Yenidoğan Döneminde Septik Artirit: Olgu Sunumu

SuleymanDemirel Universitesi TIP FAKULTESI DERGISI: 2006 Mart; 13(1) Yenidogan Doneminde Septik Artirit: Olgu Sunumu Aysen Turedi, Nihal Olgac Dundar, Hasan Cetin, Remzi A. Ozerdemoglu, Bumin Dundar Ozet Yenidogan septik artiriti nadir gorulur fakat ciddi bir durumdur. Genellikle hastane kaynakli enfeksiyonlarla iliskilidir ve eklemlerin sik muayenesi ile erken teshis, acil tedavi ve hastane kaynakli enfeksiyonlarin kontrolu hastaligin tedavisi icin onemlidir. Burada yuksek ates nedeniyle birden fazla merkezde tedavi gormus ve invaziv girisimlere maruz kalmasi neticesinde hastane kaynakli enfeksiyon gelisen 24 gunluk bir olgunun tedavisi sirasinda ortaya cikan sorunlarin tartisilmasi amaclanmistir. Hasta klinigimizde tedavi edilmeden once diger tedavi kurumlarinda verilen tedavi protokollerini tamamlamamisti. Sol dizden alinan kulturde hastane kaynakli bir enfeksiyonu dusunduren klebsiella uremesi nedeniyle hastaya drenaj, antibiyoterapi ve rehabilitasyon uygulanmis ve iyi netice alinmistir. Anahtar kelimeler: Septik artirit, yenidogan, invaziv girisim, hastane kaynakli enfeksiyon. Abstract Septic Arthritis in Newborn Period: A Case Report Neonatal septic arthritis is uncommon but a serious condition. It is usually related to nosocomial infection and early diagnosis by frequent examination of the joints, prompt treatment and control of nosocomial infection are important for the management. The goal of this case report is to discuss the error and difficulties during the course of treatment of a 24 days old newborn who was treated at different medical centers due to fever, and developed a nosocomial infection, possibly due to invasive procedures performed during his admittance. The patient did not complete any of the treatment protocols given at outside hospital before he was treated at our clinic. Cultures of left knee were positive for klebsiella that indicated a nosocomial infection. A good result was obtained with drainage, antibiotherapy, and rehabilitation. Key words: Septic arthritis, newborn, invasive procedure, nosocomial infection.