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Kılınc F, Çay Ü, Çetin FT, Tapac N, Ozgur Gundeslioglu O, Alabaz D. Intracranial Tuberculoma Developing During The Treatment Of A Case With Tuberculous Meningitis Caused By The Zoonotic Mycobacterium Caprae. Klin Padiatr 2024. [PMID: 38320583 DOI: 10.1055/a-2244-7061] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/08/2024]
Affiliation(s)
- Fatma Kılınc
- Department of Pediatric Infectious Diseases, Cukurova University Faculty of Medicine, Adana, Turkey
| | - Ümmühan Çay
- Department of Pediatric Infectious Diseases, Cukurova University Faculty of Medicine, Adana, Turkey
| | - Fatma Tuğba Çetin
- Department of Pediatric Infectious Diseases, Cukurova University Faculty of Medicine, Adana, Turkey
| | - Nisanur Tapac
- Department of Pediatric Infectious Diseases, Cukurova University Faculty of Medicine, Adana, Turkey
| | - Ozlem Ozgur Gundeslioglu
- Department of Pediatric Infectious Diseases, Cukurova University Faculty of Medicine, Adana, Turkey
| | - Derya Alabaz
- Department of Pediatric Infectious Diseases, Cukurova University Faculty of Medicine, Adana, Turkey
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Çay Ü, Alabaz D, Gündeşlioglu ÖÖ, Mirioglu A, Pehlivan UA. Skeletal Tuberculosis in Pediatric Population for 15 Years; Twenty Cases from Southern Turkey. Niger J Clin Pract 2023; 26:1602-1609. [PMID: 38044761 DOI: 10.4103/njcp.njcp_699_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2022] [Accepted: 07/21/2023] [Indexed: 12/05/2023]
Abstract
BACKGROUND Skeletal tuberculosis is rarely seen among extrapulmonary tuberculosis, especially in childhood because the diagnosis may be delayed for years due to diagnostic difficulties. In this study, it was aimed to evaluate the clinical characteristics, methods used in diagnosis, treatment specifics, and prognosis of patients diagnosed with bone joint tuberculosis in childhood. MATERIALS AND METHODS Twenty patients diagnosed with skeletal tuberculosis in our hospital between Jan 1, 2006, and Jan 1, 2021, were evaluated retrospectively. RESULTS The age of the patients ranged from seven to 191 months. 70% of the patients presented with complaints of pain, 50% with swelling, and 20% with limping. The duration of the complaints was 3.82 ± 4 months on average. While 65% of the patients had isolated skeletal TB, 30% were accompanied with pulmonary tuberculosis. Tuberculin skin test (TST) was positive in 13 (65%) patients. Seven (35%) of the patients were diagnosed with proven TB. The most frequent involvement was seen in knee bones (25%), followed by vertebra (15%), foot (15%), and wrist (15%) bones. In the radiological findings, 65% of the patients had mass, 45% destruction, 35% enhancement/edema, 5% calcification/sclerosis, 5% cyst, and 35% soft tissue abscess. In the follow-up, 50% of the patients recovered without sequelae. CONCLUSION Skeletal tuberculosis can easily be missed in childhood due to its slow insidious course, non-specific symptoms, and bone findings, resulting in delayed diagnosis and may lead to sequelae which affect lifelong quality of life. We should keep the possibility of skeletal tuberculosis in mind when we see the patients with limping or localized lesions accompanied with pain or swelling.
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Affiliation(s)
- Ü Çay
- Department of Pediatric, Pediatric Infectious Diseases, Çukurova University, Adana, Turkey
| | - D Alabaz
- Department of Pediatric, Pediatric Infectious Diseases, Çukurova University, Adana, Turkey
| | - Ö Ö Gündeşlioglu
- Department of Pediatric, Pediatric Infectious Diseases, Çukurova University, Adana, Turkey
| | - A Mirioglu
- Department of Orthopedics and Traumatology, Çukurova University, Adana, Turkey
| | - U A Pehlivan
- Radiology, Faculty of Medicine, Çukurova University, Adana, Turkey
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Tanır Basaranoğlu S, Karaaslan A, Salı E, Çiftçi E, Gayretli Aydın ZG, Aldemir Kocabaş B, Kaya C, Şen Bayturan S, Kara SS, Yılmaz Çiftdoğan D, Çay Ü, Gundogdu Aktürk H, Çelik M, Ozdemir H, Somer A, Diri T, Yazar AS, Sütçü M, Tezer H, Karadag Oncel E, Kara M, Çelebi S, Özkaya Parlakay A, Karakaşlılar S, Arısoy ES, Tanır G, Tural Kara T, Devrim İ, Erat T, Aykaç K, Kaba Ö, Güven Ş, Yeşil E, Tekin Yılmaz A, Yaşar Durmuş S, Çağlar İ, Günay F, Özen M, Dinleyici EÇ, Kara A. Antibiotic associated diarrhea in outpatient pediatric antibiotic therapy. BMC Pediatr 2023; 23:121. [PMID: 36932373 PMCID: PMC10024443 DOI: 10.1186/s12887-023-03939-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/01/2022] [Accepted: 03/02/2023] [Indexed: 03/19/2023] Open
Abstract
BACKGROUND Antibiotic-associated diarrhea is one of the most frequent side effects of antimicrobial therapy. We assessed the epidemiological data of antibiotic-associated diarrhea in pediatric patients in our region. METHODS The prospective multi-center study included pediatric patients who were initiated an oral antibiotic course in outpatient clinics and followed in a well-established surveillance system. This follow-up system constituded inclusion of patient by the primary physician, supply of family follow-up charts to the family, passing the demographics and clinical information of patient to the Primary Investigator Centre, and a close telephone follow-up of patients for a period of eight weeks by the Primary Investigator Centre. RESULTS A result of 758 cases were recruited in the analysis which had a frequency of 10.4% antibiotic-associated diarrhea. Among the cases treated with amoxicillin-clavulanate 10.4%, and cephalosporins 14.4% presented with antibiotic-associated diarrhea. In the analysis of antibiotic-associated diarrhea occurrence according to different geographical regions of Turkey, antibiotic-associated diarrhea episodes differed significantly (p = 0.014), particularly higher in The Eastern Anatolia and Southeastern Anatolia. Though most commonly encountered with cephalosporin use, antibiotic-associated diarrhea is not a frequent side effect. CONCLUSION This study on pediatric antibiotic-associated diarrhea displayed epidemiological data and the differences geographically in our region.
