Yıl: 2015 Cilt: 32 Sayı: 4 Sayfa Aralığı: 797 - 802 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Pseudomonas Putida Infection at Lomber Paravertebral Soft Tissue in an Healty Adult Patient : A Rare Case Report and Review of Literature

Öz:
Amaç: Pseudomonas putida, saprofilik, baston şekilli ve gram boyama negatif bir bakteridir. Potansiyel biyokontrol özelliği nedeniyle bitkilerde hastalık yapan Pythium ve Fusarium tedavisinde kullanılmaktadır. Genellikle oksijenin çok olduğu toprak ve su habitatlarında bulunur. Optimal büyüme sıcaklığı 25-30 santrigrad derecedir. Vücut ısısı nedeniyle insanda sık görülen bir patojen değildir. Olgu: 34 yaşında erkek hasta 4 ay önce görev yaptığı Kıbrıs 'da bel bölgesinde şişlik, kızarıklık ve ağrı şikayeti başvurduğu merkezde yapılan tetkikler sonucunda "lomber paravertebral bölgede apse ile uyumlu görüntü saptanması sonrası hastanemize sevk edilen hasta enfeksiyon bölümünce yatırılarak girişimsel radyoloji tarafından usg eşliğinde boşaltılmaya çalışmış fakat işlem başarısızlığı nedeniyle kliniğimize refere edilmiştir. Muayenesinde bel hareketleri minimal kısıtlı idi. Lomber 4 hizasında sağ lateral bölgede girişimsel işlem yapılan lokalizasyonda yaklaşık 2 cm çaplı nekrotik demarkasyon hattı bulunan lezyon izlendi. Lomber magnetic rezonans görüntülemede Lomber 4 merkezli sağ paravertebral adele içinde yaklaşık 5,5 cm çaplı yoğun dansiteli çevre dokudan iyi sınır veren abse ile uyumlu lezyon tespit edildi. Lomber 4 merkezli 6 cm çaplı fasiya altında paravertebral adeleler üzerinde ve içinde organize sarı renkli abse materyali boşaltıldı. Kültür sonucu: Ceftazidim, Cefepim, İmipenem, Meropenem, Ciprofloksasin ve Ticarcilin'e duyarlı Pseudomonas Putida üremiştir. Hasta Enfeksiyon Hastalıkları bölümünce konsulte edilerek 14 günlük intravenöz Ceftazidim ve 4 hafta oral ciprofloksasin tedavisi verilmiştir. 12. ay kontrol MRI abse formasyonu izlenmemiştir. Sonuç: Pseudomonas putida daha çok uzak doğu Asya bölgesinde ve sel felaketleri sonrasında insanlarda izole edilmiş bir bakteridir. Literatürde ulaşabildiğimiz kadarıyla herhangi bir girişim öyküsü olmadan Lomber paravertebral alanda Pseudomonas putida izole edilen ilk abse olgusudur
Anahtar Kelime:

Konular: Nörolojik Bilimler

Sağlıklı Erişkinde Lomber Paravertebral Yumuşak Dokuda Pseudomonas PutidaEnfeksiyonu : Nadir Bir Olgu Sunumu ve Literatürün Gözden Geçirilmesi

Öz:
Background: Pseudomonas Putida is saprophytic, fluorescent, gram-negative, opportunistic bacteria, that primarily causes nosocomial infections. Because of potential bio-control characteristic it is used in plants for Pythium and Fucarium infections treatment. Pseudomonas Putida is mostly found in contaminated fluids and habitats with higher humidity and oxygen. Optimal temperature for Pseudomonas Putida is 25-30°C. Because of 37°C body temperature it is a rare cause of clinical infection in a healthy person. Case: A 34-years-old man was admitted to a hospital in Cyprus with a swelling, redness, pain lumbar paravertebral region without any other complaint. Investigations revealed a lumbar paravertebral abscess at L4 level. It was tired to drain with the help of USG but because of viscosity, the abscess couldn't be drained via percutaneous technic and referred to our clinic. We performed operation for drainage of the paravertebral yellow-brown, high density abscess at L4 level. Pseudomonas Putida was isolated that was sensitive for Ceftazidime, Cefepime, Imipenem, Meropenem, Ciprofloxacin, Ticarciline. The patient was treated with Ceftazidime for 14 days intravenously and with ciprofloxacin orally for four weeks. No evidence for abscess was detected for 12 months follow up period. Conclusion: Pseudomonas Putida is a rare pathogen for human-beings in far East Asia during flood disaster. To our knowledge this case is the first case in the English literature that Pseudomonas Putida was isolated at the paravertebral region without any intervention in a healthy person. It is treated successfully with suitable antibiotics
Anahtar Kelime:

