Kurban Bayramı İle İlişkili Enfeksiyonlar: Üç Olgu Sunumu

Abstract

Bu raporla, ülkemizde, kurban bayramı ile ilişkili zoonotik hastalıkların önemine dikkat çekilmek istenmiştir. Tamamen sağlıklı olması gereken kurbanlık hayvanlar, kimi zaman Kırım Kongo Kanamalı Ateşi hastalığı (KKKA) ve şarbon hastalığı gibi zoonotik hastalıkların insanlarda ortaya çıkmasına neden olabilmektedir. Birinci olgumuz, ateş, halsizlik ve iştahsızlık şikayetleri ile başvuran 27 yaşındaki bayan hastadır. Kurban kesimi sonrası sağ kasıkta fark ettiği keneyi kendi eli ile çıkardığı ve şikayetlerinin 3 gün sonra başladığı öğrenilmiştir.  KKKA ön tanısı ile servise kabul edilen hastanın fizik muayenesinde sadece ateş saptanmıştır. Gingiva kanaması, üst ve alt extremite ile abdomende purpurik döküntüleri gelişmiştir. KKKA-PCR pozitif saptanmıştır.  Kan ürünü replasmanı gerekmeyen ve klinik bulguları düzelen hasta, takibinin 5. gününde şifa ile taburcu edilmiştir. İkinci olgumuz, sol elde yara ve şişlik şikayeti olan 35 yaşındaki erkek hastadır. Bir hafta önce kurban derilerini toplayıp tuzladığı ve sonrasında elindeki yaranın büyüdüğünü belirtmiştir. Tetkikleri yapılan hasta, şarbon tanısı ile tedavisi edilmiş ve şifa ile taburcu olmuştur. Üçüncü olgumuz, karında sivilce benzeri yara ve şişlik şikayeti olan 33 yaşında erkek hastadır. İki hafta önce kurban kestiği öğrenilmiştir. Laboratuvar parametreleri normal olan hasta, şarbon tanısı ile tedavi edilmiş ve tedavisi 7 güne tamamlanarak taburcu edilmiştir. Sonuç olarak, kurban bayramı periyodlarında, insanlarda görülen ateş ve halsizlik semptomlarında KKKA, deri bulgularında şarbon hastalığı akıldan çıkarılmamalıdır.

Keywords

• Kırım Kongo Kanamalı Ateşi Hastalığı,Şarbon,Kurbanlık hayvan

Eid al-Adha Associated Infections: Three Case Reports

Abstract

The purpose of this report is to raise concern over the importance of zoonotic diseases related to the feast of sacrifice in our country. Sacrificial animals that must be completely healthy may sometimes cause such zoonotic diseases as Crimean-Congo Hemorrhagic Fever (CCHF) and anthrax in people. Our first case is a 27 year-old female patient applying with the complaints of fever, fatigue and loss of appetite. It has been learned that after sacrifice, she drew the tick out of her right groin with her hands and the complaints started 3 days after. Only fever was specified in the physical examination of the patient accepted to the service with CCHF pre-diagnosis. Gingival bleeding, purpuric rashes in upper and lower extremity and abdomen occurred. CCHF-PCR positive was determined. The patient with improved clinical findings not requiring blood product replacement was discharged with full recovery on the 5th day of follow-up. Our second case is a 35 year-old male patient with the complaint of wound and swelling on the left hand. He stated that he collected and salted the hides of sacrificial animal a week ago and then the wound on is hand enlarged. After the examinations, the patient diagnosed with anthrax was treated and discharged with full recovery. The third case is a 33 year-old male patient complaining from an abdominal wound and swelling like acne. It was found that he sacrificed an animal two weeks ago. The patient with normal laboratory parameters was treated for the diagnosis of anthrax and he was discharged after the 7-day treatment. In conclusion, CCHF must be considered for the symptoms of fever and fatigue and anthrax in skin manifestations during the periods of the feast of sacrifice.

Keywords

• Crimean-Congo Hemorrhagic Fever,Anthrax,Sacrificial animal

References

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