Non-Travmatik Akut Pseudomonas Aeruginosa Osteomiyeliti

Yıl 2022, Cilt: 2 Sayı: 2, 52 - 55, 28.08.2022

Melih Gönen Nevin Hatipoğlu

https://doi.org/10.29228/HMJ.20

Öz

Osteomiyelit, sıklıkla bakteriyel nedenli, kemik dokunun yıkım ve nekrozuna sebep olabilen bir enfeksiyon hastalığıdır. Çocuklarda çoğunlukla hematojen kaynaklı ortaya çıkar. Tüm yaş gruplarında izole edilen en sık etken Staphlyococcus aureus’tur. On altı yaşında kız hasta, sağ ayak başparmağında şişlik, ağrı, kızarıklık yakınmalarıyla başvurdu. Öncesinde travma öyküsü yoktu. Hastanın sağ ayak başparmağında eklem hareket kısıtlılığı, şişlik ve kızarıklık vardı, diğer sistem muayeneleri doğaldı. Laboratuvar bulgularında akut faz reaktanları yüksekti ancak lökositozu yoktu. MR görüntülemede periost reaksiyonu saptandı. Hastaya cerrahi debridman, tırnak rezeksiyonu ve yara örneklemesi yapıldı. Yara kültüründe Pseudomonas aeruginosa üredi. Literatürde travma öyküsü olmaksızın gelişen osteomiyelit vakalarında etken olarak Pseudomonas aeruginosa nadir olarak bildirilmiştir.

Anahtar Kelimeler

Osteomiyelit, Paronişi, Ağrı, Pseudomonas aeruginosa

Non-Traumatic Acute Pseudomonas Aeruginosa Osteomyelitis

Öz

Osteomyelitis is an infectious disease of bacterial origin, which can cause destruction and necrosis of bone tissue. It often occurs with hematogenous causes in children. The most common agent isolated in all age groups is Staphlyococcus aureus. A 16-year-old girl presented with complaints of swelling, pain and redness in the right big toe. She had no previous history of trauma. She had limited range of motion, swelling and redness in the right big toe, and other system examinations were normal. In the laboratory findings, acute phase reactants were high, but there was no leukocytosis. Periosteal reaction was detected on MR imaging. The patient underwent surgical debridement, nail resection and wound sampling. Pseudomonas aeruginosa was grown in the wound culture. In the literature, Pseudomonas aeruginosa has been reported rarely as a causative agent in cases of osteomyelitis without a history of trauma.

Anahtar Kelimeler

Osteomyelitis, Paronychia, Pain, Pseudomonas aeruginosa

Kaynakça

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