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

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