1
|
Ergenc Z, Ergenc H, Öztürk A, Kaya T, Nalbant A, Karacaer C, Günay S, Usanmaz M, Hakkı Tör I, Alkılınç E, Araç S, Kaya G, Yaylacı S, Kalpakçı Y, Çekiç D, Toçoğlu A, Altaş A, Genç AB. The effect of thrombosis-related laboratory values on mortality in COVID-19 infection. Eur Rev Med Pharmacol Sci 2023; 27:2699-2705. [PMID: 37013789 DOI: 10.26355/eurrev_202303_31808] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 04/05/2023]
Abstract
OBJECTIVE COVID-19 may cause thrombosis in both venous and arterial systems. Familiarity with the signs and symptoms of thrombosis and its treatment is essential in treating COVID-19 infection and its complications. D-Dimer and mean platelet volume (MPV) are measurements related to the development of thrombosis. This study investigates whether MPV and D-Dimer values could be used to determine the risk of thrombosis and mortality in the COVID-19 early stages. PATIENTS AND METHODS 424 patients who were COVID-19 positive, according to the World Health Organization (WHO) guidelines, were randomly and retrospectively included in the study. Demographic and clinical characteristics such as age, gender, and length of hospitalization were obtained from the digital records of participants. Participants were divided into living and deceased groups. The patients' biochemical, hormonal, and hematological parameters were analyzed retrospectively. RESULTS White blood cells (WBC), neutrophils, and monocytes were significantly different in the two groups (p-value <0.001), and their values were lower in the living group than in the deceased group. MPV median values did not differ according to prognosis (p-value = 0.994). While the median value was 9.9 in the survivors, it was 10 in the deceased. Creatinine, procalcitonin, ferritin, and the number of hospitalization days in living patients were significantly lower than in patients who died (p-value <0.001). Median values of D-dimer (mg/L) differ according to prognosis (p-value <0.001). While the median value was 0.63 in the survivors, it was found as 438 in the deceased. CONCLUSIONS Our results did not show any significant relationship between the mortality of COVID-19 patients and their MPV levels. However, a significant association between D-Dimer and mortality in COVID-19 patients was observed.
Collapse
Affiliation(s)
- Z Ergenc
- Department of Internal Medicine, Yalova State Hospital, Yalova, Turkey.
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
2
|
Karacaer C, Sert H, Demirci T, Varım C, Kaya G, Genc AB, Ergenc DCH, Ergenc Z, Yaylacı S, Nalbant A, Kaya T, Demirci A, Oztop KE. The significance of a novel inflammatory biomarker, presepsin, in predicting disease prognosis in patients with COVID-19. Eur Rev Med Pharmacol Sci 2022; 26:8612-8619. [PMID: 36459042 DOI: 10.26355/eurrev_202211_30398] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
Abstract
OBJECTIVE This study aims at determining the significance of a novel inflammatory biomarker, presepsin, in predicting disease prognosis in patients with COVID-19. PATIENTS AND METHODS This retrospective study was concluded at the University Hospital between April and August 2020. The study involved 88 COVID-19 patients (48 men and 40 women). The patients were categorized into two groups: the patients admitted to the COVID-19 clinic, described as the moderate COVID-19 patients (Group-1; n=44), and those admitted to the internal medicine outpatient clinic, who were the mild COVID-19 patients (Group-2; n=44). The groups were compared using inflammatory markers: presepsin, C-Reactive Protein to Albumin Ratio, Neutrophil to Lymphocyte Ratio, and procalcitonin. RESULTS Serum presepsin levels (195.29 vs. 52.12 pg/ml) were significantly higher in the Group-1 compared to the Group-2 (p=0.001). The gender distribution and average age were similar in both groups (p > 0.05). While ferritin, lactate dehydrogenase, D-Dimer, platelet lymphocyte ratio, C-Reactive Protein to Albumin Ratio (p=0.001), erythrocyte sedimentation ratio, C-Reactive Protein and presepsin were significantly higher in the Group-1 compared to Group-2 (p<0.05), while hemoglobin and lymphocyte were significantly lower in the Group-1 than in Group-2 (p<0.05). CONCLUSIONS Serum presepsin levels were found to be significantly higher in moderate clinical group COVID-19 patients compared to mild group. Presepsin, a new inflammatory biomarker, may be useful in predicting the prognosis and early treatment of COVID-19 infection.
Collapse
Affiliation(s)
- C Karacaer
- Department of Internal Medicine, Faculty of Medicine, Department of Internal Medicine Nursing, Faculty of Health Science, Sakarya University, Sakarya, Turkey.
| | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
3
|
Çekiç D, Emir Arman M, Cihad Genç A, İşsever K, Yıldırım İ, Bilal Genç A, Dheir H, Yaylacı S. Predictive role of FAR ratio in COVID-19 patients. Int J Clin Pract 2021; 75:e14931. [PMID: 34606668 DOI: 10.1111/ijcp.14931] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/29/2021] [Accepted: 10/01/2021] [Indexed: 01/08/2023] Open
Abstract
OBJECTIVE No effective treatment has yet been found for SARS-Cov-2, which caused a pandemic outbreak in 2019. It is crucial to detect the progression of COVID-19 in patients as early as possible. Fibrinogen to albumin ratio (FAR) has been used as a new inflammatory marker. We aimed to find out whether the use of the FAR as a predictor of mortality in COVID-19 patients provides clinical benefit. MATERIALS AND METHODS Data from 590 patients with COVID-19 from March 15, 2020 to January 15, 2021 in medicine wards and intensive care units (ICU) were retrospectively analysed. Demographic data and other laboratory markers were collected from the electronic medical records. Relationship between FAR was investigated between patients in the survivor/non-survivor patients. FINDINGS The mean FAR levels in patients who were non-survivor was 24.44 ± 30.3 (n = 272 and 11.29 ± 6.29 (n = 275) (P = .000) in patients survivor COVID-19 infection. In ROC curve for FAR, the threshold FAR that may pose a risk for mortality was determined as 13.84 ((AUC: 0.808 (0.771-0.844)); 74.9% sensitivity, 74.6% specificity; P = .000)). RESULT As a result of this study, increased FAR were found to be important markers in determining the mortality levels in COVID-19 patients.
