Yıl 2014, Cilt 5 , Sayı 5, Sayfalar 144 - 147 2014-05-01

Infected Subcutaneous Hematoma and Pneumomediastinum in a Patient with Chronic Liver Disease
Kronik Karaciğer Hastalığı Olan Olguda Cilt altı Enfekte Hematom ve Pnömomediastinum

Mehmet Ali Aslaner [1] , Mehmet Ali Karaca [2]


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
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.
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Diğer ID JA77FP28CV
Bölüm Case Report
Yazarlar

Yazar: Mehmet Ali Aslaner

Yazar: Mehmet Ali Karaca

Tarihler

Yayımlanma Tarihi : 1 Mayıs 2014

Bibtex @ { jemcr535716, journal = {Journal of Emergency Medicine Case Reports}, issn = {}, eissn = {2149-9934}, address = {Yukarı Ayrancı Güleryüz Sk. No: 26/19 06550 Çankaya-Ankara, Turkey}, publisher = {Acil Tıp Uzmanları Derneği}, year = {2014}, volume = {5}, pages = {144 - 147}, doi = {}, title = {Infected Subcutaneous Hematoma and Pneumomediastinum in a Patient with Chronic Liver Disease}, key = {cite}, author = {Aslaner, Mehmet Ali and Karaca, Mehmet Ali} }
APA Aslaner, M , Karaca, M . (2014). Infected Subcutaneous Hematoma and Pneumomediastinum in a Patient with Chronic Liver Disease. Journal of Emergency Medicine Case Reports , 5 (5) , 144-147 . Retrieved from https://dergipark.org.tr/tr/pub/jemcr/issue/43671/535716
MLA Aslaner, M , Karaca, M . "Infected Subcutaneous Hematoma and Pneumomediastinum in a Patient with Chronic Liver Disease". Journal of Emergency Medicine Case Reports 5 (2014 ): 144-147 <https://dergipark.org.tr/tr/pub/jemcr/issue/43671/535716>
Chicago Aslaner, M , Karaca, M . "Infected Subcutaneous Hematoma and Pneumomediastinum in a Patient with Chronic Liver Disease". Journal of Emergency Medicine Case Reports 5 (2014 ): 144-147
RIS TY - JOUR T1 - Infected Subcutaneous Hematoma and Pneumomediastinum in a Patient with Chronic Liver Disease AU - Mehmet Ali Aslaner , Mehmet Ali Karaca Y1 - 2014 PY - 2014 N1 - DO - T2 - Journal of Emergency Medicine Case Reports JF - Journal JO - JOR SP - 144 EP - 147 VL - 5 IS - 5 SN - -2149-9934 M3 - UR - Y2 - 2019 ER -
EndNote %0 Journal of Emergency Medicine Case Reports Infected Subcutaneous Hematoma and Pneumomediastinum in a Patient with Chronic Liver Disease %A Mehmet Ali Aslaner , Mehmet Ali Karaca %T Infected Subcutaneous Hematoma and Pneumomediastinum in a Patient with Chronic Liver Disease %D 2014 %J Journal of Emergency Medicine Case Reports %P -2149-9934 %V 5 %N 5 %R %U
ISNAD Aslaner, Mehmet Ali , Karaca, Mehmet Ali . "Infected Subcutaneous Hematoma and Pneumomediastinum in a Patient with Chronic Liver Disease". Journal of Emergency Medicine Case Reports 5 / 5 (Mayıs 2014): 144-147 .
AMA Aslaner M , Karaca M . Infected Subcutaneous Hematoma and Pneumomediastinum in a Patient with Chronic Liver Disease. Journal of Emergency Medicine Case Reports. 2014; 5(5): 144-147.
Vancouver Aslaner M , Karaca M . Infected Subcutaneous Hematoma and Pneumomediastinum in a Patient with Chronic Liver Disease. Journal of Emergency Medicine Case Reports. 2014; 5(5): 147-144.