Arslan Nuran KARABULUT, Mukaddes ÖZGÜR, Muhammed KARABULUT

Hafnia alvei’nin neden olduğu akut gastroenterit olgusu

Hafnia alvei, Enterobacteriaceae ailesinden Gram negatif bir çomaktır. Mikroorganizma lağım sularında, toprakta, insan kalın bağırsağında bulunur ve insanlarda orofarinkste kolonize olabilir. Bu bakteri 1991 yılında enterik patojen olarak tanımlanmıştır. Daha sonra H.alvei’nin neden olduğu enterokolit olguları, sıklıkla İspanya’da olmak üzere dünya genelinde bildirilmiştir. Bu çalışmada, H.alvei’nin neden olduğu akut gastroenteritli bir olgu sunulmuştur. Kanımızca bu olgu, Türkiye’den bildirilen ilk olgudur.

A case of acute gastroenteritis caused by hafnia alvei

Hafnia alvei is a Gram negative bacillus in the family Enterobacteriaceae. The microorganism is found in sewage, soil, the large intestines of humans and can colonize the oropharynx in humans. This bacterium was identified as an enteric pathogen in 1991. Since then, several cases of enterocolitis caused by H.alvei have been reported throughout the world, frequently in Spain. In this study, a case of acute gastroenteritis caused by this microorganism was presented. Probably this is the first case reported from Turkey.

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1. Abbott SL: Klebsiella, Enterobacter, Citrobacter, Serratia, Plesiomonas and other Enterobac-teriaceae, ‘Murray PR, Baron EJ, Jorgensen JH, Landry ML, Pfaller MA: Manual of Clinical Microbiology, 9. baskı’ kitabında s.698-716, ASM Press, Washington (2007).
2. Albert M J, Alam K, Islam M et al: Hafnia alvei, a probable cause of diarrhea in humans, Infect Immun 1991;59(4):1507-13.
3. Fazal BA, Justman JE, Turett GS, Telzak EE: Community-acquired Hafnia alvei infection, Clin Infect Dis 1997;24(3):527-8.
4. Janda JM, Abbott SL: The genus Hafnia: from soup to nuts, Clin Microbiol Rev 2006;19(1):12-8.
5. Klapholz A, Lessnau KD, Huang B, Talavera W, Boyle JF: Hafnia alvei. Respiratory tract isolates in a community hospital over a three-year period and a literature review, Chest 1994;105(4):1098-100.
6. Ramos A, Damaso D: Extraintestinal infection due to Hafnia alvei, Eur J Clin Microbiol Infect Dis 2000;19(9):708-10.
7. Reina J, Heruas J, Borrell N: Acute gastroenteritis caused by Hafnia alvei in children, Clin Infect Dis 1993;16(4):443.
8. Westblom TU, Milligan TW: Acute bacterial gastroenteritis caused by Hafnia alvei, Clin Infect Dis 1992;14(6):1271-2.
9. Winn W Jr, Allen S, Janda W et al: Koneman’s Color Atlas and Textbook of Diagnostic Microbiology. 6. baskı, Lippincott Williams and Wilkins, Baltimore (2006).