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Affiliation(s)
- Sevgen Tanır Basaranoğlu
- Department of Pediatric Infectious Diseases, Hacettepe University Faculty of Medicine, Ankara, 06100, Turkey
| | - Ayşe Karaaslan
- Department of Pediatric Infectious Diseases, Istanbul Lutfi Kirdar Kartal Training and Research Hospital, Istanbul, Turkey
| | - Enes Salı
- Department of Pediatric Infectious Diseases, Sanliurfa Training and Research Hospital, Sanliurfa, Turkey
| | - Ergin Çiftçi
- Department of Pediatric Infectious Diseases, Ankara University, Ankara, Turkey
| | | | - Bilge Aldemir Kocabaş
- Department of Pediatric Infectious Diseases, Antalya Akdeniz University, Antalya, Turkey
| | - Cemil Kaya
- Department of Pediatrics, Sanliurfa Training and Research Hospital, Sanliurfa, Turkey
| | - Semra Şen Bayturan
- Department of Pediatric Infectious Diseases, Manisa Celal Bayar University, Manisa, Turkey
| | - Soner Sertan Kara
- Department of Pediatric Infectious Diseases, Erzurum Training and Research Hospital, Erzurum, Turkey
| | - Dilek Yılmaz Çiftdoğan
- Department of Pediatric Infectious Diseases, Saglik Bilimleri University, Izmir Tepecik Training and Research Hospital, Izmir, Turkey
| | - Ümmühan Çay
- Department of Pediatric Infectious Diseases, Trabzon Kanuni Training and Research Hospital, Trabzon, Turkey
| | - Hacer Gundogdu Aktürk
- Department of Pediatric Infectious Diseases, Istanbul Zeynep Kamil Women and Children Training and Research Hospital, Istanbul, Turkey
| | - Melda Çelik
- Department of Pediatric Infectious Diseases, Ankara Kecioren Training and Research Hospital, Ankara, Turkey
| | - Halil Ozdemir
- Department of Pediatric Infectious Diseases, Ankara University, Ankara, Turkey
| | - Ayper Somer
- Department of Pediatric Infectious Diseases, Istanbul Medical School, Istanbul University, Istanbul, Turkey
| | - Tijen Diri
- Department of Pediatrics, Istanbul Acıbadem Atakent Hospital, Istanbul, Turkey
| | - Ahmet Sami Yazar
- Department of Pediatrics, Istanbul Umraniye Training and Research Hospital, Istanbul, Turkey
| | - Murat Sütçü
- Department of Pediatric Infectious Diseases, Konya Training and Research Hospital, Konya, Turkey
| | - Hasan Tezer
- Department of Pediatric Infectious Diseases, Ankara Gazi University, Ankara, Turkey
| | - Eda Karadag Oncel
- Department of Pediatric Infectious Diseases, Saglik Bilimleri University, Izmir Tepecik Training and Research Hospital, Izmir, Turkey
| | - Manolya Kara
- Department of Pediatric Infectious Diseases, Istanbul Medical School, Istanbul University, Istanbul, Turkey
| | - Solmaz Çelebi
- Department of Pediatric Infectious Diseases, Bursa Uludag University, Bursa, Turkey
| | - Aslınur Özkaya Parlakay
- Department of Pediatric Infectious Diseases, Ankara Yildirim Beyazit University, Ankara, Turkey
| | | | - Emin Sami Arısoy
- Department of Pediatric Infectious Diseases, Kocaeli University, Kocaeli, Turkey
| | - Gönül Tanır
- Department of Pediatric Infectious Diseases, Ankara Doktor Sami Ulus Women and Children Training and Research Hospital, Ankara, Turkey
| | - Tuğçe Tural Kara
- Department of Pediatric Infectious Diseases, Hatay State Hospital, Hatay, Turkey
| | - İlker Devrim
- Department of Pediatric Infectious Diseases, Izmir Doktor Behcet Uz Children's Hospital, İzmir, Turkey
| | - Tuğba Erat
- Department of Pediatric Infectious Diseases, Ankara University, Ankara, Turkey
| | - Kübra Aykaç
- Department of Pediatric Infectious Diseases, Hacettepe University Faculty of Medicine, Ankara, 06100, Turkey
| | - Özge Kaba
- Department of Pediatric Infectious Diseases, Istanbul Medical School, Istanbul University, Istanbul, Turkey
| | - Şirin Güven
- Department of Pediatrics, Istanbul Umraniye Training and Research Hospital, Istanbul, Turkey
| | - Edanur Yeşil
- Department of Pediatric Infectious Diseases, Bursa Uludag University, Bursa, Turkey
| | - Ayşe Tekin Yılmaz
- Department of Pediatric Infectious Diseases, Kocaeli University, Kocaeli, Turkey
| | - Sevgi Yaşar Durmuş
- Department of Pediatric Infectious Diseases, Ankara Doktor Sami Ulus Women and Children Training and Research Hospital, Ankara, Turkey
| | - İlknur Çağlar
- Department of Pediatric Infectious Diseases, Izmir Doktor Behcet Uz Children's Hospital, İzmir, Turkey
| | - Fatih Günay
- Department of Pediatrics, Ankara University, Ankara, Turkey
| | - Metehan Özen
- Department of Pediatric Infectious Diseases, Istanbul Acıbadem Atakent Hospital, Istanbul, Turkey
| | | | - Ateş Kara
- Department of Pediatric Infectious Diseases, Hacettepe University Faculty of Medicine, Ankara, 06100, Turkey.
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Özgür Gündeşlioğlu Ö, Subaşı B, Pişkin F, Atmış A, Demir F, Erdem S, Alabaz D, Çay Ü, Tapaç N, Kılınç F, Kaymaz ST, Özgür Horoz Ö, Yıldızdaş RD, Ünal İ. Cardiac effects of multisystem inflammatory syndrome in children: One-year follow-up. J Paediatr Child Health 2023; 59:637-643. [PMID: 36786503 DOI: 10.1111/jpc.16363] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/21/2022] [Revised: 12/27/2022] [Accepted: 01/23/2023] [Indexed: 02/15/2023]
Abstract
AIM Cardiovascular involvement is common among children with multisystem inflammatory syndrome (MIS-C) and can cause shock and death. In this study, we evaluated the early and long-term cardiac effects of MIS-C. METHODS In this observational cohort study, we included all children treated for MIS-C from October 2020 to November 2021 in the Department of Paediatric Infectious Disease at Cukurova University School of Medicine Hospital. The patients underwent serial echocardiographical evaluation during hospitalisation and at 1, 3, 6 and 12 months after discharge. The patients were evaluated using Holter monitorisation between 4 and 6 months and using cardiac magnetic resonance imaging at 6 months and thereafter. RESULTS Twenty-six patients diagnosed with MIS-C and with a median age of 84 months were included. Cardiac involvement was found in 19 (73.1%) patients. At initial echocardiographic evaluation, the mean ejection fraction value of the patients was 56.7% (range: 30-75). Coronary artery dilatation was detected in two (7.7%) patients, and mitral regurgitation persisted in only one patient by month 3. Treatment was started in two (7.7%) patients due to ventricular arrhythmia. Cardiac magnetic resonance imaging was performed in 13 (50%) patients at a median of 6 months (range: 5-9). The cardiac magnetic resonance imaging findings were consistent with possible interstitial fibrosis in two (7.7%) patients. CONCLUSION Our results showed that cardiac involvement of patients improved rapidly with treatment, as indicated by previous studies. However, during the 1-year follow-up, frequent extraventricular systole was detected in two patients, one of whom initially did not show cardiac involvement. Moreover, possible interstitial fibrosis was detected in the cardiac magnetic resonance imaging (MRI) evaluation of two patients. In particular, we believe that these findings may be useful to evaluate critically ill paediatric patients and patients with severely low EF with cardiac MRI in their follow-up.