Konular: Nörolojik Bilimler
Belge Türü: Makale Makale Türü: Derleme Erişim Türü: Erişime Açık
  • Almuzara M, Radice M, de Gárate N, Kossman A, Cuirolo A, Santella G, Famiglietti A, Gutkind G, Vay V. VIM-2-producing Pseudomonas putida, Buenos Aires. Emerg Infect Dis. 2007;13(4):668-9.
  • Bouallègue O, Mzoughi R, Weill FX, Mahdhaoui N, Ben Salem Y, Sboui H, Grimont F, Grimont PA. Outbreak of Pseudomonas putida bacteraemia in a neonatal intensive care unit. J Hosp Infect. 2004;57(1):88-91.
  • Carpenter RJ, Hartzell JD, Forsberg JA, Babel BS, Ganesan A. Pseudomonas putida war wound infection in a US Marine: a case report and review of the literature. J Infect. 2008; 56:234-240.
  • Chen CH, Hsiu RH, Liu CE, Young TG. Pseudomonas putida bacteremia due to soft tissue infection contracted in a flooded area of central Taiwan: a case report. J Microbiol Immunol Infect. 2005; 38:293-295.
  • Horii T, Muramatsu H, Iinuma Y. Mechanisms of resistance to fluoroquinolones and carbapenems in Pseudomonas putida Journal of Antimicrobial Chemotherapy 2005;56, 643-647 doi:10.1093/jac/dki254.
  • Kim SE, Park SH, Park HB, Park KH, Kim SH, Jung SI, Shin JH, Jang HC, Kang SJ. Nosocomial Pseudomonas putida Bacteremia: High Rates of Carbapenem Resistance and Mortality Chonnam Med J 2012;48:91-95.
  • Perz J.F, Craig A.S, Stratton C.W, Bodner S.J, Phillips W.E, Schaffner W. Pseudomonas putida Septicemia in a Special Care Nursery Due to Contaminated Flush Solutions Prepared in a Hospital Pharmacy J Clin Microbiol. 2005 Oct;43(10):5316-8.
  • Thomas BS, Okamoto K, Bankowski MJ, Seto TB. A Lethal Case of Pseudomonas putida Bacteremia Due to Soft Tissue Infection Infect Dis Clin Pract (Baltim Md). 2013 May ; 21(3): 147-213. doi:10.1097/IPC.0b013e318276956b.
  • Toru S, Maruyama T, Hori T, Gocho N, Kobayashi T Pseudomonous putida meningitis in a healthy adult. J Neurol (2008) 255:1605-1606 DOI 10.1007/s00415-008-0987-3.
  • Yang CH, Young T, Peng MY, Weng MC. Clinical spectrum of Pseudomonas putida infection. J Formos Med Assoc. 1996; 95:754-761.
  • Yoshino Y, Kitazawa T, Kamimura M, Tatsuno K, Ota Y, Yotsuyanagi H. Pseudomonas putida bacteremia in adult patients: five case reports and a review of the literature J Infect Chemother 2011;17:278-282 DOI 10.1007/s10156-010-0114-0
  • Zuberbuhler B, Carifi G. Pseudomonas putida infection of the conjunctiva Infection Infection. 2012 Oct;40(5):579-80. doi: 10.1007/s15010-012-0248-3.
APA KAZANCI A, Gurcan O, GÜRÇAY G, URAL P, Turkoglu O, BAVBEK M (2015). Pseudomonas Putida Infection at Lomber Paravertebral Soft Tissue in an Healty Adult Patient : A Rare Case Report and Review of Literature. , 797 - 802.
Chicago KAZANCI Atilla,Gurcan Oktay,GÜRÇAY Gürhan Ahmet,URAL Pınar,Turkoglu Omer Faruk,BAVBEK Murad Pseudomonas Putida Infection at Lomber Paravertebral Soft Tissue in an Healty Adult Patient : A Rare Case Report and Review of Literature. (2015): 797 - 802.
