Nadir bir gastroenterit etkeni: Cyclospora
Küçük Resim Yok
Tarih
2010
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Coccidian parazitleri olan Cyclospora türleri, nadir gastroenterit etkenlerindendir. Ülkemizde ilk olarak 1998 yılında AIDS'li bir olguda bildirilmiştir. Bu yazıda on gündür devam eden ishal, karın ağrısı ve bulantı şikayeti ile hastanemize başvuran bir hastada görülen Cylospora gastroenteriti sunulmuştur. Hastanın öyküsünden on beş gün önce Karadeniz bölgesi seyahati yaptığını ve burada kullandığı içme sularının bulanık ve çamurlu görünümde olduğunu öğrenildi. Hastanın fizik muayenesinde barsak seslerinin artması dışında patoloji yoktu. Dışkı direkt incelemesinde lökosit, eritrosit görülmedi ve dışkı bakteriyolojik kültüründe enteropatojen bakteri üremedi. Dışkının parazitolojik incelemesinde Cyclospora spp. ookistleri görüldü. Hastaya 10 günlük kotrimaksazol (2x1,160/800 mg tablet) tedavisi verildi. Tedavi sonunda yapılan kontrol dışkı incelemesinde parazit görülmedi. Sonuç olarak uzun süren ishallerde parazitolojik inceleme ihmal edilmemelidir.
Cyclospora spp. which are coccidian parasites are rare gastroenteritis pathogens. the first cyclosporiasis case in Turkey was reported in 1998 in a patient with AIDS. in this paper we report a case of Cyclospora gastroenteritis, in a patient who was admitted to our hospital and who had had diarrhea, abdominal pain and nausea for ten days. in the anamnesis it was learned that he had travelled to the Black Sea region and had drunk muddy and cloudy water. His physical examination was normal except for increased bowel sounds. There were no leukocytes or erythrocytes in the direct microscopy of the stool and bacteriologic culture did not yield any enteropathogen. Cylospora oocyysts were seen in the parasitologic exmination. the patient was treated with cotrimaxasole (2x1,160/800 mg tablet). There was no pathogen in the repeated stool examination. Our case suggests that parasitologic examination should not be neglected in longlasting diarrhea cases and occasionally Cyclospora may be the causative agent.
Cyclospora spp. which are coccidian parasites are rare gastroenteritis pathogens. the first cyclosporiasis case in Turkey was reported in 1998 in a patient with AIDS. in this paper we report a case of Cyclospora gastroenteritis, in a patient who was admitted to our hospital and who had had diarrhea, abdominal pain and nausea for ten days. in the anamnesis it was learned that he had travelled to the Black Sea region and had drunk muddy and cloudy water. His physical examination was normal except for increased bowel sounds. There were no leukocytes or erythrocytes in the direct microscopy of the stool and bacteriologic culture did not yield any enteropathogen. Cylospora oocyysts were seen in the parasitologic exmination. the patient was treated with cotrimaxasole (2x1,160/800 mg tablet). There was no pathogen in the repeated stool examination. Our case suggests that parasitologic examination should not be neglected in longlasting diarrhea cases and occasionally Cyclospora may be the causative agent.
Açıklama
Anahtar Kelimeler
Parazitoloji, Genel ve Dahili Tıp
Kaynak
Türkiye Parazitoloji Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
34
Sayı
2