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

Yıl 2017, Cilt: 11 Sayı: 3, 203 - 205, 01.08.2017

Nurhayat Yakut Eda Kepenekli Kadayıfçı Ayşe Karaaslan Serkan Atıcı Gülşen Akkoç Sevliya Öcal Demir Adem Binnetoğlu Ahmet Soysal Mustafa Bakır

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

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