N. Cenk SAYIN, Nefise AHMET, Füsun G. VAROL

Serolojik rubella enfeksiyonunda avidite testinin klinik değeri: Olgu sunumu

Yirmi sekiz yaşında gebe hastanın ilk başvurusunda ve gebeliğin 11, 13, 30 ve 36. haftalarında rubella IgM ve IgG testleri pozitif çıktı. Rubella avidite testinin yüksek titreli değer göstermesi üzerine hastanın gebeliği takibe alınarak sağlıklı bir bebek doğurması sağlandı. Rubella enfeksiyonu asemptomatik olabilir ve re-enfeksiyon da subklinik seyir gösterebilir. Rubella antikor titrelerinin tüm gebelik boyunca seyri dikkate alındığında tanıya varmak kolaydır. Kritik nokta hastanın ilk gelişindeki sonuçlarına göre hastalığın durumunu ayırt ederek karar verebilmektir. Avidite testi, bu tip sonuçlar alındığında hasta yönetiminde bize yol gösterecektir.

Anahtar Kelimeler:

Gebelik komplikasyonları, enfeksiyöz, Gebelik, Antikor çekimi, Gebelik sonucu, Kızamıkçık

The clinical value of avidity test in the management of serologic rubella infection: A case report

A 28-year-old pregnant woman presented with positive rubella IgM and IgG antibodies at initial admission and at the 11th, 13th, 30th and 36th weeks of gestation. Rubella avidity test revealed high titers and the patient was followed-up to ensure birth of a healthy infant. Rubella infection may be asymptomatic and re-infection may demonstrate a subclinical course. It is easy to make the diagnosis of rubella by following the antibody titers during pregnancy. The critical point in such patients is to differentiate the condition of disease at admission and decide accordingly. Avidity test may be a useful method for the management of such patients.

Keywords:

Pregnancy Complications, Infectious, Pregnancy, Antibody Affinity, Pregnancy Outcome, Rubella,

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