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Mastoiditin Komplikasyonu Sonucu Gelişen Proteus Mirabilis Menenjitine Bağlı Beyin Absesi: Olgu Sunumu
2010
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Düzce Tıp Fakültesi Dergisi
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Abstract:

Proteus mirabilis’e bağlı menenjit ve intrakraniyal apse gelişimi, özellikle neonatal dönemdeve immün yetmezliği olan bireylerde görülmektedir. Acil servise; üç gündür devam eden ateş,bulantı ve kusma yakınmalarıyla başvuran 35 yaşında erkek hastanın, 10 gün önce sol üstçeneden diş çektirdiği öğrenildi. Klinik ve laboratuar olarak akut bakteriyel menenjit ile uyumluolan hastaya ampirik seftriakson 2x2 gr/gün parenteral başlandı. Kan ve beyin omurilik sıvısı(BOS)’nda P. mirabilis üreyen hastanın; yatışın yedinci gününde yakınmalarının tekrar başlamasıüzerine, kranial MR çekildi. MR’da sol temporalde beyin apsesi saptanan hastaya cerrahi tedaviuygulandı. Cerrahi sonrası sekiz haftalık antibiyotik tedavisi ile tamamen iyileşme görüldü.Başvuru sırasında menenjitin dental cerrahiye bağlı oluştuğu düşünülen hastada, daha sonraçekilen temporal BT sonrası mastoidit tespit edildi. Olguda gelişen menenjit ve beyin absesininmastoidite bağlı olduğu düşünüldü. Menenjit olgularında, duyarlı antibiyotiğe rağmen düzelmesaptanmaması durumunda intrakranial apse düşünülmeli, erişkin ve immün yetmezliği olmayanolgularda da P. mirabilis’e bağlı menenjit gelişebileceği unutulmamalıdır

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The result of the complication of mastoiditis is developing brain abscess associated with Proteus Mirabilis Menenjitine: Case Presentation
2010
Author:  
Abstract:

The development of menenjitis and intrakranial apse associated with Proteus mirabilis is observed in individuals with neonatal period and immune deficiency. The 35-year-old patient, who has been applying for fire, bullying and vomiting for three days, has been removed from the left top 10 days ago. The patient with acute bacterial meningitis in clinical and laboratory conditions was initiated parenteral ampyric seftriakson 2x2 gr/day. The patient who reproduced P. mirabilis in the blood and brain spinal fluid (BOS) was withdrawn to the cranial MR when they began their re-approximation on the seventh day of sleep. The patient with a temporary left brain abscess was diagnosed with surgery. It was fully recovered with an antibiotic treatment of eight weeks after surgery. In the patient believed that menenjitis was formed during the application due to dental surgery, then the temporary post-IT mastoiditis was detected. It is believed that developing menenjitis and brain abscessinitis are related to mastoiditis. In cases of meningitis, if it is not improved despite sensitive antibiotics, intrakranial apse should be considered, and in adults and non-immune deficiencies should not be forgotten that P. mirabilis-related meningitis may develop.

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Düzce Tıp Fakültesi Dergisi

Field :   Sağlık Bilimleri

Journal Type :   Uluslararası

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