Kurban Bayramı İle İlişkili Enfeksiyonlar: Üç Olgu Sunumu

Year 2017, Volume: 28 Issue: 3, 165 - 168, 20.12.2017

Dilek Öztaş İmran Hasanoğlu Turan Buzgan Mehmet Akın Taşyaran Zeliha Koçak Tufan

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

• Acha PN, Szyfres B (2003). Zoonotic and communicable diseases common to man and animals. In: Bacterioses and Mycoses. 3rd Ed, 21-28, Pan American Health Organization, Scientific and Tecnical Publication, No:580, Washington, USA. Anonymous (2006). 2nd press release on Eid al-Adha for 2006. İstanbul Veterinary Chamber, Food Hygiene and Public Health Unit, Issue: 2006/1042. Akın L (2008). Crimean-Congo hemorrhagic fever. Hacettepe Tıp Dergisi, 39, 134-143. Bente DA, Forrester NL, Watts DM, McAuley AJ, Whitehouse CA, Bray M (2013). Crimean-Congo hemorrhagic fever: History, epidemiology, pathogenesis, clinical syndrome and genetic diversity. Antiviral Res,100, 159-189. Çetin Ö, Dümen E, Kahraman T, Bingöl EB, Büyükünal SK (2011). Selection, slaughtering and hygiene of sacrificial animals. J Fac Vet Med Istanbul Univ, 37(1), 63-67. Çetin Ö, Kahraman T, Büyükünal SK (2006). Microbiological evaluation of food contact surface at redmeat processing plants in İstanbul Turkey. Ital J Anim Sci, 5, 19-27. Doğanay M (2004). Anthrax. In: Cohen J, Powderly WG (Ed): Infectious Diseases, 2ndEd. 185, 6, Mosby, Edinburgh. Doğanay M, Metan G (2009). Human anthrax in Turkey from 1990 to 2007. Vector Borne Zoonotic Dis, 9, 131-139. Ergönül A (2006). Crimean-Congo hemorrhagic fever. Lancet Infect Dis, 6(4), 203-214. Hayes PR (1995). Hygiene and training of personel (Chapter 12). In: Hayes PR (Ed), Food Microbiology and Hygiene, 434-435, Springer Science+Business Media Dordrecht. ISBN 978-1-4615-3546-1. İnal T, Nazlı B (1997). Information on slaughterhouse. Saray Medical Publication, İzmir, 161. Jamil B, Hasan RS, Sarwari AR, Burton J, Hewson R, Clegg C (2005). Crimean–Congo hemorrhagic fever: experience at a tertiary care hospital in Karachi, Pakistan. Trans R Soc Trop Med Hyg, 99, 577–584. Kahraman T, Çetin O, Dümen E, Büyükünal SK (2010). Incidence of Salmonellaspp and Listeriamonocytogeneson equipment surfaces and personel hands in meatplants. Revue Med Vet, 161(3), 108-113. Kaya A, Taşyaran MA, Erol S, Özkurt Z (2002). Anthrax in adults and children: Are view of 132 cases in Turkey. Eur J Clin Microbiol Infect Dis, 21, 258-261. Leblebicioglu H (2010). Crimean-Congo hemorrhagic fever in Eurasia. Int J Antimicrob Agents, 36, 43-46. Mertens M, Schmidt K, Ozkul A, Groschup MH (2013). Theimpact of Crimean-Congo hemorrhagic fever virus on public health. Antiviral Res, 98(2), 248-260. MH, GDBHS (2016). Zoonotic Diseases In-service Training Module. Ministry of Health, General Directorate of Basic Health Services, Department of Zoonotic Diseases,Publication no: 799. IV, Ankara, 2011. ISBN: 978-975-590-328-6, http://sbu.saglik.gov.tr/Ekutuphane/ kitaplar/Zoonotik%20Hastaliklar%20Katilimci%20Kitabi.pdf,Ankara, Access date: 10.06.2016. Ser Ö, Çetin H (2016). The current situation of Crimean-Congo hemorrhagic fever. TAF Prev Med Bull,15(1), 58-68. Troller JA (1993). Sanitasyon in food processing. Academic Press Inc., 2nd ed., 6, Cincinati, Ohio, ISBN 0-12-700655-0, California. Uğur M, Nazlı B, Bostan K (1999). Lecture notes on slaughter house information and meat examination. İU Veterinary Faculty Publication, 109, İstanbul. Uğur M, Nazlı B, Bostan K (2003). Food hygiene. 274, Technic Publication, Durak Copy Center, İstanbul. Vorou R, Pierroutsakos IN, Maltezou HC (2007). Crimean-Congo hemorrhagic fever. Curr Opin Infect Dis, 20, 495-500.