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Aktinomikoza temporalne kosti, aktinomikotični meningitis i limfadenitis vrata - prikaz bolesnice

Samira Knežević orcid id orcid.org/0000-0003-3550-2062 ; Department for Infectious Diseases, Clinical Hospital Centre Rijeka, Rijeka
Irena Slavuljica ; Department for Infectious Diseases, Clinical Hospital Centre Rijeka, Rijeka, University of Rijeka, School of Medicine, Rijeka
Đurđica Cekinović Grbeša ; Department for Infectious Diseases, Clinical Hospital Centre Rijeka, Rijeka, University of Rijeka, School of Medicine, Rijeka
Lari Gorup ; Department for Infectious Diseases, Clinical Hospital Centre Rijeka, Rijeka
Ivana Škrobonja ; Clinical Department for Clinical Microbiology, Clinical Hospital Centre Rijeka, Rijeka
Ivica Poljak ; Department for Infectious Diseases, Clinical Hospital Centre Rijeka, Rijeka
Mari Rončević Filipović ; Department for Infectious Diseases, Clinical Hospital Centre Rijeka, Rijeka
Marija Livajić ; Department for Infectious Diseases, Clinical Hospital Centre Rijeka, Rijeka, University of Rijeka, School of Medicine, Rijeka
Ivica Pavić ; Department for Infectious Diseases, Clinical Hospital Centre Rijeka, Rijeka, University of Rijeka, School of Medicine, Rijeka
Biserka Trošelj Vukić ; Department for Infectious Diseases, Clinical Hospital Centre Rijeka, Rijeka, University of Rijeka, School of Medicine, Rijeka


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Abstract

Aktinomikoza predstavlja rijetku kroničnu infekciju uzrokovanu anaerobnom, Gram pozitivnom bakterijom koja pripada rodu Actinomyces. U ovom smo radu prikazali slučaj aktinomikoze temporalne kosti i meningitisa uzrokovanog Aktinomicetama te limfadenitisa vrata kod imunokompetentne bolesnice s anamnezom
kroničnog supurativnog otitisa nakon traumatske perforacije bubnjića
starijeg datuma. Liječenje je uspješno provedeno kombiniranom kirurškom i dugotrajnom antimikrobnom terapijom. Ovim prikazom želimo skrenuti pozornost na meningitis kojeg uzrokuje Actinomyces spp. te kojeg je, iako je rijedak, potrebno uključiti u diferencijalnu dijagnozu kroničnog meningitisa, osobito kod pacijenata s kroničnom upalom srednjeg uha i paranazalnih sinusa. Jednako tako, želimo skrenuti pozornost i na ostale manifestacije ove rijetke bolesti.

Keywords

aktinomikoza; imfadenitis vrata

Hrčak ID:

227000

URI

https://hrcak.srce.hr/227000

Publication date:

22.10.2019.

Article data in other languages: english

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