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Affiliation(s)
- Özlem Özgür Gündeşlioğlu
- Department of Pediatric Infectious Diseases, School of Medicine, Balcalı Hospital, Cukurova University, Adana, Turkey
| | - Berivan Subaşı
- Department of Pediatric Cardiology, School of Medicine, Balcalı Hospital, Cukurova University, Adana, Turkey
| | - Ferhat Pişkin
- Department of Radiology, School of Medicine, Balcalı Hospital, Cukurova University, Adana, Turkey
| | - Anıl Atmış
- Department of Pediatric Cardiology, School of Medicine, Balcalı Hospital, Cukurova University, Adana, Turkey
| | - Fadli Demir
- Department of Pediatric Cardiology, School of Medicine, Balcalı Hospital, Cukurova University, Adana, Turkey
| | - Sevcan Erdem
- Department of Pediatric Cardiology, School of Medicine, Balcalı Hospital, Cukurova University, Adana, Turkey
| | - Derya Alabaz
- Department of Pediatric Infectious Diseases, School of Medicine, Balcalı Hospital, Cukurova University, Adana, Turkey
| | - Ümmühan Çay
- Department of Pediatric Infectious Diseases, School of Medicine, Balcalı Hospital, Cukurova University, Adana, Turkey
| | - Nisanur Tapaç
- Department of Pediatric Infectious Diseases, School of Medicine, Balcalı Hospital, Cukurova University, Adana, Turkey
| | - Fatma Kılınç
- Department of Pediatric Infectious Diseases, School of Medicine, Balcalı Hospital, Cukurova University, Adana, Turkey
| | - Selime T Kaymaz
- Department of Pediatric Infectious Diseases, School of Medicine, Balcalı Hospital, Cukurova University, Adana, Turkey
| | - Özden Özgür Horoz
- Department of Pediatric Intensive Care, School of Medicine, Balcalı Hospital, Cukurova University, Adana, Turkey
| | - Rıza D Yıldızdaş
- Department of Pediatric Intensive Care, School of Medicine, Balcalı Hospital, Cukurova University, Adana, Turkey
| | - İlker Ünal
- Department of Biostatistics, School of Medicine, Balcalı Hospital, Cukurova University, Adana, Turkey
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5
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Bayhan Gİ, Kaman A, Taşkın EÇ, Öz FN, Gayretli-Aydın ZG, Özdemir H, Ocak F, Türel Ö, Çay Ü, Çiftçi E, Akcan ÖM, Aydın Teke T, Duramaz BB, Doğan M, İnce E, Tanır G, Kara A. Community-acquired S. aureus infection in childhood: a multi-center study. Turk J Pediatr 2023; 65:469-478. [PMID: 37395966 DOI: 10.24953/turkjped.2021.4583] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/04/2023]
Abstract
BACKGROUND The prevalence of community-acquired methicillin-resistant S. aureus (CA-MRSA) has been increasing worldwide. We aimed to investigate the prevalence of MRSA in community-acquired S. aureus infections, the risk factors for CA-MRSA infection and the clinical features of CA-MRSA. METHODS A multi-center study with prospective and retrospective sections was conducted. Patients ≥ 3 months old and ≤18 years of age who were diagnosed with community-acquired S. aureus infections were included in this study and the patients` information were reviewed from the medical and microbiological database of the hospital. A standard question form about living conditions and exposure risk factors was administered to the parents of patients. The CA-MRSA infections were compared with the methicillin-susceptible S. aureus (CAMSSA) infections in terms of the queried risk factors and clinical variables. RESULTS We identified 334 pediatric patients with S. aureus infection, 58 (17.4%) had an infection with CAMRSA. The refugee rate was higher in the CA-MRSA group. There was no significant difference regarding the exposure risk. The treatment modalities and outcomes were similar. CONCLUSIONS The study was not able to show reliable clinical variables or epidemiological risk factors except for being a refugee for CA-MRSA infections. Empirical antibiotic treatment should therefore be determined according to the local CA-MRSA prevalence in patients presenting with a possible staphylococcus infection.
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Affiliation(s)
- Gülsüm İclal Bayhan
- Department of Pediatric Infectious Disease, Yıldırım Beyazıt University Faculty of Medicine, Yenimahalle Educational and Training Hospital, Ankara
| | - Ayşe Kaman
- Department of Pediatric Infectious Diseases, Dr. Sami Ulus Children's Health and Diseases Training and Research Hospital, Ankara
| | - Esra Çakmak Taşkın
- Department of Pediatric Infectious Diseases, Ankara University Faculty of Medicine, Ankara
| | - Fatma Nur Öz
- Department of Pediatric Infectious Diseases, Dr. Sami Ulus Children's Health and Diseases Training and Research Hospital, Ankara
| | | | - Halil Özdemir
- Department of Pediatric Infectious Diseases, Ankara University, Faculty of Medicine, Ankara
| | - Fatih Ocak
- Department of Microbiology, Yıldırım Beyazıt University, Faculty of Medicine, Yenimahalle Educational and Training Hospital, Ankara
| | - Özden Türel
- Departments of Pediatric Infectious Diseases, Bezmialem Vakıf University, İstanbul
| | - Ümmühan Çay
- Departments of Pediatric Infectious Diseases, Trabzon Kanuni Training and Research Hospital, Trabzon
| | - Ergin Çiftçi
- Department of Pediatric Infectious Diseases, Ankara University, Faculty of Medicine, Ankara
| | - Özge Metin Akcan
- Department of Pediatric Infectious Diseases, Necmettin Erbakan University Meram Faculty of Medicine, Konya
| | - Türkan Aydın Teke
- Department of Pediatric Infectious Diseases, Dr. Sami Ulus Children's Health and Diseases Training and Research Hospital, Ankara
| | - Burcu Bursal Duramaz
- Departments of Pediatric Infectious Diseases, Bezmialem Vakıf University, İstanbul
| | - Metin Doğan
- Department of Pediatric Infectious Diseases, Necmettin Erbakan University Meram Faculty of Medicine, Konya
| | - Erdal İnce
- Department of Pediatric Infectious Diseases, Ankara University Faculty of Medicine, Ankara
| | - Gönül Tanır
- Department of Pediatric Infectious Diseases, Dr. Sami Ulus Children's Health and Diseases Training and Research Hospital, Ankara
| | - Ateş Kara
- Department of Pediatric Infectious Diseases, Hacettepe University, Faculty of Medicine, Ankara, Türkiye
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Çay Ü, Alabaz D, Özgür Gündeşlioğlu Ö, Kibar F, Çetin C, Oktay K. Experience with enterococcal meningitis/ventriculitis in children. Pediatr Int 2023; 65:e15398. [PMID: 36305209 DOI: 10.1111/ped.15398] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/13/2022] [Revised: 10/06/2022] [Accepted: 10/26/2022] [Indexed: 01/05/2023]
Abstract
BACKGROUND Enterococcal infections are increasingly common in hospitalized patients. Enterococcal meningitis/ventriculitis (EMV) is an extremely rare condition of enterococcal infections, occurring particularly in children. This study investigated the clinical and microbiological characteristics, predisposing factors, and prognosis in pediatric patients with EMV. METHODS Pediatric patients (<18 years) diagnosed with EMV were retrospectively evaluated over 10 years. RESULTS The study included a total of 25 isolates from 24 patients, median age 23 months (range: 1-136 months). The most common symptoms included vomiting, fever, and headache, with hydrocephalus shunt and preterm birth being the two most common conditions. Commonly associated infections, with central nervous system (CNS) devices as a predisposing factor, were due to external ventricular drainage and ventriculoperitoneal shunts. Two patients with spontaneous meningitis were preterm infant. Of the isolates, 44% were Enterococcus faecalis, 44% E. faecium, and 12% E. gallinarum. Five (20%) isolates were vancomycin resistant. Twelve patients were resistant to anti-enterococcal antibiotics, including ampicillin, ciprofloxacin, imipenem, teicoplanin, gentamicin, and linezolid (40%, 20%, 8%, 8%, 4%, and 4%, respectively). Enterococcus faecium was more resistant to ampicillin, ciprofloxacin, teicoplanin, and vancomycin than E. faecalis. The median treatment duration was 17 days (interquartile range: 14-26 days).The mortality rate was 8.3% (2/24; both associated with vancomycin resistance). CONCLUSIONS Neurosurgical conditions are the most common predisposing factors for EMV. Preterm birth is an important predisposing factor in children. Because EMV is nonspecific in clinical findings, it should be considered when there is an underlying CNS disorder and empirical treatment should begin in this direction.
