Semptomatik tedavi ile takip edilen bir orf olgusu

Amaç: Orf kendi kendini sınırlayan, tedavisi semptomatik olan ve insanlara koyun veya keçi gibi hayvanlardan bulaşabilen bir zoonozdur. Olgu sunumu: Elde yara şikayeti ile başvuran hastanın öyküsünde kuzu ile temas mevcuttu. Klinik olarak orf düşünülen hastaya semptomatik tedavi önerildi.15 gün sonunda hastanın lezyonları belirgin olarak gerilemişti. Sonuç: Orf enfeksiyonunda, elde yara şikayetiyle gelen hastalar yanlış tanı alabilmekte ve bu hastalarda semptomatik tedavi yerine iz bırakmaya dahi neden olabilecek farklı yöntemler uygulanabilmektedir.

A case of orf treated symptomatically

Objective: Orf is a zoonosis that regresses spontaneously and could be treated symptomatically. It spreads to humans by contact with animals like sheep or goat. Case report: A patient applied with the complaint of a lesion on his hand and had a history of direct contact with a lamp. The clinical diagnosis was thought to be orf and symptomatic treatment was advised to the patient. After 15 days, the lesion was clearly regressed. Conclusion: In commonly encountered orf infection, the patients who have lesions on the hands could receive wrong diagnoses and different treatment protocols instead of symptomatic treatment that could lead to scars.

PDF

___

1. Haig DM, Mercer AA. Orf. Vet Res 1998;29:311-26.
2. Gill MJ, Arletta J, Buchan KA, Barber K. Human orf. A diagnostic consideration. Arch Dermatol 1990;126:356-58.
3. Adışen E, Aksakal AB. Orf Tedavisi. Gazi Tıp Derg 2007;18:196-97.
4. Deqraeve C, De Coninck A, Senneseael J,Roseeuw D.Recurrent contagious ecthyma (Orf) in an immunocompromised host succesfully treated with cryotherapy. Dermatology 1999;198:162-63.
5. Erbağcı Z, Erbağcı I, Almila Tuncel A.Rapid improvement of human orf (ecthyma contagiosum) with topical imiquimod cream:report of four complicated cases. J Dermatol Treat 2005;16:353-56.
6. Mendez B, Burnett JW. Orf. Cutis 1989;44:286-87.
7. Uzel M, Şaşmaz S, Bakarış Ş, Çetinus E, Bilgiç EKaraoğuz A, et al. A viral infection of the hand after the feast of sacrifice:human orf (orf of the hand). Epidemiol Infect 2005;133: 653-57.
8. Aygün G, Çavuşlu Ş, Cingil H, Birinci İ. Eritema multiforme ile komplike olmuş bir orf olgusu. Klimik Derg 2000;13:39- 40.
9. Van Lingen RG, Frank RG, Kopman RJ, Jonkman MF. Human orf complicated by mucous membrane pemphigoid. Clin Exp Dermatol 2006;31:711-12.
10. Tan ST, Blake GB, Chambers S. Recurrent orf in an immunucompromised host. Br J Plast Surg 1991;44:465-67.
11. Hunskaar S. Giant orf in a patient with chronic lymphocytic leukemia. Br J Dermatol 1986;114:631-34.
12. Ünal G, Gündeş S, Üstün M. Human orf:echtyma contagiosum report of five cases. Turk J Med Sci 2002;32.173-75.
13. Zimmernan JL. Orf . J Am Med Assoc 1991;266.476.
14. Arnoud JP, Bernard P, Souyri N, Pecout C, Dunoyer J. Human ORF disease localized in the hand: a false felon. A study of eight cases. Ann Chir Main 1986;5:129-32.
15. Leavell UW, Philips IA. Milker’s nodule. Arch Dermatol 1975;111:1307-11.
16. Dixon TC, Meselson M, Guillemin J, Hana PC. Antrax. N eng J med 1999;341:815-26.
17. Bhambri S, Bhambri A, Del Rosso JQ. Atypical mycobacterial cutaneous infections. Dermatol Clin 2009;27:63-73.