an 11-year-old girl who had liver transplantation in 2012, renal transplantation in 2015.

Keywords

Plesiomonas shigelloides, Acute gastroenteritis, Kidney transplantation, Liver transplantation

Karaciğer ve Böbrek Nakli Olan Çocuk Hastada Plesiomonas Shigelloides Gastroenteriti

Abstract

Plesiomonas hastalığında altta yatan risk faktörünü tanımlayan bilgiler çoklu vaka raporlarından elde edilmiştir. İmmün sistemi baskılanmış hastalar ve yabancı ülkelere seyahat öyküsü Plesiomonas gastroenteritiyle ilişkili önemli risk faktörleridir. Plesiomonas shigelloides, farklı derecelerde ishal kliniğine yol açabilen ülkemizde nadir görülen bir gastroenterit etkenidir. Sulu ishal, Plesiomonas gastroenteritinin en yaygın klinik sunumudur, tüm hastaların %50 ila %88’i bu tip diyare ile başvurmaktadır. Bu yazıda 2012 yılında karaciğer nakli, 2015 yılında böbrek nakli olmuş 11 yaşında kız hastada Plesiomonas shigelloides’e bağlı ortaya çıkan ağır kolera benzeri ishal sırasında yaşanan aşırı sıvı kaybı, akut böbrek hasarı, metabolik asidoz, elektrolit dengesizlikleri, immunsüpresif doz ayarlamaları gibi önemli sorunlar ve çözümleri paylaşılmak istenmiştir.

Keywords

Plesiomonas shigelloides, Akut gastroenterit, Börek nakli, Karaciğer nakli

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