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Laparoscopic Endoscopic Surgical Science Legionella Pnmonisinin Nadir Bir Komplikasyonu: Sensrinral itme Kayb [Respir Case Rep]
Respir Case Rep. 2021; 10(2): 105-108 | DOI: 10.5505/respircase.2021.58815

Legionella Pnmonisinin Nadir Bir Komplikasyonu: Sensrinral itme Kayb

Gzde Kalbaran Ksmet, Ouzhan Okutan, Hasan Furkan Avc, Tayfun alkan, Zafer Kartalolu
Salk Bilimleri niversitesi, Sultan II.Abdlhamid Han Salk Uygulama ve Aratrma Merkezi, Gs Hastalklar Servisi, stanbul

Legionella pnmonisinde sensrinral iitme kayb nadir bir komplikasyon olup Legionella trlerinin endoktoksin benzeri maddeler retimi ile bunlarn immn-aracl etkisi nedeniyle meydana geldii dnlmektedir. Krk yanda erkek hasta son be gndr olan ate, titreme, hrlt ve iitme kayb ikayetleri ile bavurdu. Toraks bilgisayarl tomografisinde bilateral yaygn buzlu cam dansiteleri ve hava bronkogram ieren konsolidasyonlar saptand. Saf ses odyometrisinde bilateral orta derecede sensrinral iitme kayb tespit edildi. drarda Legionella antijeni pozitiflii ile Legionella pnmonisi tans konuldu. Florokinolon ve kortikosteroid tedavisi ile klinik ve radyolojik iyileme gzlendi. Hasta, Legionella pnmonisinin nadir ancak nemli bir komplikasyonu nedeniyle literatr eliinde sunuldu.

Anahtar Kelimeler: Atipik pnmoni, legionella pnmonisi, sensrinral iitme kayb.

A Rare Complication of Legionella Pneumonia: Sensorineural Hearing Loss

Gzde Kalbaran Ksmet, Ouzhan Okutan, Hasan Furkan Avc, Tayfun alkan, Zafer Kartalolu
Department of Chest Diseases, University of Health Sciences, Hamidiye Faculty of Medicine, Sultan II. Abdlhamid Han Health Application and Research Center, stanbul, Turkey

Sensorineural hearing loss, a rare complication in Legionella pneumonia, is said to be attributable to the production of endoctoxin-like substances by Legionella species and their immune-mediated effect. A 43-year-old male patient presented with complaints of fever, chills, wheezing and hearing loss for the past five days. Bilateral widespread ground glass densities and consolidation, including air bronchogram, were detected in a thorax computed tomography. Bilateral moderate sensorineural hearing loss was detected upon a pure audio audiometry. Legionella pneumonia was diagnosed based on the presence of the Legionella antigen in the urine. Clinical and radiological improvement was achieved with fluoroquinolone and corticosteroid treatment. This case is presented to literature as a rare but significant complication of Legionella pneumonia.

Keywords: Atypical pneumonia, legionella pneumonia, sensorineural hearing loss.

Olgunun Grnt Kesitleri




Gzde Kalbaran Ksmet, Ouzhan Okutan, Hasan Furkan Avc, Tayfun alkan, Zafer Kartalolu. A Rare Complication of Legionella Pneumonia: Sensorineural Hearing Loss. Respir Case Rep. 2021; 10(2): 105-108

Sorumlu Yazar: Gzde Kalbaran Ksmet, Trkiye
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