Önceden sağlıklı olan bir çocukta ektima gangrenozum

Yıl 2013, Cilt: 48 Sayı: 1, 68 - 70, 01.03.2013

Adem Karbuz Halil Özdemir Gülsüm Kadıoğlu Şimşek Ergin Çiftçi Erdal İnce Ülker Doğru

Öz

Sirenomeli olarak da adlandırılan denizkızı mermaid sendromu oldukça nadir görülen doğumsal bir bozukluktur Bu sendromda bebeğe denizkızı görünümünü veren yapışık bacakların yanı sıra ağır üreme boşaltım mide bağırsak kalp damar ve merkezi sinir sistemi bozuklukları bulunur Bu yazıda yapışık bacakların yanı sıra göbek kordonunda tek arter böbrek yokluğu akciğer hipoplazisi özofagus atrezisi ventriküler septal defekt anal atrezi bağırsak atrezisi saptanan ve doğumunun beşinci saatinde kaybedilen denizkızı sendromu olgusu sunulmuştur.

Anahtar Kelimeler

Ektima gangrenozum, Pseudomonas aeruginosa, Sirenomeli

Ecythema gangrenosum in a previously healthy child

Öz

Ecthyma gangrenosum is a well known cutaneous manifestation of Pseudomonas aeruginosa infections and is usually seen in immunocompromised patients A previously healthy 5 month old boy presented to our hospital with a complaint of an open inguinal wound Physical examination revealed several ulcers surrounded by erythematous halos in bilateral inguinal regions Pseudomonas aeruginosa was isolated from swab cultures obtained from the ulcers However blood cultures were sterile The patient was diagnosed as non bacterial ectima gangrenosoum No immunological abnormality was detected during extensive investigation of the patient The patient was successfully treated with an anti pseudomonal antibiotic cefoperazone sulbactam Turk Arch Ped 2013; 48: 68 70

Anahtar Kelimeler

Ecthyma gangrenosum, Pseudomonas aeruginosa DO I: 10.4274/tpa.421

Kaynakça

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• Mull CC, Scarfone RJ, Conway D. Ecthyma gangrenosum as a manifestation of Pseudomonas sepsis in a previously healthy child. Ann Emerg Med 2000; 36(4): 383-7. Türk Ped Arfl 2013; 48: 68-70 Turk Arch Ped 2013; 48: 68-70 Karbuz ve ark.
• Ektima gangrenozumlu bir çocuk/ A child with ecythema gangrenosum 70