Neriman Defne ALTINTAŞ, Zeynep Ceren KARAHAN, Ebru EVREN, Ebru US, Beliz Bahar ULAŞ, Hülya Deniz MISIR

Hastane Kaynaklı Solunum Yolu Enfeksiyonu Etkeni Olarak Elizabethkingia meningoseptica

İnsanda nadiren enfeksiyona yol açtığı düşünülen Elizabethkingia cinsi bakterilerin neden olduğu enfeksiyonlar, yoğun bakım ünitelerinde (YBÜ) giderek artan sayıda bildirilmektedir. Mikroorganizmanın çoklu antibiyotik direnci göstermesi, etkili tedavi rejimleri hakkında yeterli bilgi bulunmaması, enfeksiyonların yüksek mortalite ile sonuçlanmasına neden olmaktadır. Dekompanse kalp yetmezliği tanısı ile serviste izlenirken akut solunum yetmezliği gelişen ve entübe edilen 85 yaşındaki erkek hasta ileri tetkik ve tedavi için YBÜ'ne kabul edildi. Ateş, hipoksi ve pürülan sekresyonları nedeniyle alınan endotrakeal aspirat kültürlerinde E. meningoseptica üremesi olan olgunun tanısı ve tedavi planı tartışılmaktadır

Elizabethkingia meningoseptica as a Nosocomial Respiratory Tract Pathogen

Although Elizabethkingia is a bacterial genus that was believed to rarely cause human infection, there is an increased incidence of Elizabethkingia infections among patients in intensive care units in the recent years. These infections are associated with a high mortality rate because of multi-drug resistance and the lack of knowledge on effective therapeutic regimens. An 85-year-old male patient who had been hospitalised for decompensated heart failure, developed acute respiratory failure and was entubated, subsequently he was admitted to the intensive care unit for further followup. Diagnosis and treatment management of this case with E. meningoseptica -isolated from endotracheal aspirate cultures performed for fever, hypoxia and purulent secretions- is being discussed

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