Bir Süt Çocuğunda Vankomisine Dirençli Enterococcus Casseliflavus'a Bağlı Bakteriyel

Enterococcus casseliflavus çeşitli enfeksiyonlarda rol oynayan nadir görülen bir patojendir. İnsanlarda sepsis gibi enfeksionlara yol açar ve bunlar genellikle erişkinlerde görülen vankomisin tedavisine direnç gösterebilen vakalardır. Biz bu raporda, 17 aylık bir kız çocuğunda linezolid ile başarılı bir şekilde tedavi edilen ve nadir görülen vankomisin dirençli bir E. casseliflavus menenjiti olgusunu sunmaktayız. Hasta ondört günlük linezolid tedavisi ile düzeldi. Vankomisin dirençli E. casseliflavus çocuklarda görülen menejitlerin potansiyel patojen bir nedeni olabilir ve tedavide linezolid kullanımı ile iyi klinik sonuçlar alınmaktadır. Çocuk hastalarda vankomisin tedavisine cevap alınamayan durumlarda, vankomisin dirençli E. casseliflavus düşünülmelidir.

A Case of Bacterial Meningitis Due to Vancomycin Resistant Enterococcus Casseliflavus in a Nursling Child

Enterococcus casseliflavus is a rare pathogen that plays a role in various infections. It causes infections such as sepsis in humans. In adults, these are usually vancomycin resistant cases. We present a rare case of vancomycin-resistant E. casseliflavus meningitis in a 17-months-old girl who has been successfully treated with linezolid. The patient completely recovered after fourteen days of linezolid treatment. Vancomycin-resistant E. casseliflavus may be a potential pathogenic cause of meningitis in children with good clinical outcome by linezolid treatment. Linezolid therapy should be considered in children cases when vancomycin therapy failed. 

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