K. Değerli, S. Kurutepe, H. Gazi, M. Demirel, Emel Gulkan, S. Surucuoglu
{"title":"Prevalence and evaluation of a choromogenic medium for isolation of Escherichia coli O157 from children with acute gastroenteritis.","authors":"K. Değerli, S. Kurutepe, H. Gazi, M. Demirel, Emel Gulkan, S. Surucuoglu","doi":"10.5222/BUCHD.2012.018","DOIUrl":"https://doi.org/10.5222/BUCHD.2012.018","url":null,"abstract":"Objective: Comparative performance status of CHROMagar O157 (CHROM) sorbitol-MacConkey (SMAC) media for the detection of Escherichia coli (E.coli) O157 in stool specimens isolated from 339 children under 5 years of age who presented with acute gastroenteritis between September 2008 and September 2010 was determined. Methods: Stool specimens were inoculated onto Sorbitol-MacConkey agar (SMAC), CHROMagar O157, Selenit F, Salmonella-Shigella (SS) and MacConkey agars. All plates were incubated aerobically for 24 to 48 h at 35°C. Colorless colonies on the SMAC plate and mauve colonies on the CHROM plate were selected for further identification by conventional biochemical tests as well as by semi-automated system. Colonies confirmed to be E.coli were screened for O157 antigen by Dry spot E.coli O157 latex particle agglutination test. Results: In 339 stool samples examined, Salmonella spp was isolated in 14 (4.1%), and Shigella spp. in 11 (3.2%), while Escherichia coli O157 was detected in only 1 (0.3%) sample. Suspect E.coli O157 stains grew on 8 CHROMagar (2.1%; 8/339) and 14 SMAC (14/339; 3.8%) plates. Rate of false positivity for colony picks from SMAC (n=13; 65%) media was almost 2-fold higher than that for CHROM (n=7; 35%). Conclusion: Routine use of chromogenic media for the investigation of E.coli O157’nin in the selected cases with bloody diarrhea is deemed appropriate.","PeriodicalId":428200,"journal":{"name":"Journal of Dr. Behcet Uz Children's Hospital","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114469091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Tanrıverdi, Seyran Bulut, Rengin Aycicek, O. Koroglu, M. Yalaz, F. Ozkinay, N. Kültürsay
{"title":"Camptomelic dysplasia: a case report.","authors":"S. Tanrıverdi, Seyran Bulut, Rengin Aycicek, O. Koroglu, M. Yalaz, F. Ozkinay, N. Kültürsay","doi":"10.5222/BUCHD.2012.040","DOIUrl":"https://doi.org/10.5222/BUCHD.2012.040","url":null,"abstract":"Skeletal dysplasias are hereditary diseases which are characterized with abnormally developed bones and connective tissues. Camptomelic dysplasia is a very rare skeletal dysplasia characterised by lethal outcome mainly during the neonatal period. This skletal dysplasia is characterized by bowed extremites most often of tibiae, scapula and clavicula hypoplasia, and vertebral abnormalities. Diagnosis of camptomelic dysplasia is usually based on clinical and radiographic findings. In many cases of camptomelic dysplasia, death occurs in the neonatal period due to breathing problems related to small chest size. We reported a newborn with camptomelic dysplasia diagnosed because of skeletal abnormalities.","PeriodicalId":428200,"journal":{"name":"Journal of Dr. Behcet Uz Children's Hospital","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125704527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hulya Kangal, Pamir Gülez, Umran Hekimoglu, M. Hızarcıoğlu
{"title":"Toxic epidermal necrolysis-Stevens Johnson overlap syndrome: a case report.","authors":"Hulya Kangal, Pamir Gülez, Umran Hekimoglu, M. Hızarcıoğlu","doi":"10.5222/BUCHD.2012.032","DOIUrl":"https://doi.org/10.5222/BUCHD.2012.032","url":null,"abstract":"Toxic epidermal necrolysis is seen rarely. It generally develops secondary to drugs and sometimes infection. It is characterized by peeling of the skin. Morbidity and mortality is very high. There is no definitive consensus about the treatment of toxic epidermal necrolysis. In this article, upper respiratory tract infection developed in male patients of 18 months beginning from 15. days of amoxycilline -clavulanic acid, terbutaline, and ibuprofen treatment with manifestations of skin rashes, and subsequent toxic epidermal necrolysis-Steven Johnson overlap syndrome. the first day follow-up and the three-day (400 mg/kg/day), Intravenous immunoglobulin (IVIG) therapy starting from the first day of follow-up, and maintained for 3 days at a dose of 400 mg/kg/day resulted in a dramatic improvement. With this case report we pointed to a life-threatening side effect of these drugs, and wanted to indicate that IVIG therapy is among effective, and safe therapeutic alternatives.","PeriodicalId":428200,"journal":{"name":"Journal of Dr. Behcet Uz Children's Hospital","volume":"66 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129346459","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nuriye Tasyurt, Ö. Olukman, Ş. Çalkavur, F. Atlihan, F. Kılıç, F. Genel, C. Vergin
