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Bir Kadn Hastada Corynebacterium striatum bal Trakeal Enfeksiyon: Olgu Sunumu [Respir Case Rep]
Respir Case Rep. 2019; 8(2): 58-61 | DOI: 10.5505/respircase.2019.23600

Bir Kadn Hastada Corynebacterium striatum bal Trakeal Enfeksiyon: Olgu Sunumu

Panagiota Xaplanteri1, Efstratios N. Koletsis2, Christos Prokakis2, Iris Spiliopoulou1, Dimitrios Dougenis3, Fevronia Kolonitsiou1
1Patrasya niversitesi Genel Hastanesi, Mikrobiyoloji Anabilim Dal, Yunanistan
2Patrasya niversitesi Genel Hastanesi Kalp ve Damar Cerrahisi Anabilim Dal, Yunanistan
3Atina Kalp Cerrahisi Blm Attikon niversitesi Hastanesi, Yunanistan

Nondifteriyal Corynebacteria insan cildi ve mukozalarnda sklkla normal flora olarak kolonize olur. mmn yetmezlii ya da kritik hastal olanlarda frsat patojenler olarak ortaya kar. Corynebacterium striatum insanda, nadiren patojen olarak bildirilmitir. Bu yazda, daha nce hastahanenin Acil Servis'ine giderek artan dispne ve inspiratuvar wheezing bulgularyla bavuran ve Youn Bakm Servisinde yatrlarak tedavi gren 62 yanda beyaz kadn hasta sunulmutur. Muayene, laboratuar ve grntleme bulgular, guatra bal eski trakeostomi sonras gelien enfeksiyonun neden olduu Trakeal Stenoz ile uyumluydu. Kltrde oklu antibiyotiklere direnli C. striatum izole edildi. Hasta subtotal tiroidektomi, trakeal rezeksiyon ve tigecycline ile tedavi edildi. Ameliyat sonras iyileme, travmatik enfeksiyonun ak drenaj ve antibiyotiklerle tedavi edilmesi nedeniyle komplike oldu. Uzun sren iyileme dneminde bakaca komplikasyonlar olmakszn taburcu edildi.

Anahtar Kelimeler: Corynebacterium striatum, multiple-ila direnci, frsat enfeksiyonlar, tigecycline

Tracheal Infection due to Corynebacterium striatum in a Female Patient: A Case Report

Panagiota Xaplanteri1, Efstratios N. Koletsis2, Christos Prokakis2, Iris Spiliopoulou1, Dimitrios Dougenis3, Fevronia Kolonitsiou1
1Department of Microbiology, University General Hospital of Patras, Greece
2Department of Cardiothoracic Surgery, University General Hospital of Patras, Greece
3Department of Cardiac Surgery, Attikon University Hospital of Athens, Greece

Nondiphtherial corynebacteria commonly colonize as normal flora on human skin and mucous membranes, and represent an emerging opportunistic pathogen for immunocompromised or critically ill patients. Corynebacterium striatum has seldom been reported as a human pathogen. Here we present the case of a 62-year-old Caucasian female patient who was previously hospitalized in the Intensive Care Unit, and who attended the emergency department with worsening dyspnea and inspiratory wheezing. The findings of a thorough examination, laboratory tests and imaging were consistent with tracheal stenosis, inflammation related to a previous tracheostomy and a submerged thyroid goiter. A multi-drug resistant C. striatum stain was isolated. The patient was treated with a subtotal thyroidectomy, tracheal resection and tigecycline. Postoperative recovery was complicated by a trauma infection treated with open drainage and antibiotics, and after a long recovery period, the patient was discharged home without further complications.

Keywords: Corynebacterium striatum, multi-drug resistance, opportunistic infections, tigecycline

Panagiota Xaplanteri, Efstratios N. Koletsis, Christos Prokakis, Iris Spiliopoulou, Dimitrios Dougenis, Fevronia Kolonitsiou. Tracheal Infection due to Corynebacterium striatum in a Female Patient: A Case Report. Respir Case Rep. 2019; 8(2): 58-61

Sorumlu Yazar: Fevronia Kolonitsiou, Greece
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