High occurrence of cyclosporiasis in Istanbul, Turkey, during a dry and warm summer

We evaluated the incidence of Cyclospora cayetanensis in immunocompetent, diarrheic patients during the summers of 2006-2009 in Istanbul. Stools from 1876 patients were examined using microscopic techniques. Cyclospora oocysts were observed in wet preparations by light and epifluorescence microscopy and in fecal smears that were stained by Kinyoun's modified acid-fast stain. Characteristic Cyclospora oocysts were observed in 2 patients in 2006, 17 in 2007, and one in 2009. Samples positive for Cyclospora were further analyzed by a single step polymerase chain reaction (PCR) with Cyclospora-specific primers from the ITS-1 region of the genome

High occurrence of cyclosporiasis in Istanbul, Turkey, during a dry and warm summer

We evaluated the incidence of Cyclospora cayetanensis in immunocompetent, diarrheic patients during the summers of 2006-2009 in Istanbul. Stools from 1876 patients were examined using microscopic techniques. Cyclospora oocysts were observed in wet preparations by light and epifluorescence microscopy and in fecal smears that were stained by Kinyoun's modified acid-fast stain. Characteristic Cyclospora oocysts were observed in 2 patients in 2006, 17 in 2007, and one in 2009. Samples positive for Cyclospora were further analyzed by a single step polymerase chain reaction (PCR) with Cyclospora-specific primers from the ITS-1 region of the genome

Acute prostatitis as an uncommon presentation of brucellosis

The present report concerns a 46-year-old man who presented with acute prostatitis due to Brucella melitensis infection. He was first treated with doxycycline and ciprofloxacin, but after 3 months he was admitted again with the same diagnosis. The relapse was probably related to ciprofloxacin use, or the length of treatment not being sufficient. The patient was successfully treated with a combination of doxycycline and rifampin for 3 months. In conclusion, prostatitis due to Brucella, such as spondylitis, meningoencephalitis and endocarditis, should be treated for longer courses

Cyclospora cayetanensis in Two Immunocompetent Patients in Istanbul

Cyclospora cayetanensis is a frequently reported microorganism which causes diarrhea in both immunocompromised and immunocompetent patients. Despite new information on this emerging pathogen, significant gaps remain in our knowledge. There is a need to accurately diagnose and get information because the coccidian parasites are nearly never diagnosed, even upon the clinician’s request. Two immunocompetent patients with Cyclospora cayetanensis infections were presented and literatur was reviewed in this manuscript

Staphylococcus aureus soft tissue infection may increase the risk of subsequent staphylococcal soft tissue infections

Staphylococcus aureus is the most common cause of soft tissue infections. It is unknown, however, if a patient who has had such an infection is at greater risk for future soft tissue infections with S. aureus

HIV ınfection presented with hemiplagia: three cases of toxoplasma encephalitis.

İstanbul Bilim Üniversitesi, Tıp Fakültesi.Toksoplazma ensefaliti, genellikle ilerlemiş immün yetersizliği olan hastalarda, radyolojik olarak çepersel kontrast tutan beyin lezyonlarının varlığında ayırıcı tanıda ilk sıradadır. Bu makalede, toksoplazma ensefaliti ile başvuran HIV enfeksiyonlu olgular sunulmuştur. 28 yaşında erkek hasta ateş ve vücut sol yarısında güçsüzlük yakınmalarıyla kliniğimize başvurdu. Kraniyal MR’da merkezleri nekrotik, kontrast tutan toksoplazmoz ile uyumlu lezyonlar görülmesi üzerine istenen tetkikler sonucunda HIV enfeksiyonu tanısı koyuldu. Toksoplazma tedavisinin 14. Gününde lezyonlarda belirgin gerileme olup, klinik bulguları düzeldi. 37 yaşında kadın hasta baş ağrısı, ateş ve sol kol ve bacakta güçsüzlük yakınmalarıyla kliniğimize başvurdu. Kraniyal MR’da izlenen çepersel kontrast tutan, çoklu lezyonların toksoplazmayı düşündürmesi üzerine istenen tetkikler sonucunda HIV enfeksiyonu tanısı koyuldu.In the presence of contrast-enhanced focal parietal lesions in patients with advanced immunodeficiency, toxoplasma encephalitis is among the main entities in the differential diagnosis. In this study, we report the cases of three patients with HIV infection presented with toxoplasma encephalitis. A 28-year-old male patient was admitted with fever and weakness in the left half of the body. Cranial MRI revealed contrast-enhancing lesions with necrotic centers compatible with toxoplasmosis. Based on further analysis, the diagnosis of HIV infection was established. A 37-yearold female patient was admitted with headache, fever, and weakness in the left arm and leg. Cranial MRI revealed contrastenhanced multiple parietal lesions compatible with toxoplasmosis. HIV infection was diagnosed by serologic tests