Collapse
Affiliation(s)
- Deniz Çekiç
- İnternal Medicine Department, Sakarya University, Sakarya, Turkey
| | | | - Ahmed Cihad Genç
- İnternal Medicine Department, Sakarya University, Sakarya, Turkey
| | - Kubilay İşsever
- İnternal Medicine Department, Sakarya University, Sakarya, Turkey
| | - İlhan Yıldırım
- İnternal Medicine Department, Görele State Hospital, Giresun, Turkey
| | - Ahmed Bilal Genç
- İnternal Medicine Department, Sakarya University, Sakarya, Turkey
| | - Hamad Dheir
- Nephrology Department, Sakarya University, Sakarya, Turkey
| | - Selçuk Yaylacı
- İnternal Medicine Department, Sakarya University, Sakarya, Turkey
| |
Collapse
|
4
|
Kaya T, Nalbant A, Kılıçcıoğlu GK, Çayır KT, Yaylacı S, Varım C. The prognostic significance of erythrocyte sedimentation rate in COVID-19. Rev Assoc Med Bras (1992) 2021; 67:1305-1310. [PMID: 34816925 DOI: 10.1590/1806-9282.20210618] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2021] [Accepted: 08/01/2021] [Indexed: 02/12/2023] Open
Abstract
OBJECTIVE There are limited data about the significance of erythrocyte sedimentation rate as a single prognostic parameter for the prognosis and mortality of COVID-19. This study aimed to investigate the diagnostic utility of erythrocyte sedimentation rate as a prognostic factor for the disease severity and mortality in patients with COVID-19. METHODS A total of 148 consecutive patients with a confirmed diagnosis of COVID-19 and hospitalized at the intensive care unit or non-the intensive care unit were included in the study. The patients were allocated to groups as severe/critical disease versus nonsevere disease and survivors and nonsurvivors. The prognostic role and predictable values of erythrocyte sedimentation rate were analyzed. RESULTS Erythrocyte sedimentation rate was found to be higher among patients with severe/critical disease compared to those with nonsevere disease (p<0.001) and among nonsurvivors compared to survivors (p<0.001). The logistic regression analysis showed that erythrocyte sedimentation rate was an independent parameter for predicting disease severity and mortality. The role of erythrocyte sedimentation rate in the assessment of severity and mortality in patients with COVID-19 was analyzed using the receiver operating characteristic curve and was found to be significant in both. The analyses suggested that the optimum erythrocyte sedimentation rate cutoff point for disease severity and mortality were 52.5 mm/h with 65.5% sensitivity and 76.3% specificity and 56.5 mm/h with 66.7% sensitivity and 72.5% specificity. CONCLUSION Our results suggest that erythrocyte sedimentation rate was an independent prognostic factor for severity and mortality in patients with COVID-19.
Collapse
Affiliation(s)
- Tezcan Kaya
- Sakarya University Faculty of Medicine, Department of Internal Medicine - Sakarya, Turkey
| | - Ahmet Nalbant
- Sakarya University Faculty of Medicine, Department of Internal Medicine - Sakarya, Turkey
| | | | - Kübra Tuğba Çayır
- Sakarya University Faculty of Medicine, Department of Internal Medicine - Sakarya, Turkey
| | - Selçuk Yaylacı
- Sakarya University Faculty of Medicine, Department of Internal Medicine - Sakarya, Turkey
| | - Ceyhun Varım
- Sakarya University Faculty of Medicine, Department of Internal Medicine - Sakarya, Turkey
| |
Collapse
|
5
|
Nalbant A, Aydın A, Yaylacı S, Kaya T, Wermeulen CL, Cinemre H. Association of ABO blood group and age with COVID-19 positive test. ACTA ACUST UNITED AC 2021; 67Suppl 1:46-50. [PMID: 34259764 DOI: 10.1590/1806-9282.67.suppl1.20200703] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2020] [Accepted: 12/10/2020] [Indexed: 12/20/2022]
Abstract
OBJECTIVE The aim of this study is to evaluate the relation between the coronavirus (SARS-CoV-2) disease (COVID-19) and blood groups and the Rh factor. METHOD A total of 313 patients hospitalized in the Internal Medicine clinic, at the intensive care unit (ICU) were included in the study. The cases were divided into two groups: those who were COVID-19 positive and those negative, detected with real-time reverse transcription polymerase chain reaction testing. The demographic, clinical, ABO blood groups, and Rh factor data of the cases were obtained from the hospital records retrospectively. RESULTS The mean age of COVID-19 positive (+) cases was 57.74±16 years and of COVID-19 negative (-) cases, 66.41±15 years. The difference was significant (p<0.001); there was no difference between the two groups in terms of sex (p=0.634). When age was categorically separated in COVID-19 (+) cases, χ2 was extremely significant. Among the ABO blood groups of COVID-19 (+) and (-) cases, χ2 was 4.975 (p=0.174). In the logistic regression, it was 4.1 (p=0.011) in the O blood group. COVID-19 positive test was determined as 13, 4, and 4 times higher in the 31-40, 41-50, and 51-60 age groups, respectively (p=0.001, p=0.010, p=0.003). CONCLUSION The incidence of COVID-19 has increased in the younger population and in the O blood group. Our findings support that, in this population, the ABO blood groups can contribute to the early detection of COVID-19.
Collapse
Affiliation(s)
- Ahmet Nalbant
- Sakarya University, Faculty of Medicine, Department of Internal Medicine - Serdivan/Sakarya, Turquia
| | - Ayhan Aydın
- Sakarya University, Traınıng and Research Hospıtal, Department of Internal Medicine - Adapazarı, Turquia
| | - Selçuk Yaylacı
- Sakarya University, Faculty of Medicine, Department of Internal Medicine - Serdivan/Sakarya, Turquia
| | - Tezcan Kaya
- Sakarya University, Faculty of Medicine, Department of Internal Medicine - Serdivan/Sakarya, Turquia
| | | | | |
Collapse
|
6
|
Aydemir Y, Gündüz Y, Köroğlu M, Karabay O, Dheir H, Şengül A, Yaylacı S, Kocayiğit H, Erdem AF, Aydemir Ö, Güçlü E, Yürümez Y. The relationship of extent of initial radiological involvement with the need of intensive care, mortality rates, and laboratory parameters in Covid-19. Turk J Med Sci 2021; 51:1012-1020. [PMID: 33705639 PMCID: PMC8283482 DOI: 10.3906/sag-2009-49] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2020] [Accepted: 03/02/2021] [Indexed: 01/06/2023] Open
Abstract
Background/aim It is very important for the efficient use of limited capacity and the success of treatment to predict patients who may need ICU with high mortality rate in the Covid-19 outbreak. In our study, it was aimed to investigate the value of the radiological involvement on initial CT in demonstrating the ICU transfer and mortality rate of patients. Materials and methods All PCR-positive patients were included in the study, whose CT, PCR, and laboratory values were obtained simultaneously at the time of first admission. Patients were divided into 4 groups in terms of the extent of radiological lesions. These groups were compared in terms of intensive care transfer needs and Covid-related mortality rates. Results A total of 477 patients were included in the study. Ninety of them were group 0 (no lung involvement), 162 were group 1 (mild lesion), 89 were group 2 (moderate lesion), and 136 were group 3 (severe lung involvement). A significant relationship was found between the extensiveness of the radiological lesion on CT and admission to intensive care and mortality rate. As the initial radiological involvement amounts increased, the rate of ICU transfer and mortality increased. The mortality rates of the groups were 0%, 3%, 12.3%, and 12.5%, respectively, and the difference was significant (p < 0.001). Similarly, the ICU transfer rates of the groups were 2.2%, 5.6%, 13.5%, and 17.7%, respectively, and the difference was significant (p < 0.001). Conclusion In conclusion, in our study, the strong relationship between the initial radiological extent assessment and the need for intensive care and mortality rates has been demonstrated, and we believe that our results will make a significant contribution to increase the success of the health system in predicting patients who may progress, helping clinicians and managing pandemics.