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Affiliation(s)
- Ümmühan Çay
- Pediatric Infectious Diseases, Faculty of Medicine, Çukurova University, Adana, Turkey
| | - Derya Alabaz
- Pediatric Infectious Diseases, Faculty of Medicine, Çukurova University, Adana, Turkey
| | | | - Filiz Kibar
- Department of Microbiology, Faculty of Medicine, Çukurova University, Adana, Turkey
| | - Ceren Çetin
- Department of Pediatric Infectious Diseases, Kartal Dr Lutfi Kırdar City Hospital, University of Health Sciences, Istanbul, Turkey
| | - Kadir Oktay
- Department of Neurosurgery, Faculty of Medicine, Çukurova University, Adana, Turkey
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Çay Ü, Tutus K, Aygüneş U, Pehlivan UA, Aksin M, Dayar GT, Alabaz D. Pulmonary Hydatid Cyst and Aspergillus Coexistence in a Child with Acute Leukemia: a Rare Case Report. Klin Padiatr 2022; 234:395-397. [PMID: 36195113 DOI: 10.1055/a-1924-7441] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/10/2022]
Affiliation(s)
- Ümmühan Çay
- Pediatric Infectious Diseases, Faculty of Medicine, Cukurova University, adana, Turkey
| | - Kamuran Tutus
- Department of Pediatric Surgery, Cukurova University Faculty of Medicine, Adana, Turkey
| | - Utku Aygüneş
- Pediatric Hematology and Oncology, Acibadem University, Istanbul, Turkey
| | | | - Merve Aksin
- Department of Radiology, Cukurova University Faculty of Medicine, Adana, Turkey
| | | | - Derya Alabaz
- Pediatric Infectious Diseases, Faculty of Medicine, Cukurova University, adana, Turkey
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Kılınç F, Çay Ü, Gündeşlioğlu ÖÖ, Alabaz D, Oktay K, OPehlivanktay UA. Recurrence from the Spinal Region of the Patient Whose Treatment Was Completed with Liver and Lung Cystic Echinococcosis: A Rare Pediatric Case of Spinal Cystic Echinococcosis. Turkiye Parazitol Derg 2022; 46:246-248. [PMID: 36094129 DOI: 10.4274/tpd.galenos.2022.63634] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
Cystic echinococcosis is a parasitic disease caused by the Echinococcus tapeworm. The disease can often affect organs such as the liver and lungs, muscles, bones, kidneys, brain, and spleen. Spinal cystic echinococcosis has been reported very rarely in the literature. In this report; we present a pediatric case with spinal cystic echinococcosis, who was diagnosed with multiple cystic echinococcosis in the liver and lungs and was admitted with complaints of difficulty in walking and leg pain 1 year after the albendazole treatment, which he had been taking for 3.5 years. If a diagnosis of cystic echinococcosis was made in any organ, recurrences may occur in another organ at some time, even if the treatment is completed.
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Affiliation(s)
- Fatma Kılınç
- Çukurova Üniversitesi Tıp Fakültesi, Çocuk Sağlığı ve Hastalıkları Anabilim Dalı, Çocuk Enfeksiyon Bilim Dalı, Adana, Türkiye
| | - Ümmühan Çay
- Çukurova Üniversitesi Tıp Fakültesi, Çocuk Sağlığı ve Hastalıkları Anabilim Dalı, Çocuk Enfeksiyon Bilim Dalı, Adana, Türkiye
| | - Özlem Özgür Gündeşlioğlu
- Çukurova Üniversitesi Tıp Fakültesi, Çocuk Sağlığı ve Hastalıkları Anabilim Dalı, Çocuk Enfeksiyon Bilim Dalı, Adana, Türkiye
| | - Derya Alabaz
- Çukurova Üniversitesi Tıp Fakültesi, Çocuk Sağlığı ve Hastalıkları Anabilim Dalı, Çocuk Enfeksiyon Bilim Dalı, Adana, Türkiye
| | - Kadir Oktay
- Çukurova Üniversitesi Tıp Fakültesi, Beyin ve Sinir Cerrahi Anabilim Dalı, Adana, Türkiye
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Çay Ü, Alabaz D, Ö Gündeşlioglu Ö, Tutuş K, K Çil M, Pehlivan UA. Multi-organ/disseminated echinococcosis in children: Case series and review of the literature. J Paediatr Child Health 2022; 58:1193-1200. [PMID: 35262239 DOI: 10.1111/jpc.15942] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/01/2021] [Revised: 01/24/2022] [Accepted: 02/23/2022] [Indexed: 11/30/2022]
Abstract
AIM Echinococcosis with multi-organ/disseminated involvement is rare in childhood. We aimed to evaluate the clinical and laboratory characteristics and prognosis in paediatric patients with echinococcosis having multiorgan/disseminated involvement. METHOD We evaluated retrospectively children with echinococcosis with involvement of three or more organs. RESULTS Thirteen patients were included in the study. The median age was 120 (range 71-189) months. Three (23%) were diagnosed incidentally. Abdominal pain was seen in 5 (38.4%) patients, vomiting in 4 (30.7%), headache in 3 (23%), cough in 2 (15.3%), groin pain in 1 (7.6%), 1 (7.6%) had jaundice and 1 (7.6%) had fever. The median duration of complaints was 48 (0-140) days. The most common tripartite organ was 38.4% (5/13) liver, lung and spleen. Isolated abdominal dissemination was detected in two patients. Two patients had multi-organ involvement and multiple cysts with dissemination. Cyst rupture was observed in three of the patients; recurrent urinary tract infection, hydroureteronephrosis, secondary peritonitis with intra-abdominal abscess, and biliary tract fistula were each observed in one patient. Relapse developed in 3 (23%) patients. CONCLUSION Echinococcosis is a very slow growing and complex parasitic disease that affects many organs and tissues. In our study, eosinophilia, recurrence, and complications were seen at a higher rate in paediatric patients with multiorgan involvement, who required repetitive surgeries and long-term medical treatment. However, there are scanty data on risk factors, optimum treatment and prognosis.
