Scarlet fever associated with hepatitis: Report of two cases
Küçük Resim Yok
Tarih
2002
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Sarılıkla beraber ya da sarılık olmaksızın hepatit tablosu görülen birkaç kızıl olgusu yayınlanmıştır. Bu makalede, kızıl infeksiyonunun akut döneminde hepatit gelişen, aynı anaokuluna giden, ikisi de altı yaşında, biri kız diğeri erkek iki olgu sunulmuştur. Hastalara; yüksek ateş, akut farenjit, çilek dili, deskuamasyonla iyileşen spesifik deri döküntüsü gibi klinik bulgular; boğaz kültürlerinde A Grubu beta-hemolitik streptokok üremesi ve antistreptolizin O titrelerinde yükselme ile kızıl tanısı konuldu. Birinci hastada başvurunun birinci günü, diğerinde üçüncü gününde sarılık, hepatomegali ve karaciğer fonksiyon testlerinde yükseklik ile seyreden hepatit saptandı. Hepatite neden olabilecek viruslara ait serolojik testler negatifti. Toksik madde ile temas öyküsü yoktu. Hastalarda sarılık yedi-sekizinci günde kayboldu ve karaciğer fonksiyon testleri 15 gün içinde normale döndü. Sonuç olarak, kızıl seyri sırasında erken dönemde selim seyirli izole karaciğer tutulumu olabilir. İki olgunun da aynı anaokuluna devam etmesi, belli serotiplerin kızıldaki hepatik tutuluştan sorumlu olabileceğini düşündürmektedir.
There have been a few of reports on the association between scarlet fever and hepatitis. This paper reports two patients who presented with liver involvement without other organ involvement during the course of scarlet fever. Patient 1 was a 6-year-old boy and Patient 2 was a 6-year-old girl attending the same nursery school with Patient 1. In both patients, scarlet fever was diagnosed with typical clinical features, isolation of Group A beta-hemolytic streptococci from the throat swab and elevated antistreptolysin level. The patients developed hepatitis within a few days of the onset of scarlet fever. The diagnosis of hepatitis was proven by jaundice, hepatomegaly and abnormal liver function tests. There was no history of exposure to hepatotoxins, drugs or chemicals. Antibody tests against viruses that may cause hepatitis and blood culture for bacterial pathogens were negative. Therefore, the diagnosis was scarlet fever associated with hepatitis in both patients. It should be remembered that hepatitis may develop in patients with scarlet fever, and certain serotypes of beta-hemolytic streptococci may be responsible for hepatitis during the course of scarlet fever.
There have been a few of reports on the association between scarlet fever and hepatitis. This paper reports two patients who presented with liver involvement without other organ involvement during the course of scarlet fever. Patient 1 was a 6-year-old boy and Patient 2 was a 6-year-old girl attending the same nursery school with Patient 1. In both patients, scarlet fever was diagnosed with typical clinical features, isolation of Group A beta-hemolytic streptococci from the throat swab and elevated antistreptolysin level. The patients developed hepatitis within a few days of the onset of scarlet fever. The diagnosis of hepatitis was proven by jaundice, hepatomegaly and abnormal liver function tests. There was no history of exposure to hepatotoxins, drugs or chemicals. Antibody tests against viruses that may cause hepatitis and blood culture for bacterial pathogens were negative. Therefore, the diagnosis was scarlet fever associated with hepatitis in both patients. It should be remembered that hepatitis may develop in patients with scarlet fever, and certain serotypes of beta-hemolytic streptococci may be responsible for hepatitis during the course of scarlet fever.
Açıklama
Anahtar Kelimeler
Enfeksiyon Hastalıkları
Kaynak
İnfeksiyon Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
16
Sayı
1
