İspirto Zehirlenmesi Olan İki Olgunun Başarılı Yönetimi: Olgu Sunumu

Metanol zehirlenmesi, düşük doz alımda dahi morbidite ve mortaliteye yol açan alımı genellikle erişkinlerde kaza ya da intihar amaçlı, çocuklarda ise bilinçsiz bir şekilde alınması ile olabilen klinik durumdur. Özellikle erişkin dönemde ve erkeklerde çok görülen metanol zehirlenmesi çocuklarda nadir olarak bildirilmektedir. Bu yazımızda ispirto alımı sonrasında 30 dakika içinde hastanemiz acil polikliniğine getirilen 5 ve 7 yaşında iki erkek kardeş olgumuzun hızlı tanı ve tedavi ile başarılı tedavi yönetimini sundu

Association of Severity of Coronary Lesion with Markers of Acute Infection and Inflammation in Patients with Acute Coronary Syndrome

Aim: Inflammation and some infectious agents play a key role in acute coronary syndrome (ACS) caused by atherosclerosis. The purpose of this study was to assess the effects of inflammatory markers and the positivity of Chlamydia pneumoniae (CP), Helicobacter pylori (HP), and Cytomegalovirus (CMV) on the level of atherosclerosis in patients with ACS. Materials and Methods: Patients (57) that were referred to the emergency unit with classic angina symptoms or angina equivalent symptoms and were determined to have critical lesions in the coronary angiography (0.001 and p0.030, respectively) at hour 48 than originally found at hour 0. Conclusion: There is no association between the severity of coronary lesions and cytokine levels and positivity of infectious agents in ACS since the levels of proinflammatory cytokines in ACS are higher than those in atherosclerosis. The changes in cytokine levels at hour 48 were found to be significan

A collision tumor: Reflectance confocal microscopy features and correlation between dermoscopy and histopathology

Coexistence of two types of malignant neoplasms, called 'a collision tumor,' is relatively uncommon. Basal cell carcinomas (BCCs) are known to coexist with other cutaneous lesions, but the collision of BCC with malignant melanoma is rare. We report a rare case of BCC with underlying lentigo maligna melanoma, focusing on dermoscopic and reflectance confocal microscopic (RCM) findings and their correlation with histopathology. RCM and dermoscopy seem to offer important clues to increase clinical suspicion of collision tumors and improve clinical diagnosis

Efficacy of Use of Red Cell Distribution Width as a Diagnostic Marker in Acute Appendicitis

WOS:000398905900007Aim: We aimed to investigate the increase in values of red cell distribution width (RDW) and also the dependence of RDW on leukocyte count (WBC) and C-reactive protein (CRP) values in acute appendicitis (AA).Materials and Methods: This study includes data collected from 407 patients who were admitted between January 2012 and July 2014 to the emergency service and underwent an operation owing to a diagnosis of AA confirmed by a pathology report. These patients were divided into two groups, namely, non-complicated and complicated appendicitis, according to the results of the operation. The control group consisted of 100 adult patients with similar complaints not having acute abdominal conditions. The age, gender, and WBC, RDW, and CRP levels of the patients on admission were recorded retrospectively.Results: A total of 350 (86%) of the patient group were diagnosed with non-complicated appendicitis, 34 (8.4%) with plastron appendicitis, and 23 (5.6%) with perforated appendicitis. No significant difference was observed with respect to WBC, RDW, and CRP levels between the AA groups (p0.05). The sensitivity and specificity of the WBC, RDW, and CRP values in the AA group were 70% and 60%, 41% and 30%, and 51% and 40%, respectively. No dependence of RDW values on WBC or CRP levels was found.Conclusion: RDW values were found to be significantly higher in the AA group than in the control group. The low sensitivity and specificity values of the RDW test reduce the possibility that it might become a hematologic marker to be used in the definitive diagnosis of AA