Öz
Tularemia is an infection disease caused by Francisella tularensis. It is primarily a zoonosis, affecting mainly the rodents, which can serve as a reservoir for the microorganism. The transmission to human usually occurs through several ways such as a bite of the vectors, by handling an infected carcass or by taking in a contaminated food orally. There are seven clinical forms of the disease that makes up of depending on the body entrance. The ulceroglandular form is the most fre-quently encountered manifestation but those at least seen is the oculoglandular form. Tularemia may cause outbreaks in many part of the world. Small epidemics were reported from the Marmara and the Black Sea regions of Turkey. The adole-san case was presented with upper cervical lymphadenopathy and orbital swelling. It was diagnosed as tularemia by the positivity of the tularemia microaglutination test, and treated by streptomycin. We aimed to share in such as a rare case to refresh our knowledge and consideration at all.
Anahtar Kelimeler
Kaynakça
- Shutze GE, Jacop RF.Tularemia (Francisella tularensis). In Berhman RE, Kleigmann MR, Jenson HB (ed). Nelson Textbook of Pediatrics. 17 th ed. Pennsylvania: Saunders 2003: 937-9.
- Gurcan S, Otkun MT, Otkun M, Arikan OK, Ozer B. An out- break of tularemia in Western Black Sea region of Turkey Yonsei Med J. 2004; 45 (1): 17-22.
- Helvaci S, Gedikoglu S, Akalin H, Oral HB. Tularemia in Bursa, Turkey: 205 cases in ten years. Eur J Epidemiol 2000; 16(3): 271-6.
- Feigin RD, Lau CC. Tularemia. In Ralph D. Feigin RD (ed). Textbook of Pediatric Infectious Diseases. 7th ed. Philadel- phia: Saunders 2004:1628-35.
- Goral S, Edwarts KM. Bartonella: Cat-stratch disease. In: Ralph D. Feigin RD. eds. Textbook of Pediatric Infectious Diseases. Philadelphia: Saunders 2004: 1691-95.
- Thompson S, Omphroy L, Oetting T. Parinaud’s oculoglan- dular syndrome attributable to an encounter with a wild rabbit. Am J Ophthalmol 2001; 131(2): 283-4.
Öz
Tularemi Francisella tularensis'in sebep olduğu bir infeksiyon hastalığıdır. Başlıca, mikroorganizmalar için bir reservuar olan kemirgenleri etkileyen zoonozdur. İnsana bulaşması vektörlerin ısırmasıyla, enfekte hayvan leşleri ile temas veya kontamine yiyeceklerin oral alınması gibi muhtelif yollarla olur. Vücuda giriş yerine bağlı olarak yedi klinik formu vardır. Ülseroglanduler form en sık, oküloglandüler form ise en az görülen şeklidir. Tularemi dünyanın pek çok yerinde salgınlara yol açabilir. Türkiye'de Marmara ve Karadeniz bölgesinde küçük salgınlar bildirilmiştir. Üst servikal lenfadenopati ve orbital şişlik ile başvuran adolesan hastaya tularemi mikroaglutinasyon test pozitifliği ile tularemi tanısı kondu ve streptomisinle tedavi edildi. Biz bu oldukça nadir görülen olguyu paylaşarak bilgi ve değerlendirmelerimizi tazelemeyi amaçladık.
Anahtar Kelimeler
Kaynakça
- Shutze GE, Jacop RF.Tularemia (Francisella tularensis). In Berhman RE, Kleigmann MR, Jenson HB (ed). Nelson Textbook of Pediatrics. 17 th ed. Pennsylvania: Saunders 2003: 937-9.
- Gurcan S, Otkun MT, Otkun M, Arikan OK, Ozer B. An out- break of tularemia in Western Black Sea region of Turkey Yonsei Med J. 2004; 45 (1): 17-22.
- Helvaci S, Gedikoglu S, Akalin H, Oral HB. Tularemia in Bursa, Turkey: 205 cases in ten years. Eur J Epidemiol 2000; 16(3): 271-6.
- Feigin RD, Lau CC. Tularemia. In Ralph D. Feigin RD (ed). Textbook of Pediatric Infectious Diseases. 7th ed. Philadel- phia: Saunders 2004:1628-35.
- Goral S, Edwarts KM. Bartonella: Cat-stratch disease. In: Ralph D. Feigin RD. eds. Textbook of Pediatric Infectious Diseases. Philadelphia: Saunders 2004: 1691-95.
- Thompson S, Omphroy L, Oetting T. Parinaud’s oculoglan- dular syndrome attributable to an encounter with a wild rabbit. Am J Ophthalmol 2001; 131(2): 283-4.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Olgu Sunumları |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Mart 2012 |
| Gönderilme Tarihi | 2 Mart 2015 |
| Yayımlandığı Sayı | Yıl 2012 Cilt: 39 Sayı: 1 |