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Affiliation(s)
- Ümmühan Çay
- Department of Pediatric Infectious, Faculty of Medicine, Cukurova University, Adana, Turkey
| | - Derya Alabaz
- Department of Pediatric Infectious, Faculty of Medicine, Cukurova University, Adana, Turkey
| | - Özlem Ö Gündeşlioglu
- Department of Pediatric Infectious, Faculty of Medicine, Cukurova University, Adana, Turkey
| | - Kamuran Tutuş
- Department of Pediatric Surgery, Faculty of Medicine, Çukurova University, Adana, Turkey
| | - Merve K Çil
- Department of Pediatric Infectious, Adana City Training and Research Hospital, Adana, Turkey
| | - Umur A Pehlivan
- Department of Radiology, Faculty of Medicine, Çukurova University, Adana, Turkey
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10
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Kılıç Çil M, Özgür Gündeşlioğlu Ö, Çay Ü, Sönmez G, Orhan Ok Z, Kocatepe DG, Soyupak S, Efe C, Ünal İ, Alabaz D, Kocabaş E. Pnömoni Tanısı ile Hastanede İzlenen Çocuk Hastaların Demografik, Klinik, Radyolojik Özelliklerinin ve Tedavi Sonuçlarının Değerlendirilmesi. J Pediatr Inf 2022. [DOI: 10.5578/ced.20229817] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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11
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Alabaz D, Çay Ü. Tuberculous meningitis during infancy: 26 cases in South Turkey among 20 years. Childs Nerv Syst 2022; 38:611-618. [PMID: 34841468 DOI: 10.1007/s00381-021-05417-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/15/2021] [Accepted: 11/16/2021] [Indexed: 11/27/2022]
Abstract
BACKGROUND Due to the lack of a standard case definifion and the diffuculty in estabilishing a definitive diagnsos, TB in children needs increasing attention by physicians caring for pediatric patients. Tuberculous meningitis (TBM) is the most serious form of extrapulmonary tuberculosis that is associated with significant morbidity and mortality rate in the pediatric age group, especially in infants. This descriptive study was conducted in an University hospital, at the South of Turkey, from May 1999 to May 2019. METHODS The hospital records of 26 TBM infant that was diagnosed at our hospital were retrospectively evaluated. The epidemiological findings (age, gender, family history of TB, tuberculin skin test results, status of BCG scaring), stage of TBM at admission and clinical, laboratory and radiological features were collected. RESULTS Of the 26 infants, 61.5% were male and mean age of the patients was 7,65±2,6 (range, 3-12 months). The history of close contact with an infected adult was encountered in 73.1% (19 infant) of the cases. Only 69.2% of the patients (18 case) had a BCG scar. The prodromal stage (period between the onset of symptoms to hospital admission) ranged from 4 days to 180 days (39±51.3). 2 cases were defined as stage I, 10 cases as stage II and 14 cases as stage III TBM. Only two patients were initially positive for PPD test. While no neurological findings were found in 2 patients (diagnosed as stage I), neurologic findings at the time of admission included increased intracranial pressure; alteration in consciousness (92.3%), seizures (88.4%), vomiting (61.5%) cranial nerve palsy (23%), irritability 19.2%, hemiplegia 15.3% and meningeal signs (7%, only 2 patients). The presence of hepatomegaly 26.9 % and/or splenomegaly 11.5 % and/or extrapulmonary lymphadenopathy 3.8 % in nearly half of the cases suggested that totally 42,2% of cases had disseminated of tuberculosis. On admission, 46.1% of the patients were noted to have hyponatremia. Microbiologic confirmation was established in eleven (42.3%) of the 26 infant. A positive CSF culture for Mtb and/or smear for AFB and/or PCR was obtained in only 5 (19.2%) patients, whereas 3 of the cases had accompaining gastric aspirate examination positivity. Pulmonary consolidation in 14 (53.8%) patients, miliary patern in 10 (41.6%) and pulmonary hilar lymphadenopathy in only 5 (20.8%) patients. 23 (88.4 %) had hydrocephalus, 15 (57.6 %) infarction, 10 (38.4 %) basilar meningitis and 9 (34.6%) tuberculomas. Empiric anti-tuberculosis treatment was instituted in all, at a median of 3 days (range 1-15 days) following admission. 8 (30.7%) died, 3 (11.5%) recovered completely, and 15 (57.6%) recovered with sequelae. 12 case (2 died) of the infants had required ventriculoperitoneal shunting. CONCLUSION As early diagnosis and specific treatment appears to prevent serious complications and reduce mortality, a high index of suspicion among pediatricians is especially required in an infant with an atypical picture suggestive of tuberculosis infection.
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Affiliation(s)
- Derya Alabaz
- Department of Pediatrics, Pediatric Infectious Diseases, Faculty of Medicine, Cukurova University, Adana, Turkey
| | - Ümmühan Çay
- Department of Pediatrics, Pediatric Infectious Diseases, Faculty of Medicine, Cukurova University, Adana, Turkey
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12
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Akaslan Kara A, Çay Ü, Yalçınkaya R, Erdeniz EH, Tural Kara T, Özdemir H, Güner Özenen G, Polat M, Gayretli Aydın ZG, Alkan G, Kepenekli E, Gündeşlioğlu ÖÖ, Kıymet E, Birinci A, Kibar F, Böncüoğlu E, Şahbudak Bal Z, Alabaz D, Çiftçi E, Tanır G, Bayram N, Cengiz AB, Devrim İ. Bloodstream infections due to Trichosporon species in paediatric patients: Results from the first national study from Turkey. J Mycol Med 2021; 32:101229. [PMID: 34911023 DOI: 10.1016/j.mycmed.2021.101229] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2021] [Revised: 11/17/2021] [Accepted: 11/19/2021] [Indexed: 11/16/2022]
Abstract
BACKGROUND Invasive Trichosporon infections are rarely seen opportunistic fungal infections in children and mainly affect immunocompromised patients. This multicenter retrospective study has rewieved the characteristics, risk factors, treatment modalities and outcomes of bloodstream infections caused by Trichosporon species in children diagnosed over the past ten years in Turkey. METHODS The study was performed with the participation of 12 of 55 hospitals invited from Turkey. In each center, the patients with bloodstream infections caused by Trichosporon spp. between January 2010 and December 2020 were retrospectively ascertained and the results were reported to the study coordinator by means of a simple case report. Data were collected on patient demographics, underlying condition(s), treatment of.infections caused by Trichosporon spp, and 7 and 30- day mortality rates. RESULTS A total of 28 cases with fungemia caused by Trichosporon spp. were included in the study. The most common underlying disease was paediatric cancers (39.3%). T. asahii infections were detected in 78.5 % (n=22) of patients. A various spectrum of antifungal treatment regimens were used including intravenous amphotericin B monotherapy in 35.7%, intravenous amphotericin B and voriconazole combination in 32.1% and intravenous voriconazole monotherapy in 28.6% of the patients. The overall mortality rate was 28.5 %. The mortality rates were 12.5% in the voricanozole, 30% in the amphotericin B and 33.3% in combined voriconazole -amphotericin B arms CONCLUSIONS: Invasive Trichosporon infections with an important impact of patients quality of life are almost related to underlying diseases with an overall mortality rate of 28.5%. Voriconazole was found to be associated with lower mortality rates when compared with other treatment regimens.