Collapse
Affiliation(s)
- Yusuf Aydemir
- Department of Pulmonology, Faculty of Medicine, Sakarya University, Sakarya, Turkey
| | - Yasemin Gündüz
- Department of Radiology, Faculty of Medicine, Sakarya University, Sakarya, Turkey
| | - Mehmet Köroğlu
- Department of Microbiology, Faculty of Medicine, Sakarya University, Sakarya, Turkey
| | - Oğuz Karabay
- Department of Infectious Diseases, Faculty of Medicine, Sakarya University, Sakarya, Turkey
| | - Hamad Dheir
- Department of Nephrology, Faculty of Medicine, Sakarya University, Sakarya, Turkey
| | - Aysun Şengül
- Department of Pulmonology, Faculty of Medicine, Sakarya University, Sakarya, Turkey
| | - Selçuk Yaylacı
- Department of Internal Medicine, Faculty of Medicine, Sakarya University, Sakarya, Turkey
| | - Havva Kocayiğit
- Department of Anesthesiology and Reanimation, Faculty of Medicine, Sakarya University, Sakarya, Turkey
| | - Ali Fuat Erdem
- Department of Anesthesiology and Intensive Care, Faculty of Medicine, Sakarya University, Sakarya, Turkey
| | - Özlem Aydemir
- Department of Microbiology, Faculty of Medicine, Sakarya University, Sakarya, Turkey
| | - Ertuğrul Güçlü
- Department of Infectious Diseases, Faculty of Medicine, Sakarya University, Sakarya, Turkey
| | - Yusuf Yürümez
- Department of Emergency Medicine, Faculty of Medicine, Sakarya University, Sakarya, Turkey
| |
Collapse
|
7
|
Ösken A, Aydın E, Özcan KS, Yaylacı S. Evaluation of Electrocardiographic Parameters and the Presence of Interatrial Block in Patients with Mad Honey Intoxication. Cardiovasc Toxicol 2021; 21:772-780. [PMID: 34125412 DOI: 10.1007/s12012-021-09668-9] [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: 03/08/2021] [Accepted: 06/08/2021] [Indexed: 11/25/2022]
Abstract
Mad honey intoxication (MHI) is a food-induced clinical condition that usually presents with cardiovascular symptoms and can lead to life-threatening arrhythmias if not diagnosed and treated early. No data exist in the literature on the presence of interatrial block (IAB) after food intoxication. In our study, we sought to investigate atrioventricular electrocardiography (ECG) parameters and determine the frequency of IAB in patients with MHI. In total, 76 patients diagnosed with MHI were included in our retrospective study. Twelve-lead ECGs were performed and participants were divided into two groups according to the presence of IAB in the reference ECG. The P maximum (Pmax), P minimum (Pmin), P dispersion (Pdisp), T peak to T end (Tp-Te) interval and QT dispersion (QTdisp) values were compared between the two groups. IAB was detected in 28 (35.5%) of 76 MHI patients included in the final analysis. Pmax duration (122 ± 8; p < 0.001) and PD (69 ± 11; p < 0.001) were significantly higher in the IAB ( +) group. During regression analysis, Pmax [odds ratio (OR) 1.158, 95% confidence interval (CI) 1.036-1.294; p = 0.010] and Pd (OR 1.086, 95% CI 1.001-1.017; p = 0.046) were independently associated with IAB. Pmax and Pd area under the receiver operating characteristic curve values for IAB prediction were 0.926 (95% CI 0.841-1,000; p < 0.001) and 0.872 (95% CI 0.765-0.974; p < 0.001), respectively. ECG changes are common in patients presenting with MHI. These patients need to be followed up clinically in terms of progression to arrhythmic events that may occur in the future.
Collapse
Affiliation(s)
- Altuğ Ösken
- Department of Cardiology, Siyami Ersek Thoracic and Cardiovascular Surgery Center, Training and Research Hospital, Tibbiye street, No:13, Haydarpasa, Istanbul, Turkey.
| | - Ercan Aydın
- Department of Cardiology, Trabzon Vakfıkebir State Hospital, Trabzon, Turkey
| | - Kazım Serhan Özcan
- Department of Cardiology, Siyami Ersek Thoracic and Cardiovascular Surgery Center, Training and Research Hospital, Tibbiye street, No:13, Haydarpasa, Istanbul, Turkey
| | - Selçuk Yaylacı
- Department of Internal Medicine, Sakarya University Faculty of Medicine, Sakarya, Turkey
- Department of Internal Medicine, Fındıklı State Hospital, Rize, Turkey
| |
Collapse
|
8
|
Dheir H, Sipahi S, Yaylacı S, Çetin ES, Genç AB, Fırat N, Köroğlu M, Muratdağı G, Tomak Y, Özmen K, Ateş ÖF, Karabay O. Clinical course of COVID-19 disease in immunosuppressed renal transplant patients. Turk J Med Sci 2021; 51:428-434. [PMID: 33185367 PMCID: PMC8203166 DOI: 10.3906/sag-2007-260] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2020] [Accepted: 11/11/2020] [Indexed: 01/08/2023] Open
Abstract
Background/aim We aimed to identify clinical settings of renal transplant patients with COVID-19. Materials and methods In this retrospective study, we included kidney transplant inpatients with laboratory confirmed COVID-19 who had been discharged or had died by October 1st, 2020. Characteristics of the patients, including basal and last outpatient biochemical parameters were recorded. Discontinuation or dosage reduction of immunosuppressives and other treatment information was documented. Results Twenty patients were included in this study, of whom 18 were discharged and 2 died in hospital. The mean duration of hospitalization and follow-up were 9.7 ± 6.4 days and 4.5 ± 2.0 months, respectively. Fourteen patients (70%) were male and mean age was 48.0
±
10.3 years. At admission, all had immunosuppression withdrawn and were started on methylprednisolone 16 mg/day (50%) or dexamethasone (50%). Tacrolimus/m-TOR inhibitors were reduced by 50% and all antimetabolites were discontinued. Hemodialysis was needed for 10% of patients. Acute kidney injury was detected in 25% of the patients. With respect to hospitalization time and complications, there was no significant difference between patients who used dexamethasone and those who did not (P > 0.05). The discontinued immunosuppressives were resumed within 2 to 4 weeks after discharge according to the severity of disease. No rehospitalization or acute rejection was detected during the follow-up of the patients. Conclusion Renal transplant patients are considered a high risk group for COVID-19. It can be said that discontinuation or reducing dosages of immunosuppressives may be effective and safe in kidney transplant patients.
