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2015, Cilt 45, Sayı 2, Sayfa(lar) 092-095
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A Rare Cause of Peritonitis, Aggregatibacter aphrophilus
Gülden AYDIN1, Özlem DOĞAN AYÇIK1, Gülçin YİĞİT1, Feray ŞENEL1, Mehmet Ali UZUN2, Rıza ADALETİ1, Sebahat AKSARAY1
1Haydarpaşa Numune Eğitim ve Araştırma Hastanesi, Tıbbi Mikrobiyoloji Laboratuvarı, İstanbul
2Haydarpaşa Numune Eğitim ve Araştırma Hastanesi, Genel Cerrahi Kliniği, İstanbul
Keywords: Aggregatibacter aphrophilus, acute appendicitis, peritonit

Aggregatibacter aphrophilus (Haemophilus aphrophilus) rarely causes endocarditis, endophtalmitis, osteoarthritis in human and is isolated from abscess materials. It is a member of oropharyngeal flora and dental biofilms. In this case, A. aphrophilus was isolated from a patient who had been operated due to acute appendicitis following dental surgery. Both conventional tests such as positivity of satellite phenomenon, X (hemin) and V(NAD) factor requirement and CO2 requirement for growth, length of time to grow, and for further identification MALDI-TOF MS was used. After operation, the patient was treated with ceftriaxone and metronidazole and got total cure from the disease. Although it is a rare cause of disease in human, it should be kept in mind that Aggregatibacter species can cause disease in patients and should be differentiated from Haemophilus species.

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