Citrobacter Youngae ile Enfekte Olmuş Kronik Subdural Higroma

Year 2022, Volume: 17 Issue: 3, 247 - 249, 02.11.2022

İsmail Sağır , Esra Kaya , Kutsal Devrim Seçinti , Murat Aral

https://doi.org/10.17517/ksutfd.793340

Abstract

Özet

Pediatrik yaş grubundaki intrakraniyal enfeksiyonlar hala gelişmekte olan ülkelerde önemli morbidite nedenleridir. Daha önce kronik subdural higroma nedeniyle subduroperitoneal shunt takılan 11 yaşında kadın hasta polikliniğimize baş ağrısı şikayetiyle başvurdu. Bilgisayarlı beyin tomografisi incelemesinde sağ fronto-paryetal bölgede bulunan eski subdural higromada hafif artış saptandı. Laboratuvar incelemesinde ciddi C-Reraktif Protein (CRP) yüksekliği ve lökositoz belirlendi. Hasta, subdural ampiyem ön tanısıyla opere edildi. Alınan kültür sonuçları Citrobacter youngae olarak raporlandı. Bu, Citrobacter youngae’ye bağlı olduğu saptanmış ilk intrakranial enfeksiyon olgusu sunumudur

Keywords

subdural ampiyem, citrobacter youngae, pediatrik enfeksiyonlar, santral sinir sistemi enfeksiyonları

Chronic Subdural Hygroma Infected with Citrobacter Youngae

Abstract

Abstract

Intracranial infections in the pediatric group are still important causes of morbidity in developing countries. An 11-year-old female patient with a previously impanted subduroperitoneal shunt for chronic subdural hygroma presented to our outpatient clinic with headache. Computerized tomography of the brain revealed a slight increase in the previous subdural hygroma in the right frontoparietal region. In the laboratory examination, severe C-Reactive Protein (CRP) elevation and leukocytosis were determined. The patient was operated with the prediagnosis of subdural empyema. The obtained culture results were reported as Citrobacter youngae. This is the first case of intracranial infection identified as due to Citrobacter youngae.

Keywords

subdural empyema, Citrobacter youngae, Pediatric infections, central nervous system enfections

References

• Bonfield CM, Sharma J, Dobson S. Pediatric intracranial abscesses. J Infect. 2015;71(1):S42-S46.
• Samonis G, Karageorgopoulos DE, Kofteridis DP, Matthaiou DK, Sidiropoulou V, Maraki S, vd. Citrobacter infections in a general hospital: characteristics and outcomes. Eur J Clin Microbiol Infect Dis. 2009;28(1):61-68.
• Mohanty S, Singhal R, Sood S, Dhawan B, Kapil A, Das BK. Citrobacter infections in a tertiary care hospital in Northern India. J Infect. 2007;54(1):58-64.
• Janda JM, Abbott SL, Cheung WK, Hanson DF. Biochemical identification of citrobacteria in the clinical laboratory. J Clin Microbiol. 1994;32(8):1850-1854.
• Agrawal A, Timothy J, Pandit L, Shetty L, Shetty JP. A Review of Subdural Empyema and Its Management. Infect Dis Clin Pract. 2007;15(3):149–153.
• Wu T-J, Chiu N-C, Huang F-Y. Subdural empyema in children-20-year experience in a medical center. J Microbiol Immunol. 2008;41(1):62-67.
• Vijayakumar B, Sarin K, Mohan G. Tuberculous brain abscess and subdural empyema in an immunocompetent child: Significance of AFB staining in aspirated pus. Ann Indian Acad Neurol. 2012;15(2):130-133.