{"title":"Diagnostic value of platelet parameters in neonatal sepsis.","authors":"Nuriye Tasyurt, Ö. Olukman, Ş. Çalkavur, F. Atlihan, F. Kılıç, F. Genel, C. Vergin","doi":"10.5222/buchd.2012.010","DOIUrl":"https://doi.org/10.5222/buchd.2012.010","url":null,"abstract":"","PeriodicalId":428200,"journal":{"name":"Journal of Dr. Behcet Uz Children's Hospital","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121971572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
K. Eliaçık, A. Kanık, S. Çelik, M. Buyukinan, Esin Albudak, A. R. Bakiler
{"title":"A case of Cushing's Syndrome due to overuse of topical steroid on the diaper area.","authors":"K. Eliaçık, A. Kanık, S. Çelik, M. Buyukinan, Esin Albudak, A. R. Bakiler","doi":"10.5222/buchd.2012.036","DOIUrl":"https://doi.org/10.5222/buchd.2012.036","url":null,"abstract":"Diaper dermatitis is one of the common problems in infancy and topical therapy with glucocorticoids are frequently used for treatment. However, prescription of preparations with potent corticosteroids and/or misuse of them without prescription might seldomly lead to Cushing Syndrome. We present an infant with diaper dermatitis who developed Cushing Syndrome due to prolonged clobetosel propionate use. With this case, it was also emphasized that patients who will receive treatment with topical steroids should be offered information about the dose, duration, and type of the treatment and their systemic side effects.","PeriodicalId":428200,"journal":{"name":"Journal of Dr. Behcet Uz Children's Hospital","volume":"185 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114736448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Tutanç, M. Karcıoğlu, H. Kocamaz, A. Güneş, A. Ozel, M. Boşnak, K. Haspolat
{"title":"Peroral poisoning leading to lung complications.","authors":"M. Tutanç, M. Karcıoğlu, H. Kocamaz, A. Güneş, A. Ozel, M. Boşnak, K. Haspolat","doi":"10.5222/BUCHD.2012.023","DOIUrl":"https://doi.org/10.5222/BUCHD.2012.023","url":null,"abstract":"Objective: Hydrocarbon compounds swallowed orally show their effects with tissue hypoxia, pulmonary irritation, and systemic toxicities. Pulmonary damage leads to various complications leading to death. In this study, cases of poisoning with paint thinner, turpentine, and kenaz were reported to call attention to the subject. Methods: Information related to the patients were gathered, retrospectively. Effects of inhaled corticosteroids for pulmonary complications were evaluated. Results were discussed in the light of the literature. Results: Twelve of them presented with pulmonary rales, six patients manifested severe respiratory distress, five patients had leukocytosis, and five patients fever. Besides three patients were unconscious, and two patients had impaired liver function tests. Interestingly, respiratory symptoms became prominent after a period of 24 hours in five patients. All patients were discharged within a period of 3 to 8 days after medical treatment. Conclusion: We used inhaled corticosteroids for the treatment of pulmonary complications, but further studies are required to certainly assert their beneficial effects in this field. Most of such type of poisoning can be avoided. On the other hand, parents should be aware of such dangers.","PeriodicalId":428200,"journal":{"name":"Journal of Dr. Behcet Uz Children's Hospital","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124326394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Prevalance of anemia among children.","authors":"S. Yazıcı, T. Çelik, K. Seyrek","doi":"10.5222/BUCHD.2012.006","DOIUrl":"https://doi.org/10.5222/BUCHD.2012.006","url":null,"abstract":"Objective: In this study, we aimed to determine the prevalance of anemia among patients at university hospital in Balıkesir City. Methods: 563 cases, without any chronic illness, who had been examined at outpatient pediatrics clinic of our hospital were retrospectically evaluated for the prevalence of anemia prevelance by perusing hospital records. Results: 265 (47.1%) of 563 cases who were consulted to our hospital were female and 298 (52.9%) were male. The mean age of the patients was 5.9±4.2 (5 mos-18 yrs) years. The mean hemoglobin value was 12.5±1.2 mg/dl (8.3-18 mg/dl). Mean corpuscular volume (MCV) was detected as 78.9±5.7 fL (56.9-101.9 fL). Mean red cell distrubition width (RDW) was 13.9±1.6 % (7.3-31.3%). Signs of anemia were present in 117 (20.8%), and iron deficiency anemia in 35 (6.2%) cases. Conclusion: Although anemia is common at all ages, it is mostly seen in children under two years old, due to iron deficiency. Anemia affects growth, development and cognitive functions. Thus iron supplementation is essential for prophylaxis and treatment.","PeriodicalId":428200,"journal":{"name":"Journal of Dr. Behcet Uz Children's Hospital","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132552737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
