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Mezenterik Lenfadenite Bağlı İnvaginasyon ile Başvuran Glandüler Tularemi Olgusu

Year 2016, Volume: 10 Issue: 2, 146 - 148, 01.06.2016

Abstract

Tularemi Francisella tularensis’in neden olduğu bakteriyel bir zoonozdur. Türkiye’deki tularemi olgularının büyük kısmı orofaringeal formdur, daha nadir glandüler form da raporlanmıştır. Bu yazıda, mezenterik lenfadenite bağlı intestinal invajinasyon geliştiren, glandüler tularemi tanısı alan 4 yaşında erkek olgu sunulmuştur. Literatürde tularemiye bağlı mezenterik lenfadenit ile ilgili az sayıda rapor mevcuttur. Bununla birlikte invaginasyon bildirilmemiştir. İlk olması nedeniyle olgumuz sunulmaya değer bulunmuştur.

References

  • Dennis DT, Inglesby TV, Henderson DA, Bartlett JG, Ascher MS, Eitzen E, et al. Tularemia as a biological weapon: Medical and public health management. JAMA 2001; 285: 2763-73.
  • Ellis J, Oyston PC, Green M, Titball RW. Tularemia. Clin Microbiol Rev 2002;15:631-46.
  • T.C. Sağlık Bakanlığı Temel Sağlık Hizmetleri Genel Müdürlüğü Zoonotik Hastalıklar Genel Başkanlığı, Tularemi Hastalığı için Saha Rehberi 2010.
  • Penn RL. Francisella tularensis (tularemia). In: Mandell GL (ed). Mandell, Douglas, and Bennett’s Principles and Practice of Infectious Diseases. 7th ed. Philadelphia: Churchill Livingstone Elsevier, 2010: 2927-37.
  • Leblebicioglu H, Esen S, Turan D, Anyeri Y, Karadenizli A, Ziyagil F, et al. Outbreak of tularemia: A case-control study and environmental investigation in Turkey. Int J Infect Dis 2008; 12: 265-9.
  • Helvaci S, Gedikoğlu S, Akalin H, Oral HB. Tularemia in Bursa, Turkey: 205 cases in ten years. Eur J Epidemiol 2000; 16: 271-6.
  • Karadağ-Öncel E, Özkaya-Parlakay A, Özsürekci Y, Ceyhan M, Cengiz AB, Kara A. A case of glandular tularemia presenting with prolonged fever and mesenteric lymphadenopathy. Turk J Pediatr 2013; 55: 430-2.
  • Gülhan B, Tezer H, Kanık-Yüksek S, Kılıç S, Şenel E. A rare cause of abdominal lymphadenopathy – tularemia: Report of two pediatric cases. Turk J Pediatr 2014; 56: 192-5.
  • Sikorska-Wiśniewska G, Liberek A, Góra-Gebka M, Bako W, Marek A, Szlagatys-Sidorkiewicz A, et al. Mesenteric lymphadenopathy - a valid health problem in children. Med Wieku Rozwoj 2006; 10: 453-62.
  • Wang Wg, Tian H, Yan Jy, Li T, Zhang Td, Zhao Yp, et al. Enlarged mesenteric lymph nodes in children: A clinical analysis with ultrasonography and the implications. Nan Fang Yi Ke Da Xue Xue Bao 2011;31:522-4.
  • Boisset S, Caspar Y, Sutera V, Maurin M. New therapeutic approaches for treatment of tularemia: A review. Front Cell Infect Microbiol 2014; 4:40.
  • Tezer H, Ozkaya Parlakay A, Aykan H, Erkocoglu M, Gülhan B, Demir A, et al. Tularemia in children, Turkey, September 2009-November 2012. Emerg Infect Dis 2015; 21:1-7.

