A Case of Swyer-James (Macleod’s) Syndrome with Bilateral Involvement

Swyer-James (Macleod’s) syndrome (SJMS) is a rare disorder thought to be a complication of childhood infections. Unilateral hyperlucency, reduced lung volume, diminished vascular markings and bronchiectasis may be detected on radiological analysis. Bilateral involvement is rare. We present a 20-yearl-old man who was diagnosed as having bilateral SJMS by radiological analysis and ventilation-perfusion scintigraphy

Respiratory Syncytial Virus Pneumonia During Febrile Neutropenia and Its Treatment

Twenty-four years old male who had chronic myelocytic leukemia (CML) for eight months, was admitted to emergency unit because of fatigue, palpitation, dyspnea and fever. He was hospitalized because of blastic transformation from CML to acute myelocytic leukemia (AML) and also febrile neutropenia. Respiratory distress and hypotension occurred and respiratory syncytial virus (RSV) pneumonia was laboratorally diagnosed. He responded to the oral ribavirin therapy but he died because of a new febrile neutropenic episode and bleeding. This case is the first reported RSV pneumonia in a febrile neutropenic patient and its treatment choices are limited in our country

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TÜBİTAK TBAG15.09.201

Epidemiology of pertussis in adolescents and adults in Turkey

Two hundred and fourteen patients who had a cough illness lasting at least 2 weeks were studied to investigate Bordetella pertussis as a cause of prolonged cough in adolescents and adults. Medical history and nasopharyngeal swab specimens for culture and polymerase chain reaction (PCR) were obtained at presentation. Three (1.4%) patients were B. pertussis culture-positive; 15 (7%) were B. pertussis PCR-positive (including the culture-positive patients) and 11 (5.1%) were Bordetella spp. PCR-positive. Symptom combinations were significantly high both in patients with pertussis and patients with indeterminate results (P < 0.05). We conclude that B. pertussis should be considered among differential diagnoses of prolonged cough in adolescents and adults and PCR and culture should be used to detect these cases and facilitate public health response