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Affiliation(s)
- Aybüke Akaslan Kara
- Department of Pediatric Infectious Diseases, Dr. Behçet Uz Children's Diseases and Surgery Training and Research Hospital, İzmir, Turkey.
| | - Ümmühan Çay
- Department of Pediatric Infectious Diseases, Cukurova University Faculty of Medicine, Adana, Turkey
| | - Rumeysa Yalçınkaya
- Department of Pediatric Infectious Diseases, Dr. Sami Ulus Children's Health and Diseases Training and Research Hospital, Ankara, Turkey
| | - Emine Hafize Erdeniz
- Department of Pediatric Infectious Diseases, Ondokuz Mayis University Faculty of Medicine, Samsun, Turkey
| | - Tuğçe Tural Kara
- Department of Pediatric Infectious Diseases, Akdeniz University Faculty of Medicine, Antalya, Turkey
| | - Halil Özdemir
- Department of Pediatric Infectious Diseases, Ankara University Faculty of Medicine, Ankara, Turkey
| | - Gizem Güner Özenen
- Department of Pediatric Infectious Diseases, Ege University Faculty of Medicine, İzmir, Turkey
| | - Meltem Polat
- Department of Pediatric Infectious Diseases, Pamukkale University Faculty of Medicine, Denizli, Turkey
| | - Zeynep Gökçe Gayretli Aydın
- Department of Pediatric Infectious Diseases, Karadeniz Technical University Faculty of Medicine, Trabzon, Turkey
| | - Gülsüm Alkan
- Department of Pediatric Infectious Diseases, Selcuk University Faculty of Medicine, Konya, Turkey
| | - Eda Kepenekli
- Department of Pediatric Infectious Diseases, Marmara University Faculty of Medicine, Istanbul, Turkey
| | - Özlem Özgür Gündeşlioğlu
- Department of Pediatric Infectious Diseases, Cukurova University Faculty of Medicine, Adana, Turkey
| | - Elif Kıymet
- Department of Pediatric Infectious Diseases, Dr. Behçet Uz Children's Diseases and Surgery Training and Research Hospital, İzmir, Turkey
| | - Asuman Birinci
- Department of Microbiology, Ondokuz Mayis University Faculty of Medicine, Samsun, Turkey
| | - Filiz Kibar
- Department of Microbiology, Cukurova University Faculty of Medicine, Adana, Turkey
| | - Elif Böncüoğlu
- Department of Pediatric Infectious Diseases, Dr. Behçet Uz Children's Diseases and Surgery Training and Research Hospital, İzmir, Turkey
| | - Zümrüt Şahbudak Bal
- Department of Pediatric Infectious Diseases, Ege University Faculty of Medicine, İzmir, Turkey
| | - Derya Alabaz
- Department of Pediatric Infectious Diseases, Cukurova University Faculty of Medicine, Adana, Turkey
| | - Ergin Çiftçi
- Department of Pediatric Infectious Diseases, Ankara University Faculty of Medicine, Ankara, Turkey
| | - Gönül Tanır
- Department of Pediatric Infectious Diseases, Dr. Sami Ulus Children's Health and Diseases Training and Research Hospital, Ankara, Turkey
| | - Nuri Bayram
- Department of Pediatric Infectious Diseases, Dr. Behçet Uz Children's Diseases and Surgery Training and Research Hospital, İzmir, Turkey
| | - Ali Bülent Cengiz
- Department of Pediatric Infectious Diseases, Hacettepe University Faculty of Medicine, Ankara, Turkey
| | - İlker Devrim
- Department of Pediatric Infectious Diseases, Dr. Behçet Uz Children's Diseases and Surgery Training and Research Hospital, İzmir, Turkey
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13
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Özcanaslan FÇ, Çay Ü, Özgür Gündeşlioğlu Ö, Ünal İ, Kocabaş E. Retrospective Evalution of Pediatric Brucella Patients Followed and Family Screening with Household Members for Brucella Infection. J Pediatr Inf 2021. [DOI: 10.5578/ced.202119813] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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14
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Özcanaslan FÇ, Çay Ü, Özgür Gündeşlioğlu Ö, Ünal İ, Kocabaş E. Retrospective Evalution of Pediatric Brucella Patients Followed and Family Screening with Household Members for Brucella Infection. J Pediatr Inf 2021. [DOI: 10.5578/ced.202119801] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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15
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Çay Ü, Dağdelen EÇ, Özçelik Z, Tolunay O. A Paediatric Case of Pulmonary Hydatid Cyst Presented with Mediastinal Lymphadenopathy. Turkiye Parazitol Derg 2021; 44:270-272. [PMID: 33269577 DOI: 10.4274/tpd.galenos.2020.7046] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
Hydatid cyst is a common zoonosis caused by larval forms of tapeworms called Echinococcus. The problem often occurs in the liver or lung. Cyst rupture and secondary bacterial infection are the most important complications of pulmonary hydatid cyst (PHC). PHC may mimic serious lung diseases such as treatment-resistant pneumonia, tuberculosis, and tumours. This report discusses the case of a paediatric patient with PHC who presented with chronic cough, hilar lymphadenopathies up to 3 cm, and worsening symptoms despite non-specific pneumonia treatment. Hence, PHC should be considered in patients with treatment-resistant pneumonia and mediastinal lymphadenopathy.
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Affiliation(s)
- Ümmühan Çay
- Adana Şehir Eğitim ve Araştırma Hastanesi, Çocuk Enfeksiyon Kliniği, Adana, Türkiye
| | - Erdi Çağrı Dağdelen
- Adana Şehir Eğitim ve Araştırma Hastanesi, Çocuk Sağlığı ve Hastalıkları Kliniği, Adana, Türkiye
| | - Zerrin Özçelik
- Adana Şehir Eğitim ve Araştırma Hastanesi, Çocuk Cerrahi Kliniği, Adana, Türkiye
| | - Orkun Tolunay
- Adana Şehir Eğitim ve Araştırma Hastanesi, Çocuk Enfeksiyon Kliniği, Adana, Türkiye
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Sülü A, Çay Ü, Öztel Ocak H. Subacute Infective Endocarditis in a Child Due to Streptococcus acidominimus: a Case Report. J Pediatr Inf 2020. [DOI: 10.5578/ced.69431] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Streptococcus acidominimus is rarely pathogenic in humans and is usually detected in veterinary science. In the literature, there are approximately 20 case reports that Streptococcus acidominimus is a human pathogen. They are pneumonia, pericarditis, infective endocarditis, sepsis, brain abscess and gradienigo syndrome. Only two of these cases were in the pediatric age group, one was infective endocarditis at the age of 15 years, other one was otitis media and gradenigo syndrome at the age of 12 years. There are no cases of invasive infection due to Streptococcus acidominimus in Turkey. Here, we report a case of infective endocarditis caused by Streptococcus acidominimus at 14 years of age.
