Aysu SAY, Nelgin GERENLİ, Feray GÜVEN, Nihan UYGUR, Emine KAVAS

Kabakulak ve komplikasyonlarının değerlendirilmesi

Amaç: Kabakulağa bağlı komplikasyonların değerlendirilmesi, klinik ve dermografik özelliklerin araştırılması. Materyal ve Metod: Ocak 2001 - Ocak 2004 tarihleri arasında kabakulak nedeniyle başvuran 700 hasta değerlendirildi. Hastalar 5. gün kontrole çağırılarak komplikasyon gelişimi araştırıldı. 55 hasta parotit veya meningoensefalit gibi komplikasyonlar nedeniyle yatırılarak izlendi. Bulgular: Kabakulağa bağlı parotitisin her iki cinste eşit, en sık ilkbaharda görüldüğü ve ortalama yaşın 6.6 olduğu tespit edildi. Meningoensefalit geçiren hastalarda ise erkek: kız oranı 2:1, ortalama yaş 7.2, en sık ilkbaharda, sıklıkla ateş, kusma, baş ağrısı gibi şikayetlerle başvurdukları, uygunsuz ADH sendromu, trombositopeni, hidrosefali, ALT, AST yüksekliği, artralji gibi diğer komplikasyonların da eşlik ettiği belirlendi. Pankreatitte erkek : kız oranı 3:2, en sık ilkbaharda, ortalama yaş 7 olarak tespit edildi. Sonuç: Kabakulak nedeniyle başvuran ve komplikasyon gelişen hastalar akut dönemde tamamen iyileşirken kalıcı komplikasyon (hidrosefali) bir hastada izlendi. Bu hastamızda iyileşme 2 yıl sonra sağlandı.

Anahtar Kelimeler:

Pankreatit, Kabakulak, Meningoensefalit, Çocuk

Evaluation of mumps and complications

Objective: Evaluation of mumps' complications, determination of clinical and dermographical features of the patients. Materials and Methods: 700 patients applied to our hospital due to mumps between January 2001 and January 2004 were evaluated. Patients were asked to come on the 5th day after parotitis for observing the development of the complications. 55 patients were internated due to complications as parotitis or meningoensephalitis. Results: Mumps parotitis has been observed equally in both sexes, high frequently at spring and average age was 6.6 years. Mumps meningoencephalitis was observed more frequently in males and male : female ratio was 2:1, average age was 7.2 years, patients were admitted to hospital more often at spring with symptoms like fever, vomiting, headache. Other associated complications observed were syndrome of inappropriate ADH secrecion (SIADH) thrombocytopenia, mumps-associated hydrocephalus, elevation of liver enzymes as AST and ALT, arthralgia. In mumps pancreatitis male : female ratio was 3:2, average age was 7 years. Conclusion: All cases diagnosed with complications due to mumps had complete healing after acute stage, exept one patient having hydrocephalus who has complete remission after 2 years.

Keywords:

Pancreatitis, Mumps, Meningoencephalitis, Child,

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