Hemoglobinopatisi olan bir bebekte biliyer atrezi komplikasyonu olarak kandidemi
| Autor: | Maria Hatzistilianou, Athanasios Tragiannidis, Maria Palabougiouki, Ioannis Kyriakidis, N. Gombakis, Tatiani Moudiou, Eleni Vasileiou, Timoleon Vyzantiadis, Maria Stamou |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
0303 health sciences
medicine.medical_specialty Extrahepatic Biliary Atresia biology 030306 microbiology business.industry Incidence (epidemiology) medicine.medical_treatment medicine.disease biology.organism_classification Gastroenterology Hepatoportoenterostomy Sepsis 03 medical and health sciences Hemoglobinopathy Biliary atresia Internal medicine Bacteremia Pediatrics Perinatology and Child Health medicine Candida albicans business 030304 developmental biology |
| Zdroj: | Türk Pediatri Arşivi. |
| ISSN: | 1306-0015 |
| DOI: | 10.14744/turkpediatriars.2019.67674 |
| Popis: | Both biliary atresia and hemoglobinopathies have been associated with a higher incidence of bloodstream infections. We hereby present the case of a female infant of Nigerian descent with extrahepatic biliary atresia and double heterozygocity for sickle cell disease and alpha-thalassemia. Kasai hepatoportoenterostomy was performed in the child’s sixth week of life. Bloodstream infections occurred two months post-hepatoportoenterostomy, even though the infant was still in prophylactic antibiotic treatment: the first was due to Candida albicans and was followed by bacteremia due to Escherichia coli. A third infection, confined to the skin only, was due to Acinetobacter spp. Treatment options, predisposing factors, and the pathophysiology of bloodstream infections in patients with biliary atresia and aberrant hemoglobin are discussed herein. |
| Databáze: | OpenAIRE |
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