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Sülü A, Çay Ü, Öztel Ocak H. Subacute Infective Endocarditis in a Child Due to Streptococcus acidominimus: a Case Report. J Pediatr Inf 2020. [DOI: 10.5578/ced.202068] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Streptococcus acidominimus is rarely pathogenic in humans and is usually detected in veterinary science. In the literature, there are approximately 20 case reports that Streptococcus acidominimus is a human pathogen. They are pneumonia, pericarditis, infective endocarditis, sepsis, brain abscess and gradienigo syndrome. Only two of these cases were in the pediatric age group, one was infective endocarditis at the age of 15 years, other one was otitis media and gradenigo syndrome at the age of 12 years. There are no cases of invasive infection due to Streptococcus acidominimus in Turkey. Here, we report a case of infective endocarditis caused by Streptococcus acidominimus at 14 years of age.
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18
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Çay Ü. Suppurative Lymphadenopathy Caused By Bartonella henselae Occurring in Two Siblings Simultaneously. J Pediatr Inf 2020. [DOI: 10.5578/ced.202028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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19
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Çay Ü. Suppurative Lymphadenopathy Caused By Bartonella henselae Occurring in Two Siblings Simultaneously. J Pediatr Inf 2020. [DOI: 10.5578/ced.69173] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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20
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Kocabaş E, Özgür Gündeşlioğlu Ö, Kılıç Çil M, Çay Ü, Doran F, Soyupak S. A rare cause of granulomatous hepatitis: Tularemia. J Infect Public Health 2020; 13:1003-1005. [PMID: 31937491 DOI: 10.1016/j.jiph.2019.12.007] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2019] [Revised: 10/16/2019] [Accepted: 12/17/2019] [Indexed: 11/26/2022] Open
Abstract
Tularemia is a zoonotic infection caused by Francisella tularensis. Tularemia has several clinical form in humans, including ulceroglandular, pneumonic, oropharyngeal, oculoglandular, and systemic (typhoidal). Tularemia may develop granulomatous and suppurative lesions, especially in the affected regional lymph nodes and various organs. Patients with hepatic involvement typically have elevated transaminase levels, hepatomegaly and rarely jaundice. Histologically, there are typically suppurative microabscesses with occasional surrounding macrophages. Rarely, hepatic granuloma can develop due to tularemia. We present a case of an 8 year-old male residing in a rural village in Turkey, who came to our hospital after having intermittent fever for four months and right upper abdominal pain for two months. Liver had a nodular appearance in liver imaging and liver biopsy were consistent with granulomatous hepatitis. The microagglutination test was positive for tularemia in the patient who was investigated for granulomatous hepatitis etiology. Symptoms and signs improved with tularemia treatment. We present a rare case of hepatic involvement of tularemia in a child. Clinicians should be suspicious of and evaluate for typhoidal tularemia in patients who present with prolonged fever and non-specific systemic symptoms, potentially with associated abdominal pain.
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Affiliation(s)
- Emine Kocabaş
- Çukurova University Faculty of Medicine, Departman of Pediatric Infection Disease. Adana, Turkey.
| | - Özlem Özgür Gündeşlioğlu
- Çukurova University Faculty of Medicine, Departman of Pediatric Infection Disease. Adana, Turkey.
| | - Merve Kılıç Çil
- Çukurova University Faculty of Medicine, Departman of Pediatric Infection Disease. Adana, Turkey.
| | - Ümmühan Çay
- Çukurova University Faculty of Medicine, Departman of Pediatric Infection Disease. Adana, Turkey.
| | - Figen Doran
- Çukurova University Faculty of Medicine, Departman of Pathology. Adana, Turkey.
| | - Süreyya Soyupak
- Çukurova University Faculty of Medicine, Departman of Radiology. Adana, Turkey.
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21
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Gayretli Aydın ZG, Büyükcam A, Kara A, Karbuz A, Soysal A, Aktaş Kapısız A, Özkaya Parlakay A, Somer A, Budan Çalışkan AB, Aldemir Kocabaş B, Şener Okur D, Yılmaz Çiftdoğan D, Arısoy ES, Kocabaş E, Çiftçi E, Erduran E, Vardar F, Tanır G, Şensoy SG, Bayhan Gİ, Devrim İ, Çelik M, Özen M, Kosker M, Ergüven M, Dalgıç N, Hatipoğlu N, Öz FN, Belet N, Metin Akcan Ö, Ceylan Ö, Şiraneci R, Elmas Bozdemir Ş, Özkasap S, Çelebi S, Çelik Ü, Camcıoğlu Y, Akaslan Kara A, Küpeli B, Gülhan B, Albayrak E, Erdeniz EH, Yasa EO, Türkkan E, Tezer H, Sütçü M, Bayram N, Hatipoğlu S, Öncel S, Çelik T, Altuner Torun Y, Köksal Y, Çay Ü, Kara A, Yörük MA, Bedir Demirdağ T. Türkiye’ de Pediatrik Nötropenik Hasta İzlemi. J Pediatr Inf 2019. [DOI: 10.5578/ced.201954] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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22
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Gayretli Aydın ZG, Büyükcam A, Kara A, Karbuz A, Soysal A, Aktaş Tapısız A, Özkaya Parlakay A, Somer A, Budan Çalışkan AB, Aldemir Kocabaş B, Şener Okur D, Yılmaz Çiftdoğan D, Arısoy ES, Kocabaş E, Çiftçi E, Erduran E, Vardar F, Tanır G, Şensoy SG, Bayhan Gİ, Devrim İ, Çelik M, Özen M, Kosker M, Ergüven M, Dalgıç N, Hatipoğlu N, Öz FN, Belet N, Metin Akcan Ö, Ceylan Ö, Şiraneci R, Elmas Bozdemir Ş, Özkasap S, Çelebi S, Çelik Ü, Camcıoğlu Y, Akaslan Kara A, Küpeli B, Gülhan B, Albayrak E, Erdeniz EH, Yasa EO, Türkkan E, Tezer H, Sütçü M, Bayram N, Hatipoğlu S, Öncel S, Çelik T, Altuner Torun Y, Köksal Y, Çay Ü, Kara A, Yörük MA, Bedir Demirdağ T. Pediatric Neutropenic Patients Care in Turkey. J Pediatr Inf 2019. [DOI: 10.5578/ced.68192] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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23