MLA KAZANCI Atilla,Gurcan Oktay,GÜRÇAY Gürhan Ahmet,URAL Pınar,Turkoglu Omer Faruk,BAVBEK Murad Pseudomonas Putida Infection at Lomber Paravertebral Soft Tissue in an Healty Adult Patient : A Rare Case Report and Review of Literature. , 2015, ss.797 - 802.
AMA KAZANCI A,Gurcan O,GÜRÇAY G,URAL P,Turkoglu O,BAVBEK M Pseudomonas Putida Infection at Lomber Paravertebral Soft Tissue in an Healty Adult Patient : A Rare Case Report and Review of Literature. . 2015; 797 - 802.
Vancouver KAZANCI A,Gurcan O,GÜRÇAY G,URAL P,Turkoglu O,BAVBEK M Pseudomonas Putida Infection at Lomber Paravertebral Soft Tissue in an Healty Adult Patient : A Rare Case Report and Review of Literature. . 2015; 797 - 802.
IEEE KAZANCI A,Gurcan O,GÜRÇAY G,URAL P,Turkoglu O,BAVBEK M "Pseudomonas Putida Infection at Lomber Paravertebral Soft Tissue in an Healty Adult Patient : A Rare Case Report and Review of Literature." , ss.797 - 802, 2015.
ISNAD KAZANCI, Atilla vd. "Pseudomonas Putida Infection at Lomber Paravertebral Soft Tissue in an Healty Adult Patient : A Rare Case Report and Review of Literature". (2015), 797-802.
APA KAZANCI A, Gurcan O, GÜRÇAY G, URAL P, Turkoglu O, BAVBEK M (2015). Pseudomonas Putida Infection at Lomber Paravertebral Soft Tissue in an Healty Adult Patient : A Rare Case Report and Review of Literature. Journal of Neurological Sciences (Turkish), 32(4), 797 - 802.
Chicago KAZANCI Atilla,Gurcan Oktay,GÜRÇAY Gürhan Ahmet,URAL Pınar,Turkoglu Omer Faruk,BAVBEK Murad Pseudomonas Putida Infection at Lomber Paravertebral Soft Tissue in an Healty Adult Patient : A Rare Case Report and Review of Literature. Journal of Neurological Sciences (Turkish) 32, no.4 (2015): 797 - 802.
MLA KAZANCI Atilla,Gurcan Oktay,GÜRÇAY Gürhan Ahmet,URAL Pınar,Turkoglu Omer Faruk,BAVBEK Murad Pseudomonas Putida Infection at Lomber Paravertebral Soft Tissue in an Healty Adult Patient : A Rare Case Report and Review of Literature. Journal of Neurological Sciences (Turkish), vol.32, no.4, 2015, ss.797 - 802.
AMA KAZANCI A,Gurcan O,GÜRÇAY G,URAL P,Turkoglu O,BAVBEK M Pseudomonas Putida Infection at Lomber Paravertebral Soft Tissue in an Healty Adult Patient : A Rare Case Report and Review of Literature. Journal of Neurological Sciences (Turkish). 2015; 32(4): 797 - 802.
Vancouver KAZANCI A,Gurcan O,GÜRÇAY G,URAL P,Turkoglu O,BAVBEK M Pseudomonas Putida Infection at Lomber Paravertebral Soft Tissue in an Healty Adult Patient : A Rare Case Report and Review of Literature. Journal of Neurological Sciences (Turkish). 2015; 32(4): 797 - 802.
IEEE KAZANCI A,Gurcan O,GÜRÇAY G,URAL P,Turkoglu O,BAVBEK M "Pseudomonas Putida Infection at Lomber Paravertebral Soft Tissue in an Healty Adult Patient : A Rare Case Report and Review of Literature." Journal of Neurological Sciences (Turkish), 32, ss.797 - 802, 2015.
ISNAD KAZANCI, Atilla vd. "Pseudomonas Putida Infection at Lomber Paravertebral Soft Tissue in an Healty Adult Patient : A Rare Case Report and Review of Literature". Journal of Neurological Sciences (Turkish) 32/4 (2015), 797-802.