Öz
Salmonella, esas olarak gastrointestinal enfeksiyonlardan sorumlu gram negatif enterik bir basildir. Salmonella kaynaklı psoas apsesi, son derece nadir görülen bir klinik durumdur. Burada, multipl miyelom tanılı 65 yaşında bir kadın hastada Salmonella kaynaklı psoas apsesi sunulmaktadır. Hasta son 1 aydır devam eden bulantı ve kusma şikayetiyle acil servise başvurdu. Kan kültürlerinde Salmonella spp. üredi ve abdominal bilgisayarlı tomografi (BT) ile sağ psoas kasında 43 mm çapında bir apse görüldü. Yatışının 10. gününde BT eşliğinde perkütan drenaj uygulandı ve apse kültüründen Salmonella spp. izole edildi. 6 hafta antibiyotik tedavisine rağmen hasta kaybedildi. Ayrıca, daha önce yayınlanmış 29 Salmonella ilişkili psoas apsesi vakasını inceledik; bunlardan ikisinin (%6,8) öldüğünü saptadık. Bu vaka, hem nadir görülen bir klinik tabloyu vurgulamakta, hem de Salmonella ile ilişkili psoas apselerinin klinik özellikleri, tedavi stratejileri ve sonuçları hakkında bir inceleme sunarak sınırlı literatüre katkıda bulunmaktadır.
Anahtar Kelimeler: Salmonella, psoas apsesi, immünosupresyon, multipl miyelom, antibiyotik direnci
Kaynakça
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