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Ceyhan M, Ozsurekci Y, Gürler N, Karadag Oncel E, Camcioglu Y, Salman N, Celik M, Emiroglu MK, Akin F, Tezer H, Parlakay AO, Tuygun N, Tamburaci D, Dinleyici EC, Karbuz A, Uluca Ü, Alhan E, Çay Ü, Kurugol Z, Hatipoğlu N, Şiraneci R, İnce T, Sensoy G, Belet N, Coskun E, Yilmaz F, Hacimustafaoglu M, Celebi S, Celik Ü, Ozen M, Akaslan A, Devrim İ, Kuyucu N, Öz F, Bozdemir SE, Kara A. Bacterial agents causing meningitis during 2013-2014 in Turkey: A multi-center hospital-based prospective surveillance study. Hum Vaccin Immunother 2016; 12:2940-2945. [PMID: 27454468 DOI: 10.1080/21645515.2016.1209278] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
Abstract
This is an observational epidemiological study to describe causes of bacterial meningitis among persons between 1 month and 18 y of age who are hospitalized with suspected bacterial meningitis in 7 Turkish regions. covering 32% of the entire population of Turkey. We present here the results from 2013 and 2014. A clinical case with meningitis was defined according to followings: any sign of meningitis including fever, vomiting, headache, and meningeal irritation in children above one year of age and fever without any documented source, impaired consciousness, prostration and seizures in those < 1 y of age. Single tube multiplex PCR assay was performed for the simultaneous identification of bacterial agents. The specific gene targets were ctrA, bex, and ply for N. meningitidis, Hib, and S. pneumoniae, respectively. PCR positive samples were recorded as laboratory-confirmed acute bacterial meningitis. A total of 665 children were hospitalized for suspected acute meningitis. The annual incidences of acute laboratory-confirmed bacterial meningitis were 0.3 cases / 100,000 population in 2013 and 0.9 cases/100,000 in 2014. Of the 94 diagnosed cases of bacterial meningitis by PCR, 85 (90.4%) were meningococcal and 9 (9.6%) were pneumococcal. Hib was not detected in any of the patients. Among meningococcal meningitis, cases of serogroup Y, A, B and W-135 were 2.4% (n = 2), 3.5% (n = 3), 32.9% (n = 28), and 42.4% (n = 36). No serogroup C was detected among meningococcal cases. Successful vaccination policies for protection from bacterial meningitis are dependent on accurate determination of the etiology of bacterial meningitis. Additionally, the epidemiology of meningococcal disease is dynamic and close monitoring of serogroup distribution is comprehensively needed to assess the benefit of adding meningococcal vaccines to the routine immunization program.
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Affiliation(s)
- Mehmet Ceyhan
- a Department of Pediatric Infectious Diseases , Hacettepe University Faculty of Medicine , Ankara , Turkey
| | - Yasemin Ozsurekci
- a Department of Pediatric Infectious Diseases , Hacettepe University Faculty of Medicine , Ankara , Turkey
| | - Nezahat Gürler
- b Department of Microbiology and Clinical Microbiology , Istanbul University Faculty of Medicine , Istanbul , Turkey
| | - Eda Karadag Oncel
- a Department of Pediatric Infectious Diseases , Hacettepe University Faculty of Medicine , Ankara , Turkey
| | - Yıldız Camcioglu
- c Department of Pediatrics , Istanbul University, Cerrahpasa Faculty of Medicine , Istanbul , Turkey
| | - Nuran Salman
- d Department of Pediatrics , Istanbul University Faculty of Medicine , Istanbul , Turkey
| | - Melda Celik
- e Sanliurfa State Hospital , Sanliurfa , Turkey
| | - Melike Keser Emiroglu
- f Department of Pediatrics , Selcuk University Meram Faculty of Medicine , Konya , Turkey
| | - Fatih Akin
- g Department of Pediatrics , Konya Training and Research Hospital , Konya , Turkey
| | - Hasan Tezer
- h Department of Pediatric Infectious Diseases , Gazi University Faculty of Medicine , Ankara , Turkey
| | | | - Nilden Tuygun
- j Microbiology Laboratory , Dr. Sami Ulus Children's Health and Diseases Training and Research Hospital , Ankara , Turkey
| | - Diyar Tamburaci
- k Department of Pediatrics , Akdeniz University Faculty of Medicine , Antalya , Turkey
| | - Ener Cagri Dinleyici
- l Department of Pediatrics , Osmangazi University Faculty of Medicine , Eskisehir , Turkey
| | - Adem Karbuz
- m Okmeydani State Hospital , Istanbul , Turkey
| | - Ünal Uluca
- n Department of Pediatrics , Dicle University Faculty of Medicine , Diyarbakir , Turkey
| | - Emre Alhan
- o Department of Pediatrics , Cukurova University Faculty of Medicine , Adana , Turkey
| | - Ümmühan Çay
- o Department of Pediatrics , Cukurova University Faculty of Medicine , Adana , Turkey
| | - Zafer Kurugol
- p Department of Pediatrics , Ege University Faculty of Medicine , Izmir , Turkey
| | - Nevin Hatipoğlu
- q Department of Pediatrics , Kanuni Sultan Suleyman Training and Research Hospital , Istanbul , Turkey
| | - Rengin Şiraneci
- q Department of Pediatrics , Kanuni Sultan Suleyman Training and Research Hospital , Istanbul , Turkey
| | - Tolga İnce
- r Department of Pediatrics , Tepecik Training and Research Hospital , Izmir , Turkey
| | - Gülnar Sensoy
- s Department of Pediatric Infectious Diseases , Ondokuz Mayis University Faculty of Medicine , Samsun , Turkey
| | - Nursen Belet
- s Department of Pediatric Infectious Diseases , Ondokuz Mayis University Faculty of Medicine , Samsun , Turkey
| | - Enes Coskun
- t Department of Pediatrics , Gaziantep University Faculty of Medicine , Gaziantep , Turkey
| | - Fatih Yilmaz
- t Department of Pediatrics , Gaziantep University Faculty of Medicine , Gaziantep , Turkey
| | - Mustafa Hacimustafaoglu
- u Department of Pediatric Infectious Diseases , Uludag University Faculty of Medicine , Bursa , Turkey
| | - Solmaz Celebi
- u Department of Pediatric Infectious Diseases , Uludag University Faculty of Medicine , Bursa , Turkey
| | - Ümit Celik
- v Adana Numune Training and Research Hospital , Adana , Turkey
| | - Metehan Ozen
- w Department of Pediatrics , Suleyman Demirel University Faculty of Medicine , Isparta , Turkey
| | - Aybüke Akaslan
- w Department of Pediatrics , Suleyman Demirel University Faculty of Medicine , Isparta , Turkey
| | - İlker Devrim
- x Dr. Behcet Uz Children's Training and Research Hospital , Izmir , Turkey
| | - Necdet Kuyucu
- y Department of Pediatric Infectious Diseases , Mersin University Faculty of Medicine , Mersin , Turkey
| | - Fatmanur Öz
- z Department of Pediatrics , Elazig University Faculty of Medicine , Elazig , Turkey
| | - Sefika Elmas Bozdemir
- aa Department of Pediatrics , Kayseri Training and Research Hospital , Kayseri , Turkey
| | - Ahu Kara
- x Dr. Behcet Uz Children's Training and Research Hospital , Izmir , Turkey
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