Collapse
Affiliation(s)
- Hamad Dheir
- Division of Nephrology, Faculty of Medicine, Sakarya University, Sakarya, Turkey
| | - Savaş Sipahi
- Division of Nephrology, Faculty of Medicine, Sakarya University, Sakarya, Turkey
| | - Selçuk Yaylacı
- Department of Internal Medicine, Faculty of Medicine, Sakarya University, Sakarya, Turkey
| | - Esma Seda Çetin
- Department of Internal Medicine, Faculty of Medicine, Sakarya University, Sakarya, Turkey
| | - Ahmed Bilal Genç
- Department of Internal Medicine, Faculty of Medicine, Sakarya University, Sakarya, Turkey
| | - Necattin Fırat
- Department of General Surgery, Faculty of Medicine, Sakarya University, Sakarya, Turkey
| | - Mehmet Köroğlu
- Department of Microbiology, Faculty of Medicine, Sakarya University, Sakarya, Turkey
| | - Gürkan Muratdağı
- Department of Family Medicine, Faculty of Medicine, Sakarya University, Sakarya, Turkey
| | - Yakup Tomak
- Department of Anesthesiology and Reanimation, Faculty of Medicine, Sakarya University, Sakarya, Turkey
| | - Kezban Özmen
- Department of Anesthesiology and Reanimation, Faculty of Medicine, Sakarya University, Sakarya, Turkey
| | - Ömer Faruk Ateş
- Department of Radiology, Faculty of Medicine, Sakarya University, Sakarya, Turkey
| | - Oğuz Karabay
- Department of Infectious Diseases and Microbiology, Faculty of Medicine, Sakarya University, Sakarya, Turkey
| |
Collapse
|
9
|
Kocayiğit H, Demir G, Karacan A, Süner KÖ, Tomak Y, Yaylacı S, Dheir H, Kalpakci Y, Erdem AF. Effects on mortality of early vs late administration of convalescent plasma in the treatment of Covid-19. Transfus Apher Sci 2021; 60:103148. [PMID: 33962885 PMCID: PMC8064905 DOI: 10.1016/j.transci.2021.103148] [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] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2021] [Revised: 04/10/2021] [Accepted: 04/20/2021] [Indexed: 12/28/2022]
Abstract
The pandemic of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) was first seen in the city of Wuhan, China, in December 2019 and then spread worldwide. On 24 March 2020, the U.S. Food and Drug Administration reported that the use of convalescent plasma (CP) containing antibodies against COVID-19 could be effective against infection. The aim of this study is to retrospectively investigate whether early CP transfusion treatment has an effect on recovery of clinical and laboratory parameters in patients diagnosed with severe COVID-19 who were admitted to the intensive care unit (ICU). The study included 141 consecutive patients who had laboratory confirmation of COVID-19 and were admitted to the ICU between 1 May and 30 September 2020. Of the 141 patients, 84 received CP in the first five days of hospitalization in the ICU (early group), and 57 received CP after the fifth day of hospitalization in the ICU (late group). There were no significant differences between the two groups in terms of age, gender, comorbidities and the severity of the disease (according to the evaluation of lung tomography). There was no difference between the two groups in terms of mechanical ventilator needed, inotrope support, and tracheostomy procedure during the ICU admission (p = 0.962, p = 0.680, and p = 0.927, respectively). Despite these limitations, the overriding result of our study is that it suggests that administration of CP either early or late in the treatment of COVID-19, had no effect on mortality.
Collapse
Affiliation(s)
- Havva Kocayiğit
- Department of Anaesthesiology and Reanimation, Sakarya University Education and Research Hospital, Sakarya, Turkey.
| | - Gürkan Demir
- Department of Anaesthesiology and Reanimation, Sakarya University Education and Research Hospital, Sakarya, Turkey
| | - Alper Karacan
- Department of Radiology, Sakarya University Education and Research Hospital, Sakarya, Turkey
| | - Kezban Özmen Süner
- Department of Intensive Care, Sakarya University Education and Research Hospital, Sakarya, Turkey
| | - Yakup Tomak
- Department of Anaesthesiology and Reanimation, Sakarya University Education and Research Hospital, Sakarya, Turkey
| | - Selçuk Yaylacı
- Department of Internal Medicine, Sakarya University Education and Research Hospital, Sakarya, Turkey
| | - Hamad Dheir
- Department of Internal Medicine, Sakarya University Education and Research Hospital, Sakarya, Turkey
| | - Yasin Kalpakci
- Department of Hematology, Sakarya University Education and Research Hospital, Sakarya, Turkey
| | - Ali Fuat Erdem
- Department of Anaesthesiology and Reanimation, Sakarya University Education and Research Hospital, Sakarya, Turkey
| |
Collapse
|
10
|
Kaya T, Yaylacı S, Nalbant A, Yıldırım İ, Kocayiğit H, Çokluk E, Şekeroğlu MR, Köroğlu M, Güçlü E. Serum calprotectin as a novel biomarker for severity of COVID-19 disease. Ir J Med Sci 2021; 191:59-64. [PMID: 33641087 PMCID: PMC7914045 DOI: 10.1007/s11845-021-02565-8] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2020] [Accepted: 02/17/2021] [Indexed: 12/16/2022]
Abstract
Background Some biomarkers have been reported to be related to the prognosis of the coronavirus disease 2019 (COVID-19). There are sparse data regarding the prognostic value of serum calprotectin in COVID-19 patients. Aims This study aimed to investigate the relationship between serum calprotectin level and clinical severity of COVID-19 disease in hospitalized patients. Methods This retrospective cross-sectional cohort study included 80 consecutive hospitalized patients with confirmed diagnosis of COVID-19. The study population was divided into two groups as patients hospitalized in the intensive care unit (ICU) and patients hospitalized but not in the ICU. The serum calprotectin levels, other laboratory, and clinical parameters were compared between groups. Results The mean age of the patients was 66.5 ± 15.7 years. Of the patients, 42 were in the ICU and 38 were not. Serum calprotectin level and acute-phase reactants such as C-reactive protein, procalcitonin, ferritin, fibrinogen, and white blood cell were significantly higher in ICU patients than in non-ICU patients. ROC curve analysis identified that serum calprotectin level was a predictor for ICU requirement with an area under the curve of 0.641 (p = 0.031). Logistic regression analysis revealed that serum calprotectin was a significant determinant for whether or not patient required the ICU. Conclusions These findings demonstrate that serum calprotectin level seems to be a useful biomarker that can predict the severity of COVID-19 disease. Serum calprotectin is a significant predictor of ICU requirement in patients with COVID-19.
