Acute renal failure after following the Shigella flexneri diarrhea

Yıl 2020, Cilt: 2 Sayı: 1, 28 - 30, 15.01.2020

Şerife Altun Demircan Volkan Arslan Şükran Sevim Pınar Gürkaynak Salih Cesur

https://doi.org/10.38053/agtd.584455

Cited By: 1

Öz

Bacillary dysentery is an acute
diarrheal illness characterized by abdominal cramping, fever, and the mucoid,
bloody stools. In fecal exam, an increase in the number of leukocytes and a
positive stool culture are observed. It usually defined as a self-limiting
infectous. In severe cases, liquid-electrolit theraphy and antibiotic are
applied. In this case report, a 72 year old female patient who had acute renal
failure due to Shigella flexneri, had
recovered with ciprofloxacin and fluid and electrolit theraphy and had not
received dialysis treatment is presented.

Anahtar Kelimeler

Acute renal failure, bacillary dysentery, Shigella flexneri

Shigella flexneri’ye bağlı ishal sonrasında akut böbrek yetmezliği gelişen olgu

Öz

Basilli dizanteri abdominal
kramplar, ateş, kanlı mukuslu dışkı ile karakterize ishal tablosudur. Dışkı
incelemesinde lökosit sayısında artış ve
dışkı kültüründe üreme ile tanı konulan genellikle kendini sınırlayan bir enfeksiyona
yol açar. Ciddi olgularda sıvı-elektrolit ve antibiyotik tedavisi gerekmektedir.
Bu bildiride Shigella flexneri’ye
bağlı ishali takiben akut böbrek yetmezliği gelişen, diyaliz gereksinimi
olmadan siprofloksasin ve sıvı-elektrolit tedavisi ile düzelen 72 yaşında bir
kadın hasta sunuldu.

Anahtar Kelimeler

Akut böbrek yetmezliği, basilli dizanteri, Shigella flexneri

Kaynakça

• DuPont HL. Bacillary Dysentery: Shigella and Enteroinvasive Escherichia coli In: Mandell GL, Bennett JE, Dolin R, eds. Mandell, Douglas, and Bennett’s Principles and Practice of Infectious Diseases. 6th ed. Philadelphia: Churchill Livingstone, 2015: 2569-74.
• Otkun M, Akata F, Karabay O, Tatman M, Tuğrul M, Dündar V. Edirne'de 1994 ve 1995 yıllarında izole edilen Shigella türlerinde antimikrobik direnci. İnfeksiyon Derg 1997; 11: 11-4.
• Aysev AD, Güriz H. Drug resistance of Shigella strains isolated in Ankara - Turkey, 1993-1996. Scand J Infect Dis 1998; 30: 351-3.
• Alıcı O, Açıkgöz Z, Gamberzade S, Göçer S, Karahocagil MK. Antibiotic resistance rates of Shigella species isolated from stool cultures in the years 1999-2003. Mikrobiyol Bul 2006; 40: 9-14.
• Black RE, Lanata CF. Diarrheal Diseases, pp: 759-78. In: Nelson KE, Masters Williams CF (eds), Infectious Disease Epidemiology: Theory and Practice. 2007, 2nd ed. Jones and Bartlett Publishers, London, UK.
• Özmert EN, İnce OT, Örün E, Yalçın S, Yurdakök K, Gür D. Clinical characteristics and antibiotic resistance of Shigella gastroenteritis in Ankara, Turkey between 2003 and 2009, and comparison with previous reports. Int J Infect Dis 2011 Dec; 15:e849-53.
• Altun B, Gür D. Antimicrobial resistance profiles of Shigella spp. isolated from feces samples in Hacettepe University Ihsan Dogramaci Children's Hospital between 1999-2010. Mikrobiyol Bul 2011 Oct; 45: 609-16.
• Güleşen R. Ulusal Enterik Patojenler Surveyans Ağı. XXXVII. Türk Mikrobiyoloji Kongresi, 16-20 Kasım 2016 Antalya (http://tmc-online.org/images/37_kongre/revasiye_gulesen.pdf)
• Gülmez D, Gür D, Hasçelik G, Güleşen R, Levent B. Ulusal Enterik Patojenler Laboratuvar Sürveyans Ağı (UEPLA)’na dahil olan bir üniversite hastanesinin deneyimleri: dört yıllık Salmonella, Shigella ve Campylobacter verileri. Türk Mikrobiyol Cem Derg 2012; 42: 85-92.
• Stoll BJ, Glass RI, Huq MI, Khan MU, Banu H, Holt J. Epidemiologic and clinical features of patients infected with Shigella who attended a diarrheal disease hospital in Bangladesh. J Infect Dis 1982; 146: 177-83.
• Hawkins C, Taiwo B, Bolon M, Julka K, Adewole A, Stosor V. Shigella sonnei bacteremia: two adult cases and review of the literatüre. Scand J Infect Dis 2007; 39: 170-3.
• CK Porter, Choi D, Riddle MS. Pathogen-specific risk of reactive arthritis from bacterial causes of foodborne illness. J Rheumatol 2013 May; 40: 712-4.
• Khan WA, Griffiths JK, Bennish ML. Gastrointestinal and extra-intestinal manifestations of childhood shigellosis in a region where all four species of Shigella are endemic. PLoS One 2013; 8:e64097.
• Goldfarb JP, Brasitus TA, Cleri DJ. Shigella enterocolitis and acute renal failure. South Med J 1982; 75: 492-3.