V. Arıca, I. Silfeler, S. Arıca, M. Tutanç, M. Dogan, Sebahat Gücük
{"title":"Vitamin B12 deficiency with presenting nutritional difficulty: a case report.","authors":"V. Arıca, I. Silfeler, S. Arıca, M. Tutanç, M. Dogan, Sebahat Gücük","doi":"10.5222/buchd.2012.044","DOIUrl":"https://doi.org/10.5222/buchd.2012.044","url":null,"abstract":"Vitamin B12 deficiency is among important causes of megaloblastic anemia. In developing countries, the major reason of Vitamin B12 deficiency is deficient dietary intake. Although vitamin B12 deficiency is a rare condition, early diagnosis and treatment are important to prevent permanent neurological sequela. Anorexia is seen frequently in children. We want to remind Vitamin B12 deficiency with this case presented with anorexia. A 12 month-old male patient presented with vomiting, weight loss, paleness, malnutrition, repulsion as well as growth retardation. Physical examination revealed paleness and loss of interest to environment. Hematologic test results were as follows: WBC: 6500 gr/dl, Hgb: 8.8 gr/dl, MCV: 96 fl, platelet count: 162.000/ mm3. Mean serum folic acid level of the patient was 19.4 ng/mL (3-22.4 ng/mL), and vitamin B12 level 72 pg/mL (200-1210 pg/mL), while mean vitamin B12 level of the mother was 96 pg/mL. The patient was diagnosed as vitamin B12 deficiency and intramuscular Vitamin B12 treatment was initiated. One month later, his vomiting ceased, his appetite was well and he gained 850 gr. His interest to environment was improved. We want to impress with this case that infants with anorexia might have vitamin B12 deficiency. Treatment of vitamin B12 deficiency is important because it might lead to permanent neurological sequela and vitamin B12 deficiency respond to treatment dramatically.","PeriodicalId":428200,"journal":{"name":"Journal of Dr. Behcet Uz Children's Hospital","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130505657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Talat Ecemiş, O. Yılmaz, T. Şanlıdağ, S. Akçalı, H. Yüksel
{"title":"Investigation of viral agents by multiplex PCR in children with symptoms of upper respiratory tract infection.","authors":"Talat Ecemiş, O. Yılmaz, T. Şanlıdağ, S. Akçalı, H. Yüksel","doi":"10.5222/buchd.2012.001","DOIUrl":"https://doi.org/10.5222/buchd.2012.001","url":null,"abstract":"Objective: We evaluate the results of “respiratory viral panel” tested in children with symptoms of acute upper respiratory tract infections. Methods: Multiplex PCR test results of nasopharyngeal swap samples of 160 symptomatic children were analyzed. Results: Fifty-five patients (34.4%) had PCR test positivity. Two (n=5 patients; 3.1%), and three (n=1; 0.6%) viral species were detected. Rhinovirus was the most frequently detected species (n= 14; 25.4%). Conclusion: It was concluded that multiplex PCR is a reliable test which can simultaneously detect numerous viruses in a short time in accordance with the results of this study.","PeriodicalId":428200,"journal":{"name":"Journal of Dr. Behcet Uz Children's Hospital","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125352817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A case of rotavirus infection-associated immune thrombocytopenic purpura.","authors":"Ö. Özdemir, M. Sürücü, Ayse Bucuk, A. Çetin","doi":"10.5222/BUCHD.2012.028","DOIUrl":"https://doi.org/10.5222/BUCHD.2012.028","url":null,"abstract":"Rotavirus gastroenteritis is one of the most common abacterial causes of childhood diarrhea. Typical course of rotavirus infection in all ages of patients consists of 2-3 days of lasting fever, vomiting and then subsequent development of watery bloodless diarrhea. Rotavirus infection, especially gastroenteritis with severe vomiting, may cause critical and life-threatening dehydration. Extraintestinal involvement related to rotavirus infection is not commonly reported. Immune thrombocytopenia may happen after some of viral infections; however it has never been reported to be associated with wild-type rotavirus gastroenteritis to date. Here, we present a three-yearold patient with fever, vomiting, diarrhea and generalized purpura, which thought to be related to rotavirus infection.","PeriodicalId":428200,"journal":{"name":"Journal of Dr. Behcet Uz Children's Hospital","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116778437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}