Serpil DĞİRMENCİ, Feray GÜVEN, FATMA KÖKSAL ÇAKIRLAR, Nihan UYGUR, Aysu SAY, Mustafa SAMASTI

Farenjit döküntü ile başvuran bir çocukta bakteriyel bir patojen: Arcanobacterium haemolyticum

Arcanobacterium haemolyticum adolesan çağdaki çocuklarda ve genç erişkinlerde ateş, eksüdatif farenjit, lenfadenopati ve döküntüye neden olabilen Gram pozitif bir çomaktır. Nadiren septisemi, peritonsiller apse, beyin apsesi, menenjit, endokardit, osteomiyelit gibi invazif infeksiyonlara neden olmaktadır. Geç üreyen bir bakteri olduğundan rutin boğaz kültürlerinde kolayca atlanabilmektedir. Arcanobacterium haemolyticum’a bağlı farenjitlerin tedavisinde eritromisin ilk tercihtir. Bu çalışmada boğaz kültüründe Arcanobacterium haemolyticum üreyen 9 yaşındaki erkek hasta literatür eşliğinde sunulmuştur.

Arcanobacterium haemolyticum: A Bacterial pathogen of pharyngitis and rash in a child

Arcanobacterium haemolyticum is a gram positive bacteria that causes fever, pharyngeal exudate, lymphadenopathy and rash in adolescents and young adults. Invasive infections, including septicemia, peritonsillar abscess, brain abscess, meningitis, endocarditis, osteomyelitis and pneumonia have rarely been attributed to Arcanobacterium haemolyticum. Because this bacteria grows slowly in commonly used throat cultures, it could be failed to be diagnosed. Erythromycin is the first drug of choice for treating pharyngitis due to Arcanobacterium haemolyticum. A nine year old boy whose throat culture was positive for Arcanobacterium haemolyticum is presented here with the discussion of literature.

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