Renal Transplantlı Bir Hastada Cyclospora Cayetanensis Enfeksiyonu
Bu çal mada, alt y l önce böbrek nakli yap lan ve sürekli takrolimus, azotioprin, prednizolon tedavisi alan ve üç hafta süre ile devam eden sulu ishal, kar n a r s , halsizlik ve kilo kayb ikâyetleri ile nefroloji klini ine ba vuran 50 ya ndaki bir erkek hastada cyclosporiasis tan mlanm t r. Kinyoun modi ye asit-fast ile boyanm d k örneklerinde Cyclospora ookistleri bulunmu tur. Hastaya bir hafta süreyle trimetoprim/sülfometaksazol 160/800 mg uygulanarak tedavi edilmi tir. Ba kl k sitemi bozuk ki ilerde uzun süren ishal etkenleri aras nda Cyclospora da akla getirilmelidir
Cyclospora Cayetanensis Infection İn A Patient With Renal Transplant
In this study, Cyclosporiasis was described in a 50 year-old man who had a renal transplantation six years ago and having treatment with tacrolimus, azathioprine, prednisolone, complained of wasting diarrhea, abdominal pain, weakness and weight loss. Cyclospora oocysts were found in Kinyoun’s modi ed acid fast stained stool samples. The patient was treated with trimethoprim/sulphamethoxazole 160/800 mg for one week. Cyclospora should be considered in immune de cient patient with prolonged diarrhea
___
- Ashford RW. Occurrence of an undescribed coccidian
in man in Papua New Guinea. Ann Trop Med Parasitol
1979; 73: 497-500.
- Türk M, Türker M, Ak M, Karaayak B, Kaya T. Cyclosporiasis associated with diarrhoea in an immunocompetent
patient in Turkey. J Med Microbiol 2004; 53: 255-7.
- Koru O, Araz E, Inci, A, Tanyuksel M. Co-infection of Giardia intestinalis and Cyclospora cayetanensis in an immunocompetent patient with prolonged diarrhea: case
report. J Microbiol 2006; 44(3): 360-2.
- Sancak B, Akyon Y, Ergüven S. Cyclospora infection in
ve immunocompetent patients in a Turkish university
hospital. J Med Microbiol 2006; 55: 459-62.
- Mans eld LS, Gajadhar AA. Cyclospora cayetanensis, a
food- and waterborne coccidian parasite. Vet Parasitol
2004; 126: 73-90.
- Marshall MM, Naumovitz D, Ortega Y, Sterling CR. Waterborne protozoan pathogens. Clin Microbiol Rev 1997;
10(1): 67-85.
- Koç AN, Aygen B, ahin , Kayaba Ü. Cyclospora spp.
associated with diarrhea in a patient with AIDS in Turkey.
Tr J of Medical Sciences 1998; 28: 577-8.
- Büget E, Büyükbaba-Boral Ö, Krkoyun-Uysal H, Arbal
H, Yalman N, Anak S, Can E, Gedikolu, G. Türkiye’de
ilk kez belirlenen Cyclospora cayetanensis etkenli diyare
olgusu. Türk Mikrobiyol Cem Derg 2000; 30: 162-5.
- Yazar S, Yalçn S, ahin . Human cyclosporiosis in Turkey.
World J Gastroenterol 2004; 10(12): 1844-7.
- Turgay N, Yolasmaz A, Üner A. Yurtd seyahat hikayesi olan bir Cyclosporiasis olgusu. Türkiye Parazitol Derg
2006; 30: 83-5.