Diyabetli bir hastada primer kutanöz aktinomikoz
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Tarih
2011
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Aktinomikozis, endojen Gr (+) bakterilerin yol açtığı kronik, süpüratif bir enfeksiyondur. Enfeksiyon genellikle baş, boyun, toraks ve abdomeni tutar. Primer kutanöz aktinomikoz çok nadirdir ve genellikle dıştan travma ve lokal iskemi ile birliktedir. Biz burada, diyabeti ve dıştan travma hikayesi olan 68 yaşında erkek bir hastada dirsek bölgesinde primer kutanöz aktinomikoz vakası bildiriyoruz. Hasta poliklini¤imize 10-12cm boyutlarında mavi mor renkli plak şikayeti ile başvurdu. Deri biyopsisinde dermiste karakteristik sülfür granülleri gözlendi. Tanı sonrası ilk olarak Penisilin- cotrimaxazol ile tedavi edildi. Tedaviye yanıtı az oldu. Tedaviye amoksisilin-kotrimaxazol ile devam edildi.Bu ilaç tedavisine de kısmı yanıt verdi. İlaç tedavisi sonrası hastaya deri graft operasyonu yapıldı. Hastanın lezyonları graft operasyonundan altı ay sonra tekrarladı. İlaç tedavisi tekrar başlandı ve sürdürüldü.
Actinomycosis is a chronic suppurative granulomatous infection caused by gram positive bacterium. Enfection especially affects the head, neck, thorax and abdomen. Primary cutaneous involvement is uncommon and has an association with trauma and local ischemia. We present one such case of primary cutaneous actinomycosis on the elbow of a 68 year old man with diabetes and external trauma. This patient was admitted to our clinic with a 10-12cm size blue-purple plaque. Skin biopsy revealed the characteristic 'sulphur granules' of actinomycosis in the deep dermis After the diagnosis, initially he was treated with penisilin and cotrimaxazol with a little effect. Treatment was continued with amoksisilin and cotrimaxazol and he respond to this medical treatment partially. After this medical therapy skin graft operation was performed. Lesions relapsed six months later. Medical therapy was repeated and still continues.
Actinomycosis is a chronic suppurative granulomatous infection caused by gram positive bacterium. Enfection especially affects the head, neck, thorax and abdomen. Primary cutaneous involvement is uncommon and has an association with trauma and local ischemia. We present one such case of primary cutaneous actinomycosis on the elbow of a 68 year old man with diabetes and external trauma. This patient was admitted to our clinic with a 10-12cm size blue-purple plaque. Skin biopsy revealed the characteristic 'sulphur granules' of actinomycosis in the deep dermis After the diagnosis, initially he was treated with penisilin and cotrimaxazol with a little effect. Treatment was continued with amoksisilin and cotrimaxazol and he respond to this medical treatment partially. After this medical therapy skin graft operation was performed. Lesions relapsed six months later. Medical therapy was repeated and still continues.
Açıklama
Anahtar Kelimeler
Aktinomikozis, Tedavi, Diabetes Mellitus, Actinomycosis/Pathology, Actinomycosis/Drug Therapy, Diabetes Mellitus
Kaynak
Türk Geriatri Dergisi
Turkish Journal of Geriatrics
Turkish Journal of Geriatrics
WoS Q Değeri
Scopus Q Değeri
Q4
Cilt
14
Sayı
4
