Muhammet Mesut Nezir ENGİN, Seda ERİŞEN KARACA, Önder KILIÇASLAN, Nadide SAV, Kenan KOCABAY

Boğmaca Benzeri Öksürük ile Başvuran Hastada İnsan Metapnömovirüs Enfeksiyonu

Hollanda’da 2001 yılında tanımlanan insan metapnömovirüs (hMPV) tek iplikli, zarflı ve negatif kutuplu RNA virüsüdür. Etkenin enfeksiyonunda en sık görülen semptomlar; burun akıntısı, ateş, öksürük, hipoksi, dispne, siyanoz ve hırıltıdır. Akut solunum yolu enfeksiyonu olan hastalarda prevalansı %6-16 arasında saptanmıştır. Yapılan çalışmalarda 10 yaş altı çocuklarda solunum yolu enfeksiyonlarında izole edilebilen virüsün etkili olduğu yaş aralığı 6 ay ile 2 yaş arasıdır. Bu raporda boğmaca bulgularıyla başvuran solunum sıkıntısı ve oksijen ihtiyacı nedeniyle takip edilen ve etken olarak hMPV enfeksiyonu saptanan 3 aylık erkek hasta, etkenin boğmaca benzeri öksürük yapabileceği vurgulanarak nadir görülmesinden dolayı tespit edilmesine dikkat çekmek amacıyla sunulmuştur. Hidrasyon, oksijen tedavisi, salbutamol inhalasyonu ve ampirik antibiyotik tedavisi verilen hastamız tedavisinin 5.gününde şifa ile taburcu edilmiştir.

Anahtar Kelimeler:

Boğmaca benzeri hastalık, insan metapnömovirüsü, alt solunum yolu enfeksiyonu, PCR

Human Metapneumovirus Infection in a Patient Presenting with Pertussis Like Cough

The human metapneumovirus (hMPV) identified in the Netherlands in 2001 is a single-stranded, enveloped and negative-polar RNA virus. The most common symptoms of infection of the agent; runny nose, fever, cough, hypoxia, dyspnea, cyanosis and wheezing. The prevalence was between 6-16% in patients with acute respiratory infection. In the studies, in studies conducted, the age range in which the virus, which can be isolated in respiratory infections in children under 10 years, is effective is between 6 months and 2 years. In this report, a 3-month-old male patient who presented with pertussis symptoms followed up due to respiratory distress and oxygen demand and was found to have hMPV infection; stressing that the causative agent may cause whooping cough is presented in order to draw attention to its detection due to its rarity. Our patient, who was given hydration, oxygen therapy, salbutamol inhalation and empirical antibiotic therapy, was discharged on the 5th day of treatment.

Keywords:

Pertussis like disease, human metapneumovirus, lower respiratory tract infection, PCR,

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