Pediatrist Gözüyle Çocukluk Çağı Nekrotizan Fasiite Bakış: Bir Derleme

Yıl 2019, Cilt: 9 Sayı: 2, 190 - 198, 28.06.2019

Mervan Bekdas

https://doi.org/10.31832/smj.504865

Öz

Nekrotizan fasiit kas haricinde subkutan doku
ve fasyayı tutan hızlı seyirli bir enfeksiyon hastalığıdır. Vücudun herhangi
bir yerini etkileyebilir. Atipik semptomlarla seyreden, genellikle küçük,
enfekte bir lezyonla başlar ve hızlıca yayılır. Olgulara başlangıçta, tedavi gecikmelerine yol açan selülit
tanısı yanlışla konulabilir. Erken tanı için hastalığı akla getirmek çok
önemlidir. Ancak, çocukluk çağında nadiren görüldüğü için bu her zaman mümkün
olamamaktadır. Ne yazık ki, doğrudan hastalığı gösteren laboratuvar bulguları
da yoktur. Son yıllarda hastalığın tedavisindeki ilerlemeye rağmen, ölüm oranı
hala yüksek seyretmektedir. Hızlı progresyondan dolayı, erken ve agresif
cerrahi debridman mortaliteyi azaltmak için çok önemlidir.

Bu hastalıkla ilgili ülkemizden çıkan
yayınlar yoluyla pediatristlerin nekrotizan fasiite dikkatini çekmek istiyorum.
Başarılı bir tedavi için cerrahlar gereklidir, ancak morbidite ve mortaliteyi
azaltacak olan esas etken hastalığın tanısının erkenden konulmasıdır, bunu
sağlayacak olanlarda pediatristlerdir. Bu çalışma sayesinde, pediatristlerin
katkısıyla bu hastalığın tanı ve tedavisi arasındaki süreyi kısaltmaya katkı
sağlamayı amaçlıyorum.

Anahtar Kelimeler

Fasiit, Nekrotizan, Pediatri, Çocuk

Kaynakça

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