Online Makale
Online Hizmetlere Toplu BakışSisli Etfal Tip Bülteni
Med Bull Sisli Etfal Hosp. 2020; 54(1): 113-116 | DOI: 10.14744/SEMB.2018.22605 | |||
Konjenital sifiliz ile prenatal barsak hiperekojenitesi ve nekrotizan enterokolit birlikteliğiMuhittin Celik, Ali Bulbul, Sinan UsluŞişli Hamidiye Etfal Eğitim ve Araştırma Hastanesi, Çocuk Sağlığı ve Hastalıkları Anabilim Dalı, Neonatoloji Bilim Dalı, İstanbulKonjenital sifiliz, treponema pallidum'un vertikal geçişinden kaynaklanan ciddi bir hastalıktır. Klinik bulgular gebeliğin evresi, fetüsün gestasyonel haftası, maternal tedavi ve fetusun immünolojik yanıtına göre ortaya çıkmaktadır. Semptomatik yenidoğanlarda; erken doğum, düşük doğum ağırlığı, nonimmün hidrops fetalis, nekrotizan enterokolit (NEK), hepatomegali, deri döküntüleri, trombositopeni, hemolitik anemi ve ateş tespit edilebilir. Congenital Syphilis Presenting with Prenatal Bowel Hyperechogenicity and NecrotizingMuhittin Celik, Ali Bulbul, Sinan UsluDepartment of Pediatrics, Division of Neonatology, Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, TurkeyCongenital syphilis is a severe disease that arises from the vertical transmission of Treponema pallidum. Clinical findings are related to the pregnancy stage, fetal gestational week, maternal treatment and fetal immunologic response. Prematurity, low birth weight, nonimmune hydrops fetalis, necrotizing enterecolitis, hepatomegaly, skin eruptions, thrombocytopenia, hemolytic anemia and fever can be detected in the symptomatic newborn. Postnatal respiratory insufficiency, hepatomegaly, anemia and thrombocytopenia were detected in a baby who was born at the 29th week of gestation, weighing 1.160 g and followed due to intestinal hyperechogenicity from the second trimester. Her and her mother’s Venereal Disease Research Laboratory titers were positive, confirming test Treponema pallidum hemagglutination was reactive. After penicillin was administered for 10 days, anemia, and thrombocytopenia were regressed. In the 15th day of life, findings of perforated necrotising enterocolitis (NEC) suddenly appeared. The operation was performed due to NEC for three times but nonresponsive laboratory and clinical findings and died in the 54th day of life. We assumed that syphilis is the cause of both bowel hyperechogenicity and necrotising enterocolitis. Keywords: Bowel hyperechogenicity, congenital syphilis; necrotising enterocolitis; prematurity.Muhittin Celik, Ali Bulbul, Sinan Uslu. Congenital Syphilis Presenting with Prenatal Bowel Hyperechogenicity and Necrotizing. Med Bull Sisli Etfal Hosp. 2020; 54(1): 113-116 Sorumlu Yazar: Muhittin Celik, Türkiye |
|