Eikenella Corrodens, Streptococcus Mitis ve Streptococcus Oralis Kaynaklı Derin Boyun Enfeksiyonu

Öz

Eikenella corrodens oral ve gastrointestinal florada bulunan gram negatif, fakültatif bir basildir. Çocuklarda nadir görülen bir enfeksiyon etkenidir.Burada acil servise ateş ve boyun hareketlerinde kısıtlılık şikayetleriyle başvuran onaltı aylık erkek hasta sunulmuştur. Bilgisayarlı tomografide prevertebral alanda 10x10 mm abse formasyonu tespit edilen hastanın abse drenajından gönderilen kültüründe vankomisin ve sefepim duyarlı E. corrodens, sadece vankomisin duyarlı Streptococcus mitis ve Streptococcus oralis üredi. Tedavi vankomisin ve sefepim olarak düzenlenerek 14 güne tamamlandı.E. corrodens diğer mikroorganizmalarla birlikte enfeksiyonlara yol açan önemli bir patojendir. Derin boyun enfeksiyonlarında optimal tedavi, cerrahi girişim ve antibiyoterapi ile sağlanabilir.

Anahtar Kelimeler

• Derin boyun enfeksiyonu, Eikenella corrodens, Streptococcus mitis, Streptococcus oralis

Deep neck Infection Caused by Eikenella Corrodens Coinfection with Streptococcus Mitis and Streptococcus Oralis in an Infant

Öz

Eikenella corrodens is a gram-negative, facultative rod that can rarely cause infections in children. Herein we describe a sixteen-month-old boy who had been admitted with symptoms of fever and limited neck mobility. Computed tomography has scanned 10x10 mm abscess formation at the prevertebral space. Culture of the abscess drainage material yielded Eikenella corrodens, Streptococcus mitis and Streptococcus oralis. He was successfully treated with vancomycin and cefepime for 14 days without any sequelae.Eikenella corrodens is a critical microorganism that causes infections, usually with other organisms. Optimal therapy is a combination of surgical intervention and antibiotic therapy in deep neck infections

Anahtar Kelimeler

• Deep neck infection, Eikenella corrodens, Streptococcus mitis, Streptococcus oralis

Kaynakça

1. Eiken M. Studies on an anaerobic, rod-shaped, gram-negative microorganism: Bacteroides corrodens sp. Acta Pathol Microbiol Scand 1958; 43:404-16.
2. Dorff GJ, Jackson LJ, Rytel MW. Infectious with Eikenella corrodens: A newly recognized human pathogen. Ann Intern Med 1974;80:305-9.
3. Suwanagool S, Rothkopf MM, Smith SM, LeBlanc D, Eng R. Pathogenicity of Eikenella corrodens in humans. Arch Intern Med 1983;143:2265-8.
4. Arana E, Vallcanera A, Santamarı´a JA, Sanguesa C, Cortina H. Eikenella corrodens skull infection: A case report with review of the literature. Surg Neurol 1997;47:389–91.
5. Stoloff AL, Gillies ML. Infections with Eikenella corrodens in a general hospital: A report of 33 cases. Reviews of Infectious Diseases 1986;8:50–3.
6. Raffensperger JG. Eikenella corrodens infections in children. J Pediatr Surg 1986;21:644-6.
7. Paul K, Patel SS. Eikenella corrodens infections in children and adolescents: Case reports and review of the literature. Clin Infect Dis 2001;33:54-61.
8. Tveteras K, Kristensen S, Bach V, Ravio O. Eikenella corrodens: A recently recognized pathogen in head and neck infections. Journal of Laryngology and Otology 1987;101:592–4.

9. Sheng WS, Hsueh PR, Hung CC, Teng LJ, Chen YC, Luh KT. Clini- cal features of patients with invasive eikenella corrodens infections and microbiological characteristics of the causative isolates. Eur J Clin Microbiol Infect Dis 2001;20:231–6.
10. Udaka T, Hiraki N, Shiomori T, Miyamoto H, Fujimura T, Inaba T, et al. Eikenella corrodens in head and neck infections. Journal of Infection 2007;54:343-8.
11. Yoshino Y, Inamo Y, Fuchigami T, Hashimoto K, Ishikawa T, Abe O et al. A pediatric patient with acute suppurative thyroiditis caused by Eikenella corrodens. J Infect Chemother 2010;16:353–5.
12. Brooks GF, O’Donogue JM, Rissing JP, Soapes K, Smith JW. Eikenella corrodens, a recently recognized pathogen: Infections in medical-surgical patients and in association with methylphenidate abuse. Medicine 1974;53:325–42.
13. Tami TA, Parker GS. Eikenella corrodens: An emerging pathogen in head and neck infections. Arch Otolaryngol 1984;110:752–4.