Hematological Manifestations in Brucellosis Cases in Turkey

The hematological findings of 233 patients with brucellosis are presented and the possible pathologies discussed. Anemia was present in 128 patients (55%), leukopenia in 49 (21%) and thrombocytopenia in 59 (26%). Bone marrow aspirates of 18 patients (8%) with pancytopenia were examined. The bone marrow was hypercellular in 15 and normocellular in 3 patients. Granulomatous lesions were detected in 12 cases (67%), and slight to moderate cytophagocytosis of erythrocytes, granulocytes and platelets existed in all patients. Blood cell counts reverted to normal within 2-3 weeks of initiating chemotherapy with recovery from the disease.</p

Cutaneous manifestations of anthrax in Eastern Anatolia: a review of 39 cases.

Anthrax is essentially a disease of grazing herbivorous animals. The most common form of the disease is cutaneous anthrax, which accounts for 95% of all cases. We report here 39 cutaneous anthrax cases in humans that were seen in Eastern Anatolia over a six-year period. The clinical presentation was malignant edema in 16 of the cases (41%) and malignant pustule in 23 (59%). A secondary bacterial infection was present in 13 patients (33.3%) in the vicinity of the lesions. The agent was observed using Gram-stained smears in 25 patients (64%), and Bacillus anthracis was isolated from 15 patients (38.5%). All of the patients were treated with penicillin G or penicillin procaine, except one patient who had a penicillin allergy. One patient with cervical edema (2.5%) died as a result of laryngeal edema and sepsis syndrome. In conclusion, we found that the appearance of the skin lesion of cutaneous anthrax may vary, and this fact, combined with the rarity of this disease, which contributes to a general lack of experience among medical personnel, may make diagnosis difficult in nonagricultural settings</p

A case of colistin-induced fixed drug eruption

Several medicines, especially antimicrobials, play a rolein the etiology of fixed drug eruption (FDE). The clinicalmanifestation is quite typical for a drug-induced reaction.FDE which developed in an 83-year-old male patientwho has been administered colistin due to Acinetobacterpneumonia is presented here since it is very rarely seen.Therefore colistin should also be considered in the differentialdiagnosis of FDE. J Clin Exp Invest 2013; 4 (3):374-376Key words: Fixed drug eruption, etiology, colisti

A Case Of Typhoid Fever Presenting With Multiple Complications

An 18-year old female patient was admitted to the Emergency Department with complaints of fever and fatigue beginning 15 days ago associated with headache, weakness, palpitation, abdominal pain, and diarrhea a week later. The patient who apathic confused and discordant was transferred to the Department of Infectious Diseases. There was also hypocalcemia, hypopotassemia, pancytopenia, intestinal hemorrhage, and hepatic involvement. S. typhi was grown in the blood culture. The patient was discharged with full recovery after ciprofloxacin treatment in addition to electrolyte replacement. Typhoid fever is a widespread infectious disease in our country and should be taken into consideration in differential diagnosis of many diseases because it may involve a number of systems and may present with a variety of complications

A Case of Typhoid Fever with Multisystemic Involvement

Typhoid fever can affect many organ and systems as well as being manifested by multisystemic involvement. In this paper, we present a case of typhoid fever presenting with cloudiness of consciousness, psychosis, pancytopenia, acute pancreatitis, acute cholecystitis, typhoid hepatitis, toxic myocarditis and disseminated intravascular coagulation. The patient, recovered with medical treatment without any damage

A Case of Brucellosis Presenting with Pyonephrosis

In this paper, a case of brucellosis presenting with a clinical picture of grade IV hydronephrosis-pyonephrosis caused by stricture in ureteropelvic junction, plevral effusion, widespread ascites in abdomen and hepatosplenomegaly is presented. Twenty-six-year-old male patient was treated with medical and radiological intervention. Left nephrectomy was advised to the patient but he did not accept it

A Case Of Brucellosis Lymphadenitis Mimicking Scrofuloderma

Brucellosis is a zoonotic disease, which may be manifested by multisystemic involvement. While the complications related to musculoskeletal and gastrointestinal system are frequently seen, those related to the other systems are rarely encountered. In this paper, we present a brucellosis lymphadenitis case in the right side of the neck in a 20 years old female patient, presenting with a mass formation in the soft tissue mimicking scrofuloderma, with dimensions of 10x6x4 cm. Especially in endemic areas, brucellosis lymphadenitis should also be remembered in addition to scrofuloderm

Brucella melitensis’in neden olduğu tiroid bezi apsesi

Brucella infects many organs with various complications but thyroid gland infection is rare. We present a thyroid gland abscess due to brucellosis. The 53 years male patient was admitted to outpatient clinic with complaints of swelling and pain in the anterior part of the neck. The patient’s thyroid hormones and anti-thyroid antibodies were in normal limits. The cause of thyroid gland abscess was Brucella melitensis. The diagnosis was made based on clinical, radiological, serological and bacterial culture results. The abscess was surgically evacuated and medical treatment was applied. The patient recovered without any sequel

Weil’s Disease: A Case Report

Leptospirosis is a widespread zoonosis manifesting itself in various types all over the world. A 23-yearold male patient, who referred to the Emergency Unit of Yüzüncü Y›l University Medical Faculty, suffered from fever, sweats, anorexia, fatigue, headache, myalgia, hiccups, nausea and vomiting, oliguria and darkening of the urine beginning 15 days before. Leptospiras were seen by dark field examination of the preparations from urine samples of the patient that we were informed to be a building worker in Istanbul. In the serum samples taken from pre-treatment period, we have found a positiveness against Leptospira icterohaemorrhagiae Wijnberg strain at a titer of 1/3200 by method of microscopic agglutination test (MAT) in Etlik Veterinary Control and Investigation Institute. The patient who was determined to have acute renal failure and hepatic function disorder was discharged from the hospital after treatment with a complete recovery