Meryem ALBAYRAK, Cihat ŞANLI, Erol Reyhan BULDUK, Semra SAYGI, Ülker KOÇAK

Pertussis; Still a clinical diagnosis

Boğmaca, öksürük nöbetleriyle karakterize akut, bulaşıcı bir solunum yolu enfeksiyonudur. Bebeklerde en önemli ve ciddi komplikasyonu pnömoniye bağlı solunum yetmezliğidir. Nöbetlerle boğulur tarzda öksürük ve siyanoz ile başvuran, hiç aşı olmamış, yatışının ikinci gününde pnömoni, altıncı gününde lökomoid reaksiyon geliştiren üç aylık bebek sunulmuştur. Özellikle bebeklerde pnömoninin mortalite ile ilişkisi ve lö¬komoid reaksiyonun prognostik önemi vurgulanmıştır.

Boğmaca: Klinik tanının önemi

Pertussis is an acute, contagious respiratory infection characterized by pa¬roxysmal coughing episodes. The most important and severe complication in infants is respiratory failure due to pneumonia. We report the case of a 3-month-old infant without any immunization who presented with cough, whooping and cyanosis, and developed pneumonia on the second day and a leukemoid reaction on the sixth day of admission. The relation between pneumonia and mortality, especially in infants, and the prognostic impact of a leukemoid reaction are emphasized.

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