A Case of Glandular Tularemia Presenting with Invagination due to Mesenteric Lymphadenitis

Year 2016, Volume: 10 Issue: 2, 146 - 148, 01.06.2016

Abstract

Tularemia is zoonotic disease caused by Francisella tularensis. Most of the cases in Turkey are the oropharyngeal form but a few cases of glandular tularemia have been reported. We present a 4-year-old patient with intestinal invagination caused by mesenteric adenitis due to glandular tularemia. There are a few reports on mesenteric adenitis due to tularemia but none had invagination. We felt our case deserved to be presented as it is the first such case

References

  • Dennis DT, Inglesby TV, Henderson DA, Bartlett JG, Ascher MS, Eitzen E, et al. Tularemia as a biological weapon: Medical and public health management. JAMA 2001; 285: 2763-73.
  • Ellis J, Oyston PC, Green M, Titball RW. Tularemia. Clin Microbiol Rev 2002;15:631-46.
  • T.C. Sağlık Bakanlığı Temel Sağlık Hizmetleri Genel Müdürlüğü Zoonotik Hastalıklar Genel Başkanlığı, Tularemi Hastalığı için Saha Rehberi 2010.
  • Penn RL. Francisella tularensis (tularemia). In: Mandell GL (ed). Mandell, Douglas, and Bennett’s Principles and Practice of Infectious Diseases. 7th ed. Philadelphia: Churchill Livingstone Elsevier, 2010: 2927-37.
  • Leblebicioglu H, Esen S, Turan D, Anyeri Y, Karadenizli A, Ziyagil F, et al. Outbreak of tularemia: A case-control study and environmental investigation in Turkey. Int J Infect Dis 2008; 12: 265-9.
  • Helvaci S, Gedikoğlu S, Akalin H, Oral HB. Tularemia in Bursa, Turkey: 205 cases in ten years. Eur J Epidemiol 2000; 16: 271-6.
  • Karadağ-Öncel E, Özkaya-Parlakay A, Özsürekci Y, Ceyhan M, Cengiz AB, Kara A. A case of glandular tularemia presenting with prolonged fever and mesenteric lymphadenopathy. Turk J Pediatr 2013; 55: 430-2.
  • Gülhan B, Tezer H, Kanık-Yüksek S, Kılıç S, Şenel E. A rare cause of abdominal lymphadenopathy – tularemia: Report of two pediatric cases. Turk J Pediatr 2014; 56: 192-5.
  • Sikorska-Wiśniewska G, Liberek A, Góra-Gebka M, Bako W, Marek A, Szlagatys-Sidorkiewicz A, et al. Mesenteric lymphadenopathy - a valid health problem in children. Med Wieku Rozwoj 2006; 10: 453-62.
  • Wang Wg, Tian H, Yan Jy, Li T, Zhang Td, Zhao Yp, et al. Enlarged mesenteric lymph nodes in children: A clinical analysis with ultrasonography and the implications. Nan Fang Yi Ke Da Xue Xue Bao 2011;31:522-4.
  • Boisset S, Caspar Y, Sutera V, Maurin M. New therapeutic approaches for treatment of tularemia: A review. Front Cell Infect Microbiol 2014; 4:40.
  • Tezer H, Ozkaya Parlakay A, Aykan H, Erkocoglu M, Gülhan B, Demir A, et al. Tularemia in children, Turkey, September 2009-November 2012. Emerg Infect Dis 2015; 21:1-7.
There are 12 citations in total.

Details

Other ID JA43GY55EB
Journal Section Research Article
Authors

Melahat Melek Oğuz This is me

Fatma Nur Öz This is me

Funda Çenesiz This is me

Mehtap Acar This is me

Publication Date June 1, 2016
Submission Date June 1, 2016
Published in Issue Year 2016 Volume: 10 Issue: 2

Cite

Vancouver Oğuz MM, Öz FN, Çenesiz F, Acar M. A Case of Glandular Tularemia Presenting with Invagination due to Mesenteric Lymphadenitis. Türkiye Çocuk Hast Derg. 2016;10(2):146-8.


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