İzmir ve çevresinde bir yılda (Mayıs 2009-Nisan 2010) saptanan bağırsak parazitlerinin aylara göre dağılımı-asid fast ve modifiye trichrome boyama sonuçları

Objective: In this study, 5073 fecal specimens and cellophane tapes from patients were examined during the period of May 1, 2009-April 30, 2010 in the parasitology laboratory of the Ege University Medical School. Methods: Sticky tape test and ethyl acetate sedimentation methods, saline, iodine, modified kinyoun's acid-fast, Trichrome, modified Trichrome and giemsa staining procedures have been applied to the stool samples. Results: After the macroscopic and microscopic examinations, 1138 (22.43%) intestinal parasites were determined. Cryptosporidium spp. (n=381; 33.47%), Blastocystis hominis (n=368; 32.33%) and Cyclospora spp. (n=187; 16.43%) were the three most common parasites obtained during the examination. The most commonly determined helminth was Enterobius vermicularis (n=33; 2.89%). Conclusion: Detection of Microsporidium spores in immununosuppressed patients showed also the importance of specific staining methods. Intestinal parasites are causing serious public health problems in our region. (Turkiye Parazitol Derg 2012; 36: 71-4)Amaç: Bu çalışmada, 1 Mayıs 2009-30 Nisan 2010 tarihleri arasında Ege Üniversitesi Tıp Fakültesi Hastanesi Parazitoloji Laboratuvarı'na başvuran 5073 hastanın dışkı ve selofan bant örneklerinin incelenmesinden elde edilen sonuçlar retrospektif olarak değerlendirilmiştir. Yöntemler: Dışkı örneklerine selofan bant yöntemi, etil asetat çöktürme yöntemi, nativ, lugol, Modifiye Kinyoun asit-fast, Trichrome boyama, Modifiye Trichrome ve Giemsa boyama yöntemleri uygulanmıştır. Bulgular: Bağırsak parazitleri açısından makroskobik ve mikroskobik olarak incelenen dışkı örneklerinin 1138'inde (%22.43) bağırsak parazitine rastlanmıştır. En sık rastlanan bağırsak parazitlerinin Cryptosporidium spp. (381/5073; %33.47), Blastocystis hominis (368/5073; %32.33) ve Cyclospora spp. (187/5073; %16.43) olduğu belirlenmiştir. En sık tespit edilen helmint ise Enterobius vermicularis (33/5073; %2.89) olarak saptanmıştır. Sonuç: İmmunsuprese hastalarda Microsporidium sporlarının tespit edilmesi de spesifik boyama yöntemlerinin önemini göstermektedir. Bölgemizde bağırsak parazitleri halk sağlığı açısından önemli bir sağlık sorunudur. (Turkiye Parazitol Derg 2012; 36: 71-4

Two Cases of Escherichia coli Meningitis Developing After Transrectal Prostate Biopsy

Transrectal prostate biopsy (TPB) is a commonly used invasive technique for the diagnosis of prostate cancer. Escherichia coli is a rare cause of adult meningitis. It can cause nosocomial meningitis after invasive procedures. In this paper, we present two cases of E. coli meningitis developing after TPB. The first case was a 65-year-old man who was admitted to the emergency service with fever and unconsciousness two days after TPB. He had neck stiffness, leukocytosis, and high C-reactive protein (CRP) levels. His cerebrospinal fluid (CSF) had turbid appearance, low glucose and high protein levels. More than 1000/mm3 leukocytes were seen on direct microscopy, and gram-negative bacilli were observed. Ceftriaxone 2 g q12h was started. CSF culture yielded E. coli susceptible to ceftriaxone. Concomitant urine and blood cultures were sterile. The second case was a 69-year-old man admitted with fever and unconsciousness six days after TPB. He had neck stiffness, leukocytosis and high CRP levels. His CSF had purulent appearance, low glucose and high protein levels. On microscopy, there were 800 leukocytes/mm3. Ceftriaxone 2 g q12h was started. CSF culture yielded extended spectrum beta-lactamase producer E. coli. Treatment was changed to meropenem 6 mg daily. Both patients were cured with the three-week antibiotic treatment. After TPB, resistant microorganisms can be involved in the etiology of severe bacterial infections; carbapenems can be used until culture results are available

Vorikonazol ile tedavi edilen Aspergillus fumigatus’a bağlı spondilodiskit olgusu

Aspergillus spp., which is widely distributed throughout the earth is an important opportunistic mold. Aspergillus fumigatus is the most common cause of invasive aspergillosis. It is a rare cause of spondylitis in the immunocompromised host. In this paper, we report a case of A. fumigatus spondylodiscitis, which developed in a patient with amyloidosis, nephrotic syndrome and history of steroid consumption, treated with voriconazole.Aspergillus spp., yeryüzünde her yerde yaygın olarak bulunan, önemli bir fırsatçı küf mantarıdır. Aspergillus fumiga tus invazif aspergillozun en sık rastlanan etkenidir. Bağışıklık sistemi baskılanmış hastalarda nadir olarak spondilodiskit etkeni olarak saptanabilmektedir. Bu yazıda, amiloidoza bağlı gelişen nefrotik sendrom nedeniyle steroid kullanan ve hemodi yalize giren bir olguda A.fumigatus’un etken olduğu ve vorikonazol ile tedavi edilen bir spondilodiskit olgusu sunulmuştur