Collapse
Affiliation(s)
- Tezcan Kaya
- Department of Internal Medicine, Faculty of Medicine, Sakarya University, Sakarya, Turkey.
| | - Selçuk Yaylacı
- Department of Internal Medicine, Faculty of Medicine, Sakarya University, Sakarya, Turkey
| | - Ahmet Nalbant
- Department of Internal Medicine, Faculty of Medicine, Sakarya University, Sakarya, Turkey
| | | | - Havva Kocayiğit
- Department of Anesthesiology, Faculty of Medicine, Sakarya University, Sakarya, Turkey
| | - Erdem Çokluk
- Department of Biochemistry, Medical Faculty, Sakarya University, Sakarya, Turkey
| | | | - Mehmet Köroğlu
- Department of Microbiology, Faculty of Medicine, Sakarya University, Sakarya, Turkey
| | - Ertuğrul Güçlü
- Department of Infectious Diseases, Faculty of Medicine, Sakarya University, Sakarya, Turkey
| |
Collapse
|
11
|
Kocayiğit H, Özmen Süner K, Tomak Y, Demir G, Yaylacı S, Dheir H, Güçlü E, Erdem AF. Observational study of the effects of Favipiravir vs Lopinavir/Ritonavir on clinical outcomes in critically Ill patients with COVID-19. J Clin Pharm Ther 2020; 46:454-459. [PMID: 33128482 DOI: 10.1111/jcpt.13305] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [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: 09/23/2020] [Revised: 10/06/2020] [Accepted: 10/07/2020] [Indexed: 12/16/2022]
Abstract
WHAT IS KNOWN AND OBJECTIVES In November 2019, several patients were diagnosed with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in Wuhan, China. So far, there are no specific treatments with proven high efficacy in patients with SARS-CoV-2. Presently, several drugs, such as hydroxychloroquine, ribavirin, favipiravir (FVP), lopinavir/ritonavir (LPV/r), remdesivir and oseltamivir, have been suggested as effective treatments for SARS-CoV-2. The aim of this study was to describe the clinical experience with FPV and LPV/r in critically ill patients with COVID-19 at Sakarya University Education and Research Hospital. METHODS The study included 107 consecutive patients who had a laboratory confirmation of COVID-19 and were admitted to the intensive care unit (ICU) between 19 March and 19 May 2020. Follow-up continued through 30 May 2020 when the last observed patients were discharged. RESULTS AND DISCUSSION Of the 107 patients, 65 received FPV (Group FPV) and 42 received LPV/r (Group LPV/r). The two groups were similar in terms of demographic data and clinical findings. 43 (66.2%) of the 65 patients in the FPV group and 23 (54.8%) of the 42 patients in the LPV/r group died (p = 0.237). The median ICU stay was 6.6 (IQR, 3-10) days in the FPV group and 9 (IQR, 6-16) days in the LPV/r group, which was a statistically significant difference (p = 0.010). WHAT IS NEW AND CONCLUSION The length of hospital stay was significantly lower in the FVP group compared to the LPV/r group among patients who were discharged from the ICU. Although the analysis was done with a limited number of patients and the observed difference in mortality rate is of some concern, FVP treatment may be more beneficial than LPV/r in terms of effective use in the ICU.
Collapse
Affiliation(s)
- Havva Kocayiğit
- Department of Anaesthesiology and Reanimation, Sakarya University Education and Research Hospital, Sakarya, Turkey
| | - Kezban Özmen Süner
- Department of Intensive Care, Sakarya University Education and Research Hospital, Sakarya, Turkey
| | - Yakup Tomak
- Department of Anaesthesiology and Reanimation, Sakarya University Education and Research Hospital, Sakarya, Turkey
| | - Gürkan Demir
- Department of Anaesthesiology and Reanimation, Sakarya University Education and Research Hospital, Sakarya, Turkey
| | - Selçuk Yaylacı
- Department of Internal Medicine, Sakarya University Education and Research Hospital, Sakarya, Turkey
| | - Hamad Dheir
- Department of Nephrology, Sakarya University Education and Research Hospital, Sakarya, Turkey
| | - Ertuğrul Güçlü
- Department of Infectious Diseases and Clinical Microbiology, Sakarya University Education and Research Hospital, Sakarya, Turkey
| | - Ali Fuat Erdem
- Department of Anaesthesiology and Reanimation, Sakarya University Education and Research Hospital, Sakarya, Turkey
| |
Collapse
|
12
|
Yaylacı S, Dheir H, İşsever K, Genc AB, Şenocak D, Kocayigit H, Guclu E, Suner K, Ekerbicer H, Koroglu M. The effect of abo and rh blood group antigens on admission to intensive care unit and mortality in patients with COVID-19 infection. ACTA ACUST UNITED AC 2020; 66Suppl 2:86-90. [PMID: 32965363 DOI: 10.1590/1806-9282.66.s2.86] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2020] [Accepted: 06/12/2020] [Indexed: 11/22/2022]
Abstract
AIM The aim of this study is to analyze the prognostic significance of ABO and Rh blood group antigens along with various parameters in patients followed-up with the diagnosis of COVID-19. METHODS We evaluated 397 patients who were follow-up and treated due to COVID-19 infections. The ages, genders, chronic diseases, ABO and Rh blood group antigens, admission rates to Intensive Care Units (ICU), and mortality rates of the patients were analyzed. FINDINGS The mean age of the 397 patients with COVID-19 was 47±17 years. In the blood group analysis of the patients, A Rh-positive (A +) was the most frequently seen blood type (176 patients, 44.3%) followed by O Rh-positive (0 +) (109 patients, 27,5%); 38 patients were Rh negative (Rh -) (9,6%). 53 of the patients (13,4%) were followed in ICU and 29 patients died (7,3%). Neither mortality nor admission to ICU was seen for Rh - group. The comparison of Rh groups concerning the need for ICU admission revealed a significantly high rate of ICU admission in the Rh + group (p=0,011), while no significant relationship was found between mortality and Rh antigen (p=0,069). CONCLUSION The most frequently seen blood type among COVID-19 patients was A +. The Rh + blood group was found in all cases who were admitted to ICU and had a death outcome. The Rh + blood group was found in a significantly high number of patients who were admitted to ICU, while no significant relationship was found between mortality and Rh blood group.
