22 research outputs found
Evaluation of oxidative status in patients with Fasciola hepatica infection
Background: F. hepatica infection is rare and mostly subclinical. Migration of juvenile forms of F. hepatica into the host’s liver is accompanied by an inflammatory reaction followed by fibrosis and cirrhosis. Objective: The aim of this study was to evaluate oxidative status by using a novel automated method in patients with Fasciola hepatica. Methods: Twenty two patients with a diagnosis of F. hepatica and 26 healthy volunteers were enrolled in the study. Their Total antioxidant capacity status (TAC), total oxidant status (TOS) and catalase were measured in them and oxidative stress index (OSI) was calculated. These measurements were also taken for the control group and the values were compared. Results: Plasma levels of total TOS and OSI were significantly increased in patients as compared with healthy controls (P<0.001, P<0.001, P=0.001, P=0.008) respectively. In contrast, TAC level was significantly lower in patients as compared with controls (p<0.05). There was no significant difference between the catalase results of the two groups (p>0.05). Conclusion: Total oxidative status and OSI were increased and total antioxidative status capacity was decreased in patients with F. hepatica infeciton. A high oxidative stress occurs during F. hepatica infection, which may cause severe damage in both the liver.Keywords: Fasciola hepatica, total antioxidant capacity, total oxidative status, oxidative stress inde
Evaluation of oxidative status in patients with Fasciola hepatica infection
Background: F. hepatica infection is rare and mostly subclinical.
Migration of juvenile forms of F. hepatica into the host’s liver
is accompanied by an inflammatory reaction followed by fibrosis and
cirrhosis. Objective: The aim of this study was to evaluate oxidative
status by using a novel automated method in patients with Fasciola
hepatica. Methods: Twenty two patients with a diagnosis of F.
hepatica and 26 healthy volunteers were enrolled in the study. Their
Total antioxidant capacity status (TAC), total oxidant status (TOS) and
catalase were measured in them and oxidative stress index (OSI) was
calculated. These measurements were also taken for the control group
and the values were compared. Results: Plasma levels of total TOS and
OSI were significantly increased in patients as compared with healthy
controls (P<0.001, P<0.001, P=0.001, P=0.008) respectively. In
contrast, TAC level was significantly lower in patients as compared
with controls (p<0.05). There was no significant difference between
the catalase results of the two groups (p>0.05). Conclusion: Total
oxidative status and OSI were increased and total antioxidative status
capacity was decreased in patients with F. hepatica infeciton. A high
oxidative stress occurs during F. hepatica infection, which may cause
severe damage in both the liver
Clinical and prognostic features of patients with pandemic 2009 influenza A (H1N1) virus in the intensive care unit
Objective: To investigate the clinical and prognostic features of patients admitted to intensive care unit (ICU) with pandemic 2009 influenza A (H1N1) virus.Methods: Patients admitted to the intensive care unit for severe pneumonia associated with pandemic 2009 influenza A (H1N1) virus were evaluated.Results: The study included 20 patients with the mean age of 36±13. Of the 20 subjects, 17 (85%) had underlying conditions. Of the 20 patients, 11(55%) were discharged and 9 (45%) died. Cardinal symptoms were fever, myalgia, and hemoptysis with the rates of 85 %, 75 % and 45 %, respectively. All patients had pneumonic infiltrations in their chestroentgenograms. Main laboratory findings were lymphopenia, high creatin phosphokinase (CPK) and Lactate dehydrogenase (LDH) levels. All patients had positivity on real time reverse transcription–polymerase chain reaction (RT-PCR). None of the patients had pandemic 2009 influenza A (H1N1) virus vaccination. None of them had taken oseltamivir within 48hours. Main reasons for mortality were cardiovascular complications and ventilatory associated pneumonia due to Acynetobacter baumannii.Conclusion: Early diagnosis and antiviral treatment in these cases seem to be the best approach to avoid serious illness. Special attention should be given to patients having underlying conditions such as cardiovascular and pulmonary diseases and pregnancy
Clinical and prognostic features of patients with pandemic 2009 influenza A (H1N1) virus in the intensive care unit
Objective: To investigate the clinical and prognostic features of
patients admitted to intensive care unit (ICU) with pandemic 2009
influenza A (H1N1) virus. Methods: Patients admitted to the intensive
care unit for severe pneumonia associated with pandemic 2009 influenza
A (H1N1) virus were evaluated. Results: The study included 20 patients
with the mean age of 36±13. Of the 20 subjects, 17 (85%) had
underlying conditions. Of the 20 patients, 11(55%) were discharged and
9 (45%) died. Cardinal symptoms were fever, myalgia, and hemoptysis
with the rates of 85 %, 75 % and 45 %, respectively. All patients had
pneumonic infiltrations in their chest roentgenograms. Main laboratory
findings were lymphopenia, high creatin phosphokinase (CPK) and Lactate
dehydrogenase (LDH) levels. All patients had positivity on real time
reverse transcriptionpolymerase chain reaction (RT-PCR). None of the
patients had pandemic 2009 influenza A (H1N1) virus vaccination. None
of them had taken oseltamivir within 48 hours. Main reasons for
mortality were cardiovascular complications and ventilatory associated
pneumonia due to Acynetobacter baumannii. Conclusion: Early diagnosis
and antiviral treatment in these cases seem to be the best approach to
avoid serious illness. Special attention should be given to patients
having underlying conditions such as cardiovascular and pulmonary
diseases and pregnancy
Liver involvement in patients with brucellosis: results of the Marmara study
WOS: 000336986700024PubMed ID: 24557334Brucellosis is a zoonotic disease that primarily affects the reticuloendothelial system. But, the extent of liver damage in due course of the disease is unclear. This study included 325 brucellosis patients with significant hepatobiliary involvement identified with microbiological analyses from 30 centers between 2000 and 2013. The patients with a parts per thousand yen5 times of the upper limit of normal for aminotransferases, total bilirubin level a parts per thousand yen2 mg/dl or local liver lesions were enrolled. Clinical hepatitis was detected in 284 patients (87.3 %) and cholestasis was detected in 215 (66.1 %) patients. Fatigue (91 %), fever (86 %), sweating (83 %), arthralgia (79 %), and lack of appetite (79 %) were the major symptoms. Laboratory tests showed anemia in 169 (52 %), thrombocytopenia in 117 (36 %), leukopenia in 81 (25 %), pancytopenia in 42 (13 %), and leukocytosis in 20 (6 %) patients. The most commonly used antibiotic combinations were doxycycline plus an aminoglycoside (n = 73), doxycycline plus rifampicin (n = 71), doxycycline plus rifampicin and an aminoglycoside (n = 27). The duration of ALT normalization differed significantly in three treatment groups (p 0.05). During the follow-up, treatment failure occurred in four patients (1 %) and relapse was seen in three patients (0.9 %). Mortality was not observed. Hepatobiliary involvement in brucellosis has a benign course with suitable antibiotics and the use of doxycycline and an aminoglycoside regimen seems a better strategy in select patients