Alper DEVECİ, Nilgün ALTIN, Kamer KOLDAŞ, Göknur TOROS YAPAR, Salih CESUR

Pseudomonas Putida'ya Bağlı Olarak Septik Artrit Gelişen Olgu

Septik artrit , bir ya da daha fazla eklemin mikroorganizmalara bağlı olarak gelişen enfeksiyonudur. Septik artritinerken tanımlanmasındaki gecikme ve uygunsuz tedavi morbidite oranında artışa neden olur. Belirli yüksek risk gru- bunda yer alan, intravenöz ilaç bağımlılığı, immunsüpresif hastalar, diabetik hastalar ve yaşlılar gibi altta yatan has- talığı olan kişilerde E.coli ve Pseudomonas aeruginosa gibi Gram negatif bakteriler de septik artrite neden olabilir.Bakteriyel septik artritte temel tedavi prensibi eklem drenajı ve patojene özgü antibiyotik tedavisidir.Bu yazıda, Pseudomonas p utida ya bağlı olarak septik artrit gelişen, altta yatan diabetes mellitus ve immunsupresiftedavi gibi hastalığı olmayan 62 yaşında bir kadın hasta sunuldu. Hasta üç hafta piperasilin-tazobaktam ve sinoviyalsıvının diz ekleminden aralıklı drenajı ile düzeldi.

A Case Of Septic Arthritis Due To Pseudomonas putida

Septic arthritis is infection of one or more joints by microorganisms.Failure to early recognize and inappropriate treatment of septic arthritis results in significant rates of morbidity In certain high-risk persons who have underliying diseases such as in intravenous drug abusers, immunsupresive pa- tients, patients with diabetes mellitus and the elderly , Gram negative bacteria may cause septic arthritis, such as E.coli and Pseudomonas spp.The main principle fort he treatment of bacterial septic arthritis is articular drainage and pathogen spesific antibitictreatment.In this manuscript, a 62 years old female septic arthritis case due to Pseudomonas putida in with no underlying dis- eases such as diabetes mellitus and immunsupresive treatment . Patient was recovered by three weeks piperacillin- tazobactam treatment and the intermittent drainage of the infected synovial fluid from the knee joint.

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