Kronik Karaciğer Hastalığı Olan Olguda Cilt altı Enfekte Hematom ve Pnömomediastinum

Yıl 2014, Cilt: 5 Sayı: 5, 144 - 147, 01.05.2014

Mehmet Ali Aslaner Mehmet Ali Karaca

Öz

Giriş: Sirotik hastalarda bakteriyel enfeksiyon, morbidite ve
mortalitenin en önemli nedenlerindendir. Kronik karaciğer
hastalarında immünsistem mekanizmaları bozulmuştur. Sirotik
hastalarda mortalite nedenlerinin %25’i bakteriyel enfeksiyon
olduğu kabul edilir. Kronik karaciğer hastalığında diğer bir
sorun hemostaz bozukluklarıdır. Ağır koagülopati akut karaciğer
yetmezliğinde sık olarak görülse de, karaciğer sirozu ve kronik
karaciğer yetmezliğinin en ciddi komplikasyonudur.
Olgu Sunumu: Banyoda düşme sonrası sol skapula üzerinde
hematom gelişen ve sonrasında spontan enfekte hematoma
ilerleyen, 61 yaşındaki erkek, kronik karaciğer hastası anlatılacaktır.
Sonuç: Küçük travmalar, kanama parametreleri anormal olan
hastada kanamalara neden olabilir. Altta yatan hastalık varlığında
vücut sıvıları enfekte hale gelebilir. Cilt enfeksiyonlarında, özellikle
apse ve koleksiyonlarda drenaj gereklidir. Bu koleksiyonlardan
örnekleme yapılmalı ve en erken zamanda uygun antibiyotik
tedavisi başlanmalıdır.

Anahtar Kelimeler

Kronik karaciğer hastalığı, enfekte hematom, pnömomediastinum, acil

Infected Subcutaneous Hematoma and Pneumomediastinum in a Patient with Chronic Liver Disease

Öz

Introduction: Morbidity and mortality are significantly associated with bacterial infection in cirrhotic patients. Immune system mechanisms tend to be abnormal in patients with chronic liver disease. The causes of mortality in cirrhotic patients are associated with bacterial infections by 25%. Also, another problem with chronic liver disease is disorders in hemostasis. Although coagulopathy is mostly seen in acute liver failure, the most serious complication of liver cirrhosis and chronic liver failure is coagulopathy disorders.Case Report: A 61-year-old man with chronic liver disease was admitted to the emergency department with swelling in his left shoulder. In his history, after falling in the bathroom, a hematoma in the left scapular region developed; then, the hematoma became spontaneously infected.Conclusion: Even minor trauma can cause bleeding in patients with abnormal hemostasis parameters. These body fluids can become infected in the presence of underlying disease. Skin infections, particularly abscesses and collections, require drainage; sampling should be made; and appropriate antibiotic therapy must be initiated as soon as possible

Anahtar Kelimeler

Chronic liver disease, infected hematoma, pneumomediastinum, emergency

Kaynakça

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