A rare agent of spondylodiscitis in adult patient: Salmonella enteritidis

Salmonella infections are a public health problem in Turkey,as all over the world. Salmonella spp. can causevery different infections such as gastroenteritis, typhoidparatyphoidfever, bacteremia, local metastatic infectionsand chronic carriage. Salmonella spondylodiscitis occursrarely in the adult population. In this case report, we havepresented a 66 years old female patient followed with thediagnosis of rheumatoid arthritis and treated with prednisolone.The patient had a new diagnosis of Salmonellaenteritidis and we aimed to discuss similar cases by theculture of lumbar empyema culture ampiciline, cefotaxime,trimethoprim/sulfamethoxazole, ciprofloxacin was revealedthe presence of resistant S.enteritidis. The patienthas received ciprofloxacin 2x200 mg per day for 3 weeksas intravenous. And patient was discharged with advice ofusing ciprofloxacin as per oral long three months

Frequency of Rotavirus infection in children with gastroenteritis in a tertiary hospital

Objective: Rotavirus was shown to be the most importantagents of viral gastroenteritis in infants and young children,responsible for the majority of hospitalizations forthis illness within the first two years of life. The aim of thisstudy was to investigate the frequency of rotavirus antigenpositivity in pediatric patients with acute gastroenteritisadmitted to Erciyes University Hospital and to evaluatethe distribution according to the age of the patients, andseasons of the year.Methods: The records of stool specimens of a total of2636 patients between the ages of 0-16 admitted to ourhospital between January 2009 and December 2012 dueto acute gastroenteritis were investigated retrospectively.Rotavirus antigens were searched in the fresh stool specimensby immunochromatographic test.Results: Rotavirus antigen positivity was detected in663 (25.2%) stool samples. Antigen positivity rates in2009, 2010, 2011 and 2012 were 31.8%, 30.8%, 28.2%and 20.6%, respectively. Rotavirus antigen positivity wasdetected to be highest in children between 7-24 months(31.5%) and rotavirus frequency is higher in winter thanother seasons.Conclusion: The data obtained in this study indicatedthat, although the frequency is relatively decreasing, rotavirusinfections still remain among the important childhooddiarrhea.Key words: Gastroenteritis, rotavirus, children, frequency,immunochromatography

Gastroenteritli çocuklarda enterik adenovirüs antijenleri Enteric adenovirus antigens in children with gastroenteritis

© 2014 Turkish Journal of Immunology. All rights reserved.Objectives: This study aims to investigate the age and seasonal distribution of enteric adenovirus gastroenteritis in childhood. Patients and methods: The records of stool specimens of a total of 2,422 patients (968 females, 1454 males; mean age 3.6 years; range 0 to 16 years) admitted to our hospital with the complaint of acute gastroenteritis between January 2009 and December 2012 were retrospectively analyzed. Adenovirus serotype 40-41 antigens in the stool specimens were investigated through the immunochromatographic test. Results: Of a total of 2,422 stool specimens, 170 were found to have viral antigens. Most of the patients were between 0 and 2 years old (n=106; 62%). Enteric adenovirus infection was mostly seen during spring (8%) and it reached peak during August (11.2%). Conclusion: The detection of adenoviruses in acute gastroenteritis is important to prevent unnecessary antibiotic usage and to reduce the development of antibacterial resistance

Antimicrobial Susceptibilities and Distribution of Stenotrophomonas maltophilia Strains Isolated from Clinical Specimens

Objective: Stenotrophomonas maltophilia is an opportu­nistic pathogen of increasing importance. Since it is intrin­sically resistant to many antimicrobial agents, the treat­ment of S. maltophilia infections is quite difficult. The aim of this study was to investigate the distribution and anti­microbial susceptibility patterns of S. maltophilia strains isolated in four years’ time. Methods: In this study; a total of 53 S. maltophilia strains, isolated from various clinical specimens between 2011- 2015 years were investigated in terms of antibiotic resis­tance rates. The isolates were identified and antibiotic susceptibility tests performed by conventional methods and BD Phoenix 100 automated system (Becton Dickin­son Diagnostic Systems, Sparks, USA). Results: S. maltophilia infections were mostly encoun­tered in the intensive care units. The most effective anti­microbial agents against S. maltophilia strains were found as trimethoprim-sulfamethoxazole and levofloxacin. Conclusion: Antimicrobial susceptibility tests should be performed for nosocomial infections caused by S. malto­philia due to high antimicrobial resistance rates. If this is not possible, trimethoprim-sulfamethoxazole and levo­floxacin could be good choices for empiric treatment