Libyalı bir hastada Hafnia alveinin neden olduğu akut gastroenterit olgusu
Hafnia alvei, insan izolatlarından nadiren izole edilen ve nadiren patojen olan gram negatif bir basildir. İlk kez 1991 yılında tanımlanan H. alvei’ye bağlı gelişen gastroenterit olgularına dünyanın birçok yerinde rastlanmıştır. Literatürde bu bakterinin etken olduğu mortalite ile seyreden bir enfeksiyon bildirilmemiştir. Bu çalışmada, Libya’dan yurdumuza gelen erkek hastada H. alvei’nin neden olduğu akut gastroenterit olgusunun tedavisi, siprofloksasin 500 mg günde iki kez yedi gün süreyle kullanılmasyla başarılı bir şekilde sonuçlanmıştır
A case of acute gastroenteritis caused by Hafnia alvei in Libyan patient
Hafnia alvei is a gram-negative bacterium that is rarely isolated by human isoletes and is seldomly considered as as being pathogenic. The gastroenteritis cases caused by H. alvei identified initially in 1991 have been observed in many places of the world. In this study, treatment of acute gastroenteritis caused by H. alvei, in a male patient coming from Libya to our country, has been successfully treated with ciprofloxacin 500 mg twice daily for seven days
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- 1. Günthard H, Pennekamp A. Clinical significance
of extraintestinal Hafnia alvei isolates from
61 patients and review of the literature. Clin.
Infect. Dis 1996; 22: 1040-5.
- 2. Karabulut N, Özgür M, Karabulut M. Hafnia
alvei’ nin neden olduğu akut gastroenterit olgusu.
Ankem Derg, 2010; 24(4): 231-3.
- 3. Albert MJ, Alam K, Islam M, Montanaro J,
Rahaman AS, Haider K et al. Hafnia alvei, a
probable cause of diarrhea in humans infection
and immunity. Infect Immun. 1991; 59: 1507-13.
- 4. Westblom TU, Milligan TW: Acute bacterial
gastroenteritis caused by Hafnia alvei, Clin
Infect Dis 1992; 14(6): 1271-2.
- 5. Taher AAI, Rao BN, Alganay KG, el-Arabi MB.
An outbreak of acute gastroenteritis due to
Aeromonas sobria in Benghazi, Libyan Arab
Jamahiriya. East Mediterr Health J. 2000; 6
(2-3): 497-99.
- 6. Ghenghesh KS, Franka EA, Khaled A, Tawil KA,
Abeid S, Ali MB, Taher İA et al. Infectious acute
diarrhea in Libyan children: causative agents,
clinical features, treatment and prevention. The
Libyan J of Infect Dis. 2008; 2(1): 10-20.
- 7. Abbott SL: Klebsiella, Enterobacter,
Citrobacter, Serratia, Plesiomonas and
otherEnterobacteriaceae, ‘Murray PR, Baron EJ,
Jorgensen JH, Landry ML, Pfaller MA: Manual of
Clinical Microbiology, 9. baskı. Washington, ASM
Press, 2007; S: 698-716.
- 8. Reina J, Hervas J, Borrell N: Acute gastroenteritis
caused by Hafnia alvei in children, Clin Infect Dis
1993; 16(3): 443.
- 9. Janda JM, Abbott SL. The genus Hafnia: from soup
to nuts. Clin Microbiol Rev, 2006; 19(1): 12-8.