Collapse
Affiliation(s)
- Selçuk Yaylacı
- . Sakarya University Faculty of Medicine, Department of Internal Medicine
| | - Hamad Dheir
- . Sakarya University Faculty of Medicine, Department of Internal Medicine
| | - Kubilay İşsever
- . Sakarya University Faculty of Medicine, Department of Internal Medicine
| | - Ahmed Bilal Genc
- . Sakarya University Faculty of Medicine, Department of Internal Medicine
| | - Didar Şenocak
- . Sakarya University Faculty of Medicine, Department of Internal Medicine
| | - Havva Kocayigit
- . Sakarya University Education and Research Hospital, Department of Intensive Care
| | - Ertugrul Guclu
- . Sakarya University Faculty of Medicine Department of Infectious Diseases
| | - Kezban Suner
- . Sakarya University Education and Research Hospital, Department of Intensive Care
| | - Hasan Ekerbicer
- . Sakarya University Faculty of Medicine Department of Public Health
| | - Mehmet Koroglu
- . Sakarya University Faculty of Medicine Department Medical Microbiology
| |
Collapse
|
13
|
Ösken A, Yelgeç NS, Zehir R, Öz TK, Yaylacı S, Akdemir R, Gündüz H. Torsades de pointes induced by concomitant use of chlorpheniramine and propranolol: An unusual presentation with no QT prolongation. Indian J Pharmacol 2016; 48:462-465. [PMID: 27756965 PMCID: PMC4980942 DOI: 10.4103/0253-7613.186193] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
Drug-induced torsades de pointes (TdP) is a rare but potentially fatal adverse effect of commonly prescribed medications including cardiac and noncardiac drugs. Importantly, many drugs have been reported to cause the characteristic Brugada syndrome-linked electrocardiography (ECG) abnormalities and/or (fatal) ventricular tachyarrhythmias. Chlorpheniramine and propranolol have the arrhythmogenic effects reported previously. A review of literature revealed a large number of case reports of chlorpheniramine or propranolol use resulting in QTc prolongation, TdP, or both. However, we wish to report the case of a patient who was treated with a combination of chlorpheniramine and propranolol, whose ECG showed no QT prolongation but who suffered from cardiac arrest due to TdP.
Collapse
Affiliation(s)
- Altuğ Ösken
- Department of Cardiology, Siyami Ersek Thoracic and Cardiovascular Surgery Center, Training and Research Hospital, Istanbul, Turkey
| | - Nizamettin Selçuk Yelgeç
- Department of Cardiology, Siyami Ersek Thoracic and Cardiovascular Surgery Center, Training and Research Hospital, Istanbul, Turkey
| | - Regayip Zehir
- Department of Cardiology, Siyami Ersek Thoracic and Cardiovascular Surgery Center, Training and Research Hospital, Istanbul, Turkey
| | - Tuğba Kemaloğlu Öz
- Department of Cardiology, Siyami Ersek Thoracic and Cardiovascular Surgery Center, Training and Research Hospital, Istanbul, Turkey
| | - Selçuk Yaylacı
- Department of Internal Medicine, Rize Findikli Goiter Research Center, Rize, Turkey
| | - Ramazan Akdemir
- Department of Cardiology, Sakarya University Faculty of Medicine, Sakarya, Turkey
| | - Hüseyin Gündüz
- Department of Cardiology, Sakarya University Faculty of Medicine, Sakarya, Turkey
| |
Collapse
|
14
|
Varim P, Varim C, Ergenç H, Uyanık M, Yaylacı S, Vatan M, Gündüz H. ASSESSMENT OF WARFARIN TREATMENT EFFICACY BY MEANS; OF USING COAGULATION TEST RESULTS WITHIN THE THERAPEUTIC RANGE. Georgian Med News 2016:62-66. [PMID: 27441538] [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] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Time in Therapeutic Range (TTR) is a value used to assess the efficacy of Warfarin treatment. The aim of our study is to determine the effective INR levels and the rate of TTR in patients on Warfarin regimen due to Atrial Fibrillation (AF) or Mechanical Prosthetic Valve (MPV). A total of 94 patients (58 female, and 36 male, mean age: 64.9±11years) on Warfarin treatment due to AF or MPV with at least 10 INR levels measurements in the last 6 months were included in this retrospective study. The patients were divided into 2 groups. Group 1 consisted of the patients with Valvular AF (n=47); Group 2 included the patients with Non-Valvular AF (n=47); TTR and INR levels were compared. The average of INR values were found as 2,4 (min: 1,3, max: 4,3) in all patients; 2,3 (min: 1,3, max: 4,2) in Group 1; 2,6 (min: 1,3, max: 4,3) in Group 2. The average of TTR values was found 40.3% (min: 10%, max: 80%) in all patients; 43.8% (min: 10%, max: 80%) in Group 1; 36,8% (min: 10%, max: 80%) in Group 2. INR and TTR values are needed to assess the effectiveness of the Warfarin treatment. The patients in treatment with Warfarin should be well trained and frequently monitored. On the other hand, the underlying factors of the TTR values being determined as lower in the Turkish patient population might be due to the lower socio-economic and socio-cultural status, inadequate education levels, and the insufficient information on use of the medication provided by the doctors to the patients.
