Spinal Kord Hasarlı Hastada Gelişen İnfektif Endokardit

Yıl 2020, Cilt: 15 Sayı: 2, 63 - 66, 08.07.2020

Ejder Berk , Burhan Güçmen Tuba Tülay Koca , Burhan Fatih Koçyiğit , Vedat Nacitarhan

https://doi.org/10.17517/ksutfd.610821

Öz

Spontan
spinal epidural hematom, etiyolojisi tam bilinmeyen, çoğunlukla antikoagülan
ilaç tedavisi alan hastalarda gelişen, akut klinik bir durumdur. Ani gelişen ekstremite
güçsüzlüğü, duyusal defisitler ve/veya idrar retansiyonu kliniği ile birlikte
spinal ağrıdan şikayet eden her hastada akla getirilmelidir. Erken müdahale
yapılmadığında hastanın fonksiyonel iyileşmesinin gecikmesi ve kalıcı nörolojik
defisit riski nedeniyle acil tanı ve tedavi önemlidir. On yıl önce mitral
yetmezlik tanısıyla mitral kapak replasmanı yapılan ve düzenli warfarin
tedavisi alan 44 yaşındaki kadın hastada gelişen spontan spinal epidural
hematom ve sonrasında ortaya çıkan endokardit olgusu bu makalede değerlendirilmiştir. 

Anahtar Kelimeler

Spontan spinal epidural hematom, endokardit, spinal

Kaynakça

• Groen RJ, Ponssen H. The spontaneous spinal epidural hematoma. A study of the etiology. J Neurol Sci 1990;98: 121-38.
• Alexiadou-Rudolf C, Ernestus RI, Nanassis K, Lanfermann H, Klug N. Acute non-traumatic spinal epidural hematomas. An important differential diagnosis in spinal emergencies. Spine 1998;23: 1810-3.
• Pullarkat VA, Kalapura T, Pincus M, Baskharoun R. Intraspinal hemorrhage complicating oral anticoagulant therapy: An unusual case of cervical hematomyelia and a review of the literature. Arch Intern Med 2000;160:237–40.
• Kreppel D, Antoniadis G, Seeling W. Spinal hematoma: a literature survey with meta-analysis of 613 patients. Neurosurg Rev 2003;26(1):1-49.
• Yavuz SŞ. İnfektif Endokardit: Güncel Bilgiler. Klimik Dergisi 2015; 28(2): 46-67.
• Habib G, Hoen B, Tornos P, Thuny F, Prendergast B, Vilacosta I, et al. Guidelines on the prevention, diagnosis, and treatment of infective endocarditis (new version 2009): the Task Force on the Prevention, Diagnosis, and Treatment of Infective Endocarditis of the European Society of Cardiology (ESC). Endorsed by the European Society of Clinical Microbiology and Infectious Diseases (ESCMID) and the International Society of Chemotherapy (ISC) for Infection and Cancer. Eur Heart J. 2009; 30(19): 2369-413.
• Oake N, Jennings A, Forster AJ, Fergusson D, Doucette S, van Walraven C. Anticoagulation intensity and outcomes among patients prescribed oral anticoagulant therapy: A systematic review and meta-analysis. CMAJ 2008; 179; 235-244.
• Kirazli Y, Akkoc Y, Kanyilmaz S. Spinal epidural hematoma associated with oral anticoagulation therapy. Am J Phys Med Rehabil 2004;83(3):220-3.
• Kreppel D, Antoniadis G, Seeling W. Spinal hematoma: a literature survey with meta-analysis of 613 patients. Neurosurg Rev 2003;26(1): 1-49.
• Aksay E, Kiyan S, Yuruktumen A, Kitis O. A rare diagnosis in emergency department: spontaneous spinal epidural hematoma. Am J Emerg Med 2008;26(7):835. e 3-5.
• T Yardan, A Baydin, S Genc, C Cokluk, E Acar, K Aydin. A case of spontaneous spinal epidural haematoma in the emergency department associated with warfarin therapy. Hong Kong j.emerg.med. 2010;17:367-371.
• Karchmer AW. Infective endocarditis. In: Braunwald E, Libby P, Bonow RO, Mann DL, Zipes DP, editors. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. . 8th edition. Philadelphia: Saunders;. 2008. p. 1713-34.
• Rivas P, Alonso J, Moya J, de Gorgolas M, Martinell J, Fernandez Guerrero ML. The impact of hospital-acquired infections on the microbial etiology and prognosis of late-onset prosthetic valve endocarditis. Chest 2005; 128: 764-71.