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ODONTOJEN KAYNAKLI BİR ABSEDEN İZOLE EDİLEN KLİNDAMİSİNE DİRENÇLİ STREPTOCOCCUS CONSTELLATUS : OLGU SUNUMU

CLINDAMYCIN RESISTANT STREPTOCOCCUS CONSTELLATUS ISOLATED FROM ODONTOGENİC ABSCESS: A CASE REPORT

Journal Name:

  • İstanbul Üniversitesi Diş Hekimliği Fakültesi Dergisi

Publication Year:

  • 2004

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Clindamycin resistance is reported among the bacteria which are called "Streptococcus anginosus" or "Streptococcus milleri" group recently. Clindamycin is used as a choise of antibiotic at dentistry nowadays. From thai group bacteria, Streptococcus constellaius, isolated from an odontogenic abscess is reported as it was found clindamycin resistant. The anaerobic bacteriologic investigation was performed to the pus specimen which was aspirated intraorally from the abscess cavity. The antibiotic susceptibility test was determined using agar disc diffusion technique. >105 cfu/ml alpha hemolytic streptococci were grown as pure culture. The isolate identified as Streptococcus constellatus, was resistant to clindamycin. The clindamycin resistance must be taken into consideration with the suspected alpha hemolytic streptococci cases.
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Abstract (Original Language): 
"'Streptococcus angitıosus" ya da "Streptococcus milleıT grubu olarak adlandırılan bakterilerde klitıdamisine direncin arttığı bildirilmektedir. Klindamisİn son yıllarda dişhekimliğinde seçimlik bir ilaç olarak kullanılmaktadır. Diş kaynaklı bir abseden izole edüen söz konusu gruptan olan Streptococcus constellaius bakterisinin klitıdamisine dirençli bulunması nedeniyle bu olgu bildirilmeye değer bulunmuştur. Abseden intraoral olarak ponksiyonla alınan cerahat örneği anaerop bakteriyolojik kültür yöntemiyle incelenmiştir. Antibiyotik duyarlılık deneyi, agar disk diffüzyon yöntemine göre yapılmıştır. Saf kültür halinde >105 cfu/ml alfa hemolitik streptokoklar üremiştir. S. constellaius olarak tanımlanan suşun klindamİsİne dirençli olduğu belirlenmiştir. Alfa hemolitik streptokokların etken olabileceği olgularda klindamisine karşı direnç gözönünde bulundurulmalıdır.
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REFERENCES

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Nursen BAKIR TOPÇUOĞLU, Zamira KASIMOVA, Ayfer KAYNAR, Güven KÜLEKÇİ
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