Collapse
Affiliation(s)
- P Varim
- Department of Cardiology, Sakarya University, Medicine Faculty, Sakarya; Department of Internal Medicine, Sakarya University, Medicine Faculty, Sakarya; Department of Hematology, Sakarya University, Medicine Faculty, Sakarya; Department of Internal Medicine, Rize Findikli State Hospital, Rize, Turkey
| | - C Varim
- Department of Cardiology, Sakarya University, Medicine Faculty, Sakarya; Department of Internal Medicine, Sakarya University, Medicine Faculty, Sakarya; Department of Hematology, Sakarya University, Medicine Faculty, Sakarya; Department of Internal Medicine, Rize Findikli State Hospital, Rize, Turkey
| | - H Ergenç
- Department of Cardiology, Sakarya University, Medicine Faculty, Sakarya; Department of Internal Medicine, Sakarya University, Medicine Faculty, Sakarya; Department of Hematology, Sakarya University, Medicine Faculty, Sakarya; Department of Internal Medicine, Rize Findikli State Hospital, Rize, Turkey
| | - M Uyanık
- Department of Cardiology, Sakarya University, Medicine Faculty, Sakarya; Department of Internal Medicine, Sakarya University, Medicine Faculty, Sakarya; Department of Hematology, Sakarya University, Medicine Faculty, Sakarya; Department of Internal Medicine, Rize Findikli State Hospital, Rize, Turkey
| | - S Yaylacı
- Department of Cardiology, Sakarya University, Medicine Faculty, Sakarya; Department of Internal Medicine, Sakarya University, Medicine Faculty, Sakarya; Department of Hematology, Sakarya University, Medicine Faculty, Sakarya; Department of Internal Medicine, Rize Findikli State Hospital, Rize, Turkey
| | - M Vatan
- Department of Cardiology, Sakarya University, Medicine Faculty, Sakarya; Department of Internal Medicine, Sakarya University, Medicine Faculty, Sakarya; Department of Hematology, Sakarya University, Medicine Faculty, Sakarya; Department of Internal Medicine, Rize Findikli State Hospital, Rize, Turkey
| | - H Gündüz
- Department of Cardiology, Sakarya University, Medicine Faculty, Sakarya; Department of Internal Medicine, Sakarya University, Medicine Faculty, Sakarya; Department of Hematology, Sakarya University, Medicine Faculty, Sakarya; Department of Internal Medicine, Rize Findikli State Hospital, Rize, Turkey
| |
Collapse
|
15
|
Can Y, Kılıç H, Kocayiğit İ, Aksoy MM, Vatan MB, Gündüz H, Tatlı E, Akdemir R, Ösken A, Can NU, Acar BA, Şahinkuş S, Yaylacı S, Aydın E, Karacan A. PP-111 Hematological Biomarkers for Predicting Carotid Vasospasm. Am J Cardiol 2016. [DOI: 10.1016/j.amjcard.2016.04.214] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
|
16
|
Şahinkuş S, Cakar M, Yaylacı S, Aydın E, Can Y, Kocayigit I, Osken A, Akdemir R, Gunduz H. HEMATOLOGICAL MARKERS OF THE NO-REFLOW PHENOMEN ON IN-PATIENTS UNDERGOING PRIMARY PERCUTANEOUS CORONARY INTERVENTION. Georgian Med News 2016:26-32. [PMID: 27348163] [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] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
The study aims to investigate hematological parameters of the no-reflow phenomenon (NRP) developed in patients underwent primary percutaneous coronary intervention (pPCI) due to diagnosis of ST elevation myocardial infarction (STEMI). The study sample consisted of a total of 90 patients, of which 44 patients who underwent pPCI and developed NRP without anemia and chronic renal failure (mean age was 64; 34 males and 10 females) were included in the experimental group, and the control group consisted of 46 patients with normal reperfusion flow (mean age was 58; 34 males and 12 females). In both groups, Red blood-cell Distribution Width (RDW), Mean Platelet Volume (MPV), plateletcrit (PCT), Platelet Distribution Width (PDW), and neutrophil count were observed. The demographic characteristics of both groups were similar, except the higher mean age of the experimental group (age; 64.0±12.6; 58.0±12.5). No correlation was found between development of no-reflow and incidence of risk factors such as hypertension, diabetes mellitus, dyslipidemia, smoking, family history and gender. In the no-reflow group, RDW level (16.2%±2.1; 14.2%±0.7, p<0.001), MPV level (7.9±1.2; 7.3±0.8, p<0.05), PDW level (18.1±1.2; 17.4±1.2, p<0.05), PCT level (0.2±0.06 vs 0.17±0.05) and neutrophil count (9.9±3.7; 7.1±3.3, p<0.001) was found to be higher than the control group. According to logistic regression analysis, RDW (OR; 23.4, <95% Cl 4.6-118.9, p<0.001), PDW (OR; 2.8, <95% Cl 1.2-6.4, p<0.05) and neutrophil count (OR; 1.4, Cl 1.1-1.9, p<0.05) were found to be the predictors of NRP development. Hemogram is a cheap and easy to apply test. In our study, a relationship between the NRP development and RDW, PDW, MPV, PCT, and neutrophil counts was found in patients who underwent pPCI. At the same time, RDW, PDW, and the neutrophil count were found to be predictors of no-reflow development.
Collapse
Affiliation(s)
- S Şahinkuş
- Sakarya University, Department of Cardiology; Fındıklı State Hospital, Department of Internal Medicine, Rize; Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Cardiology Department, Istanbul, Turkey
| | - M Cakar
- Sakarya University, Department of Cardiology; Fındıklı State Hospital, Department of Internal Medicine, Rize; Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Cardiology Department, Istanbul, Turkey
| | - S Yaylacı
- Sakarya University, Department of Cardiology; Fındıklı State Hospital, Department of Internal Medicine, Rize; Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Cardiology Department, Istanbul, Turkey
| | - E Aydın
- Sakarya University, Department of Cardiology; Fındıklı State Hospital, Department of Internal Medicine, Rize; Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Cardiology Department, Istanbul, Turkey
| | - Y Can
- Sakarya University, Department of Cardiology; Fındıklı State Hospital, Department of Internal Medicine, Rize; Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Cardiology Department, Istanbul, Turkey
| | - I Kocayigit
- Sakarya University, Department of Cardiology; Fındıklı State Hospital, Department of Internal Medicine, Rize; Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Cardiology Department, Istanbul, Turkey
| | - A Osken
- Sakarya University, Department of Cardiology; Fındıklı State Hospital, Department of Internal Medicine, Rize; Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Cardiology Department, Istanbul, Turkey
| | - R Akdemir
- Sakarya University, Department of Cardiology; Fındıklı State Hospital, Department of Internal Medicine, Rize; Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Cardiology Department, Istanbul, Turkey
| | - H Gunduz
- Sakarya University, Department of Cardiology; Fındıklı State Hospital, Department of Internal Medicine, Rize; Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Cardiology Department, Istanbul, Turkey
| |
Collapse
|
17
|
Yazıcı A, Kayan G, Yaylacı S, Demir MV, Karakeçe E, Tamer A, Karabay O. Tuberculous arthritis of the elbow joint: A case report. Eur J Rheumatol 2016; 3:142-143. [PMID: 27733947 DOI: 10.5152/eurjrheum.2015.0062] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [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: 07/30/2015] [Accepted: 10/18/2015] [Indexed: 11/22/2022] Open
Abstract
Tuberculous arthritis of the elbow joint is rare. A 57-year-old male patient presented with swelling, pain, and redness of the elbow. The symptoms first appeared one month ago; he was given antibiotic treatment after the diagnosis of septic arthritis at another center. The patient who did not improve with treatment was diagnosed with tuberculous arthritis according to the culture and was started on antituberculosis treatment. Tuberculous arthritis usually presents with chronic arthritis. However, it can also present in patients with septic arthritis.
