Çölyak hastalığı ve selektif IgA eksikliği olan bir çocukta Sarcina ventriculi duodeniti
Sarcina ventriculi gram pozitif, oblik, anaerobik bir bakteri olup insanlarda ilk kez 1842 yılında gastrointestinal sistemde tanımlanmıştır. Sarcina ventriculi gecikmiş mide boşalması ve mide çıkış tıkanıklığı ile ilişkili bulunmuştur. Bugüne kadar veterinerlik literatüründe bu mikroorganizmaya bağlı sayısız ölümcül hastalık bildirilmiş ancak insanlarla ilişkili birkaç vaka bildirilmiştir. Bu yazıda Çölyak hastalığı, selektif IgA eksikliği ve Sarcina ventriculi duodeniti tanısı alan 10 yaşında bir kız hastayı sunduk. Bilgilerimize göre Çölyak hastalığı ve Sarcina ventriculi duodeniti birlikteliği daha önce tanımlanmamıştır. Bu nedenle bu yazıda nadir olan Çölyak hastalığı ve Sarcina ventriculi duodeniti birlikteliğine dikkat çekmek istedik.
Duodenitis caused by Sarcina ventriculi in a case with Celiac disease and selective IgA deficiency
Sarcina ventriculi is a gram-positive, obligate anaerobic bacteria first documented in the human gastrointestinal tract in 1842. Sarcina ventriculi are found to be associated with delayed gastric emptying and gastric outlet obstruction Up to date numerous cases of fatal disease have been attributed to this organism in the veterinary literature, but only a few human cases have been documented. Herein we report a case of a 10-year-old girl patient who was diagnosed Celiac disease, selective IgA deficiency and Sarcina ventriculi duodenit is. To the best of our knowledge the association Celiac disease and Sarcina ventriculi duodenitis has not been previously reported in children. Therefore, in the present study we want to draw attention to the importance of a rare coexistance of Celiac disease and Sarcina ventriculi duodenitis.
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