e-ISSN 2147-2475
Cilt : 6 Say : 2 Yl : 2022

Hzl Arama




Laparoscopic Endoscopic Surgical Science Bakl basklanm hastada kedi trmna bal pulmoner nodul [Respir Case Rep]
Respir Case Rep. 2017; 6(2): 99-102 | DOI: 10.5505/respircase.2017.94834

Bakl basklanm hastada kedi trmna bal pulmoner nodul

Levent zdemir1, Burcu zdemir2, Mehtap encan3, Suat Durkaya4, Ayegl Kaynar5, Zulal zbolat1, Sema alkan2, Ali Ersoy6
1Drtyol Devlet Hastanesi, Gs Hastalklar, Hatay, Trkiye
2skenderun Devlet Hastanesi, Gs Hastalklar, Hatay, Trkiye
3Drtyol Devlet Hastanesi nfesiyon Hastalklar, Hatay
4skenderun Devlet Hastanesi Gs Cerrahisi,Hatay, Trkiye
5skenderun Devlet Hastanesi Patoloji, Hatay, Trkiye
6Antakya Devlet Hastanesi, Gs Hastalklar, Hatay, Trkiye

Kedi trm hastal, baklk sistemi normal kiilerde, giri yerinin drene olduu lenf dmlerinde kronik inflamasyonla seyreden bir infeksiyondur. Baklk sistem basklanm olan hastalarda ensefalit, nroretinit, granlomatz konjunktivit, hepatosplenik tutulum, pnmoni ve trombositopenik purpura gibi klinik tablolar eklinde de ortaya kabilir. Elli yanda kadn hasta ksrk, ate, eklem ars nedeni ile deerlendirildi. zgemiinde drt yl nce karacier kist hidatii nedeni ile operasyon ve romatoid artrit nedeni ile bir yldr deltakortil kullanm mevcuttu. Toraks tomografisinde sa alt lob superiyor ve st lobta nodul saptand. Laboratuvar incelemesinde lkositoz dnda anormallik saptanmad. Balgam aerob kltr ve ARB incelemesi negatif olarak saptand. Hastaya tansal VATS uyguland. Patoloji sonucu granlomlar iinde polimorf nveli lokositler, tbc ve sarkoidoz d granlomatz hastalk n planda kedi trm hastal olarak raporland.

Anahtar Kelimeler: Pulmoner nodul, Kedi trm, Baklk basklanm

Pulmonary nodule-associated Cat Scratch Disease in an immunocompromised patient

Levent zdemir1, Burcu zdemir2, Mehtap encan3, Suat Durkaya4, Ayegl Kaynar5, Zulal zbolat1, Sema alkan2, Ali Ersoy6
1Drtyol State Hospital, Chest Disease, Hatay, Turkey
2skenderun State Hospital, Chest Disease, Hatay, Turkey
3Drtyol State Hospital Infection Disease, Hatay, Turkey
4skenderun State Hospital Thorasic Surgey, Hatay, Turkey
5skenderun State Hospital, Pathology, Hatay, Turkey
6Antakya State Hospital, Chest Disease, Hatay, Turkey

Cat-scratch disease (CSD) is an infectious disease, presenting with chronic inflammation of lymph nodes that drain the portal of entry of the causative organism in immunocompetent persons. It may also manifest as encephalitis, neuroretinitis, granulomatous conjunctivitis, hepatosplenic involvement, or pneumonia and thrombocytopenic purpura in immunocompromised patients. A 50-year-old, previously healthy woman was evaluated for symptoms of cough, fever, and arthralgia. She had history of surgery for hydatid cyst (liver) 4 years earlier and 1 year of Deltacortril use for rheumatoid arthritis. Nodular formations were observed in the right anterior upper lobe, right middle lobe, and right inferior posterobasal lobe on chest tomography image. Laboratory analysis revealed no abnormal findings except leukocytosis. Aerobic culture and EZN staining of sputum were negative. The patient underwent diagnostic video-assisted thoracoscopic surgery. Pathological results were reported as granulomatous disease, excluding tuberculosis and sarcoidosis, and indicating likely CSD, presenting with polymorphonuclear leukocytes in the granulomas.

Keywords: Pulmonary nodule, Cat Scratch Disease, immunocompromised

Levent zdemir, Burcu zdemir, Mehtap encan, Suat Durkaya, Ayegl Kaynar, Zulal zbolat, Sema alkan, Ali Ersoy. Pulmonary nodule-associated Cat Scratch Disease in an immunocompromised patient. Respir Case Rep. 2017; 6(2): 99-102

Sorumlu Yazar: Levent zdemir, Trkiye
Makale Dili: ngilizce
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