Yüksek sosyoekonomik düzeyli aile bebeklerinde amebiasis: İki olgu
Küçük Resim Yok
Tarih
2017
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amebiasis Entamoeba histolytica'nın neden olduğu paraziter bir hastalıktır. Dünyanın tropikal ve subtropikal bölgelerinde endemiktir ve dünya nüfusunun 10'unun E. histolytica ile enfekte olduğu düşünülmektedir. Çocukluk çağında sık görülür, ancak erken bebeklik döneminde semptomatik enfeksiyon oldukça nadirdir ve bebeklerdeki mortalite oranı oldukça yüksektir. Düşük sosyoekonomik düzey ve kötü sanitasyon koşullarının amipli dizanteri riskini arttırdığı bilinmektedir. Endemik bölgelerde, emzirme ve farklı sosyoekonomik durumlar bebekleri E. histolytica enfeksiyonundan korumamaktadır. Bu yazıda 4.5 ve 1.5 aylık sosyoekonomik düzeyi yüksek çevrede büyüyen, sadece anne sütü ile beslenen iki infant polikliniğimize kanlı mukuslu dışkılama ile başvurdu ve intestinal amebiasis ön tanısı ile yatırıldı. Dışkı incelemelerinde amip trofozoit ve kisti saptandı. ELISA yöntemi ile adezin antijeni pozitif bulundu. Hastalara 50 mg/kglgün olacak şekilde oral metranidazol tedavisi başlandı. Bu yazıda, infantil dönemde çok nadir görülen semptomatik amibiyazisli olgu, hastalığa dikkat çekme amacıyla sunulmuştur.
Amebiasis is parasitic infection caused Entamoeba histolytica. The parasitic infection is endemic in tropical and subtropical regions of the world accounting 10% of people. Although amoebic dysentery is common in childhood, symptomatic infection in early infancy is quite rare and the mortality in infancy is high. Low socioeconomic status and poor sanitation conditions are known to increase the risk of amoebic dysentery. In endemic areas, breast-feeding and different socioeconomic status do not protect infants from Entamoeba histolytica infection. In this article, two infants 4.5 and 1.5—month—old girls who grew up in families of high socioeconomic level and who were fed with only breast milk came to our policlinic with bloody stool and mucous diarrhea were hospitalized with the suspicion of intestinal amebiasis. Fecal examinations were revealed amebic trophozoids and cysts. The adhesine antigens investigated by ELISA method were positive. Oral metronidazole treatment was started with dose of 50 mg/kg/day. In this paper, two cases of symptomatic intestinal amebiasis, which is rarely seen among infants, has been presented in order to draw attention to infantile amebiasis.
Amebiasis is parasitic infection caused Entamoeba histolytica. The parasitic infection is endemic in tropical and subtropical regions of the world accounting 10% of people. Although amoebic dysentery is common in childhood, symptomatic infection in early infancy is quite rare and the mortality in infancy is high. Low socioeconomic status and poor sanitation conditions are known to increase the risk of amoebic dysentery. In endemic areas, breast-feeding and different socioeconomic status do not protect infants from Entamoeba histolytica infection. In this article, two infants 4.5 and 1.5—month—old girls who grew up in families of high socioeconomic level and who were fed with only breast milk came to our policlinic with bloody stool and mucous diarrhea were hospitalized with the suspicion of intestinal amebiasis. Fecal examinations were revealed amebic trophozoids and cysts. The adhesine antigens investigated by ELISA method were positive. Oral metronidazole treatment was started with dose of 50 mg/kg/day. In this paper, two cases of symptomatic intestinal amebiasis, which is rarely seen among infants, has been presented in order to draw attention to infantile amebiasis.
Açıklama
Anahtar Kelimeler
Cerrahi
Kaynak
Ege Tıp Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
56
Sayı
4
