TY  - JOUR
T1  - Kırım Kongo Kanamalı Ateşi Ayırıcı Tanısında Staphylococcus aureus’a bağlı  İnfektif Endokardit Olgusu
TT  - Infective endocarditis Due to  Staphylococcus aureus in the differential diagnosis of Crimean-Congo Hemorrhagic Fever
AU  - Alkan Çeviker, Sevil
AU  - Günal, Özgür
PY  - 2018
DA  - December
Y2  - 2018
DO  - 10.16899/gopctd.425142
JF  - Çağdaş Tıp Dergisi
JO  - J Contemp Med
PB  - Rabia YILMAZ
WT  - DergiPark
SN  - 2146-6009
SP  - 369
EP  - 371
VL  - 8
IS  - 4
LA  - tr
AB  - İnfektif endokardit (İE);kalbin iç zarının, kapaklarının veyadamarlarının enfeksiyonu olarak bilinir ve hayatıtehdit eden bir hastalıktır. IE, kalp kapak hastalığı olmayanlarda çok nadirgörülmekle birlikte, kalp kapak hastalığı bulunanlarda görülme riski artar.IE’in klinik bulguları ve semptomları çok değişken olabilir. Kırım KongoKanamalı Ateşi vakalarında; trombositopeni, artmış AST, ALT, CK ve LDHseviyeleri en sık görülen laboratuvar bulgularıdır. Bu olgu sunumunda, 23yaşında ateş şikayeti ile başvuran ve laboratuar bulgularındaki anormallikler (AST,ALT, CK ve LDH düzeylerinde yükseklik) nedeniyle Kırım Kongo Kanamalı Ateşi(KKKA) ön tanısı konulan ve takiplerinde S.aureus’un neden olduğu İnfektife endokardit tanısı konulan bir erkekhastasunulmuştur. Hastaya komplike IE nedeniyle kalp kapakreplasmanı ameliyatı yapıldı ve tedavi sonrası şifa ile taburcu edildi. Bu olgusunumunda İE’in klinik ve laboratuvar bulgularının diğer hastalıkları taklitedebildiğini ve tüm hastalara ayrıntılı fizik muayene yapılmasının gerektiğinivurgulamayı amaçladık.
KW  - İnfektif Endokardit
KW  - Staphylococcus aureus
KW  - Kırım Kongo Kanamalı Ateşi
KW  - Ayırıcı tanı
N2  - Infective endocarditis(IE), known as an inflammation of the endocardium andthe inner lining of the heart and heartvalves, is a life-threatening disease.Although IE is very rare in people with no heart valve disease, the riskincreases in those with heart valve disease.The clinical signs and symptoms ofinfective endocarditis vary considerably. The diagnosis of infective endocarditisis made by according to modified Duke criteria. In this case report,we describea 23-years old male patient of infective endocarditis misdiagnosed asCrimean-Congo hemorrhagic fever(CCHF) because of he had thrombocytopenia,increased AST-ALT, CK and LDH levels in his laboratuary findings.Thrombocytopenia,increased AST-ALT, CK and LDH levels are the most common laboratory findings inCCHF cases. The patient who hade preliminary diagnosis of CCHF was referred fromsecondary care hospital with fever of two weeks.It was learned thatthe patient was previously diagnosed ARA(Acute Rheumatic Fever) in his history. He was diagnosed as MSSA endocarditison the mitral valve and the patient was operated on because of IE. After the treatmentwas completed for 6 weeks, the patient was discharged with healing.With this case report we aimed to emphasize that the casesof infective endocarditis could mimic otherdiseases and detailed physical examination should be performed on all patients.
CR  - 1.Cahill TJ. Prendergast BD. Infectiveendocarditis. Lancet. 2016 ,27;387(10021):882-93.2.Cahill TJ, Baddour LM, Habib G, Hoen B, Salaun E, Pettersson GB, et al. Challenges in infectiveendocarditis. J Am CollCardiol. 2017;69(3):325–44.3.Demirbağ R, Sade LE, Aydın M, Bozkurt A, Acartürk E. TheTurkishregistry of heartvalvedisease. Türk KardiyolDern Arş. 2013; 41(1): 1-10.4.Ergönül Ö. Viral kanamalı ateşler. In: Willke TA, Söyletir G, Doğanay M, eds. İnfeksiyon Hastalıkları ve Mikrobiyolojisi. İstanbul: Nobel Tıp Kitabevleri, 2008: 1251-65.5. Habib G. Management of infective endocarditis. Heart 2006;92:124-30.6. Li JS, Sexton DJ, Mick N, Nettles R, Fowler VG Jr, Ryan T, Bashore T, et al. Proposed modifications to the Duke criteria for the diagnosis of infective endocarditis. Clin Infect Dis 2000;30:633–8.7. Authors/Task Force Members, Habib G, Lancellotti P, Antunes MJ, Bongiorni MG, Casalta JP, Del Zotti F, et al. 2015 ESC Guidelines for the management of infective endocarditis: The Task Force for the Management of Infective Endocarditis of the European Society of Cardiology (ESC)Endorsed by: European Association for Cardio-Thoracic Surgery (EACTS), the European Association of Nuclear Medicine (EANM). Eur Heart J 2015;36:3075–128.8. Nadji GRJ, Coviaux F, Mirode AA, Brahim A, Enriquez-Sarano M, Tribouilloy C. Comparison of clinical and morphological characteristics of Staphylococcus aureus endocarditis with endocarditis caused by other pathogens. Heart. 2005;9:7.9. Karchmer AW. Infective endocarditis In Heart Disease A Textbook of Cardiovascular Medicine. Zipes DP, Libby P, Bonow RO, Braunwald E. (Eds). 7th Edition, Elsevier Saunders. 2005; pp:1633-165810.Di Salvo G, Habib G, Pergola V et al. Echocardiography predicts embolic events in infective endocarditis. J Am Coll Cardiol 2001; 37:1069-1076.
UR  - https://doi.org/10.16899/gopctd.425142
L1  - https://dergipark.org.tr/tr/download/article-file/626526
ER  -