Olgu raporu: Vibrio alginolyticus'a bağlı bir eksternal otit olgusu

Yıl 2016, Cilt: 73 Sayı: 1, 49 - 54, 01.03.2016

Irmak Baran Aydın Acar Yasemin Genç Neriman Aksu

Öz

Vibrio alginolyticus; sıcak ve tuzlu deniz suyunda yaşamayı seven, insanda nadir olarak enfeksiyon etkeni olabilen Gram negatif basildir. Bu olgu sunumunda, kulak kültüründe saf ve yoğun olarak V. alginolyticus üreyen 15 yaşında bir kadın hasta sunulmuştur. Hastanın öyküsünde şikayetlerin başlangıcından önce tatilini deniz kıyısında geçirdiği ve buradayken sık sık yüzdüğü öğrenilmiştir. suyundan olduğu düşünülmüştür. V. alginolyticus izolatı test edilen tüm antibiyotiklere duyarlı bulunmuştur. Hasta amoksisilin-klavulonik asit ve siprofloksasin tedavisi ile sağlığına kavuşmuştur. Üç tarafı denizlerle çevrili olan ülkemizde V. alginolyticus dış kulak otitine dair çok nadir bildirim olmaktadır, bu konuya dikkat çekmek için bu olgu sunulmuştur

Anahtar Kelimeler

Vibrio alginolyticus, diffüz otitis eksterna, MALDİ-TOF

Case report: A case of otitis externa due to Vibrio alginolyticus

Öz

Vibrio alginolyticus is a Gram negative bacillus which likes to live in warm and salty seawater and may rarely be infectious agent in humans. In this case report we present a 15-year-old female patient in whose ear culture pure and dense growth of V. alginolyticus was observed. It was learned from the patient history that before the onset of complaints, the patient spent her holiday near seaside and swam regularly. Therefore, it was thought that the contamination was through seawater. It was found that V. alginolyticus isolate was susceptible to all antibiotics tested. Patient has recovered her health with amoxicillin-clavulanic acid and ciprofloxacin therapy. In our country which is surrounded by seas on three sides, report of otitis externa by V. alginolyticus is very rare, so this case was presented to draw the attention to this issue

Anahtar Kelimeler

Vibrio alginolyticus, diffuse otitis externa, MALDI-TOF

Kaynakça

• 1. Chien JY, Shih JT, Hsueh PR, Yang PC, Luh KT. Vibrio alginolyticus as the cause of pleural empyema and bacteremia in an immunocompromised patient. Eur J Clin Microbiol Infect Dis, 2002; 21(5): 401-3.
• 2. Ardiç N, Ozyurt M. Case report: Otitis due to Vibrio alginolyticus. Mikrobiyol Bul, 2004; 38(1-2): 145-8.
• 3. Garça MF, Bayram Y, Turan M, Avşar B, Bektaş A, Çankaya H. Eksternal otitde nadir bir patojen: Vibrio alginolyticus. Tıp Araştırmaları Dergisi, 2013;11(3):128-31.
• 4. Issack MI, Appiah D, Rassoul A, Unuth MN, UnuthLutchun N. Extraintestinal Vibrio infections in Mauritius. J Infect Dev Ctries, 2008; 2(5): 397-9.
• 5. Pien F, Lee K, Higa H. Vibrio alginolyticus infections in Hawaii. J Clin Microbiol, 1977; 5(6): 670-2.
• 6. Anonymous. Methods for antimicrobial dilution and disk susceptibility testing of infrequently isolated or fastidious bacteria; Approved Guideline-Second ed. CLSI document M45-A2. Wayne, PA: Clinical and Laboratory Standards Institute; 2010.
• 7. Eiler A, Johansson M, Bertilsson S. Environmental influences on Vibrio populations in northern temperate and boreal coastal waters (Baltic and Skagerrak Seas). Appl Environ Microbiol, 2006; 72(9): 6004-11.
• 8. Chen MX, Li HY, Li G, Zheng TL. Distribution of Vibrio alginolyticus-like species in Shenzhen coastal waters. China. Braz J Microbiol, 2011; 42(3): 884- 96. doi: 10.1590/S1517-83822011000300007.
• 9. Hirsch BE. Infections of the external ear. Am J Otolaryngol, 1992; 13: 145-55.
• 10. Lucente FE. Fungal infections of the external ear. Otolaryngol Clin North Am, 1993; 26: 995-1006.
• 11. Slattery WH 3rd, Brackmann DE. Skull base osteomyelitis. Malignant external otitis. Otolaryngol Clin North Am, 1996; 29(5): 795-806.
• 12. Cohen D, Friedman P. The diagnostic criteria of malignant external otitis. J Laryngol Otol, 1987; 101: 216-21.
• 13. Stoney P, Kwok P, Hawke M. Granular myringitis: a review. J Otolaryngol, 1992; 21: 129-35.