Collapse
Affiliation(s)
- Ayten Yazıcı
- Department of Internal Medicine, Division of Rheumatology, Kocaeli University School of Medicine, Kocaeli, Turkey
| | - Gökçen Kayan
- Clinic of Infection Diseases, Sakarya Training and Research Hospital, Sakarya, Turkey
| | - Selçuk Yaylacı
- Department of Internal Medicine, Sakarya Training and Research Hospital, Sakarya, Turkey
| | - Mustafa Volkan Demir
- Department of Internal Medicine, Sakarya Training and Research Hospital, Sakarya, Turkey
| | - Engin Karakeçe
- Department of Clinic Microbiology, Sakarya Training and Research Hospital, Sakarya, Turkey
| | - Ali Tamer
- Department of Internal Medicine, Sakarya Training and Research Hospital, Sakarya, Turkey
| | - Oğuz Karabay
- Clinic of Infection Diseases, Sakarya Training and Research Hospital, Sakarya, Turkey
| |
Collapse
|
18
|
Ösken A, Vatan MB, Aydın E, Şahinkuş S, Yaylacı S, Can Y, Kocayiğit İ, Gündüz H, Akdemir R. Relationship Between Residual Syntax Score and In Hospital Outcomes In Patients Undergoing Primary Percutaneous Intervention. Medeni Med J 2016. [DOI: 10.5222/mmj.2016.006] [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: 11/05/2022] Open
|
19
|
Osken A, Zehir R, Ösken S, Yaylacı S, Aydın E, Şahinkuş S, Can Y. Cetirizine-Induced atrial fibrillation. Arch Med Health Sci 2016. [DOI: 10.4103/2321-4848.196192] [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: 11/04/2022] Open
|
20
|
Yaylacı S, Genç A, Açıkgöz S, Yıldırım M, Polat U, Sipahi S. A case of hiatal hernia presented with acute renal injury. Med J DY Patil Univ 2016. [DOI: 10.4103/0975-2870.192143] [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: 11/04/2022] Open
|
21
|
Yaylacı S, Ayyıldız O, Aydın E, Osken A, Karahalil F, Varım C, Demir MV, Genç AB, Sahinkus S, Can Y, Kocayigit İ, Bilir C. Is there a difference in mad honey poisoning between geriatric and non-geriatric patient groups? Eur Rev Med Pharmacol Sci 2015; 19:4647-4653. [PMID: 26698264] [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] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
OBJECTIVE This study aims to investigate the demographic, toxicological characteristics of the mad honey intoxication at ages 65 and above, to analyze the electrocardiographic parameters, and to compare with the mad honey intoxication at ages below 65 years. PATIENTS AND METHODS Eighty-two patients, who had been treated and followed-up between June 2013 and November 2014 in the Emergency Service of the Findikli State Hospital, Turkey, due to diagnosis of mad honey intoxication, were included in our observational study. Age, gender, toxicological characteristics, laboratory parameters, heart rates, systolic and diastolic blood pressures, laboratory analyses and electrocardiographic data of the patients were recorded and analyzed. Patients with known coronary artery disease, chronic renal failure, arrhythmias, valvular heart disease, history of thyroid disease and electrolyte imbalance were not included in the study. RESULTS Eighty-two (80.5% was male and the mean age was 53 ± 15 years) patients followed-up due to mad honey intoxication were included in our study. There were 64 (78%) patients aged below 65 years, and 18 (22%) patients aged 65 and above. The mean heart rate was 45 ± 7 beats/min, systolic blood pressure was 83 ± 12 mmHg and diastolic blood pressure was 52 ± 9 mmHg on admission. The onset of symptoms of the patients was found as 0.84 hours on average after mad honey consumption, the average amount of honey consumed was 3.7 ± 1.1 tablespoons, and the mean recovery time of the symptoms was found to be 1.04 hours. The most common presenting symptoms were nausea-vomiting in 82 (100%) patients and dizziness in 73 (89%) patients. Patients were found to consume mad honey mostly for achieving a remission in gastrointestinal complaints (n=18, 22%), and for utilizing its blood pressure lowering properties (n=11, 13.4%), in addition to the dietary consumption. Looking at the heart rates of the patients on admission to the emergency service, 65 (79.3%) patients had normal sinus rhythm/sinus bradycardia, 12 (14.6%) patients had a 1st degree atrioventricular block, 3 (3.7%) patients had nodal rhythm, 1 (1.2%) patient had atrial fibrillation and 1 (1.2%) patient had preexcitation. There were no significant pathological findings in the routine laboratory examinations of patients. It was found that all patients achieved normal sinus rhythm and normal blood pressure values after medical treatment, and were discharged approximately 5.65 hours after observation and follow-up. In our study, prolonged intensive-care need, pacemaker need and mortality caused by mad honey intoxication were not found. In the comparison of data of all patients above and below 65 years of age, there was a statistically significant finding that the geriatric patients consume mad honey mostly for hypotensive purposes and gastrointestinal complaints; in addition, the symptoms were starting early and the recovery period was longer in geriatric patients. CONCLUSIONS The mad honey poisoning should be considered in previously healthy patients with unexplained symptoms of bradycardia, hypotension, and atrioventricular block. Therefore, diet history should carefully be obtained from the patients admitted with bradycardia and hypotension. And, in addition to the primary cardiac, neurological and metabolic disorders, mad honey intoxication should also be considered in the differential diagnosis. In geriatric patients admitted due to mad honey intoxication, the mad honey is usually consumed to reduce blood pressure and resolve gastrointestinal problems; and, their symptoms begin early, and last longer after mad honey consumption. In terms of other parameters, the geriatric age group has similar characteristics to non-geriatric age group.
Collapse
Affiliation(s)
- S Yaylacı
- Department of Internal Medicine, Fındıklı State Hospital, Rize, Turkey.
| | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
22
|
Abstract
Propylthiouracil (PTU) is a common drug used in patients with hyperthyroidism. It may cause perinuclearantineutrophil cytoplasmic antibodies (p-ANCA) in few patients with Graves' disease. This antibody has been associated with different forms of vasculitis. We report a patient who presented with cutaneous manifestations of leukocytoclasticvasculitis with simultaneous development of p-ANCAs during PTU therapy for Graves' disease.
Collapse
Affiliation(s)
- Semra Ayturk
- Department of Internal Medicine, Sakarya Education and Research Hospital, Sakarya, Turkey
| | - Mustafa Volkan Demir
- Department of Internal Medicine, Sakarya Education and Research Hospital, Sakarya, Turkey
| | - Selçuk Yaylacı
- Department of Internal Medicine, Sakarya Education and Research Hospital, Sakarya, Turkey
| | - Ali Tamer
- Department of Internal Medicine, Sakarya Education and Research Hospital, Sakarya, Turkey
| |
Collapse
|
23
|
Osken A, Yaylacı S, Aydın E, Kocayigit I, Cakar MA, Tamer A, Gündüz H. Slow ventricular response atrial fibrillation related to mad honey poisoning. J Cardiovasc Dis Res 2012; 3:245-7. [PMID: 22923947 PMCID: PMC3425036 DOI: 10.4103/0975-3583.98904] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
Mad honey poisoning which is induced by Grayanotoxin (Andromedotoxin), is also known to have adverse effects in the cardiovascular system leading to different clinical entities. This toxin is produced by a member of the Rhododendron genus of plants of two R. Luteum and R. Panticum. In this article, we presented a case of slow ventricular response atrial fibrillation complaints with nausea, vomiting, dizziness and chest pain about an hour after eating honey produced in the Black Sea Region.
Collapse
Affiliation(s)
- A Osken
- Department of Cardiology, Sakarya University Faculty of Medicine, Sakarya, Turkey
| | | | | | | | | | | | | |
Collapse
|