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Turkish Journal of Pediatrics

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https://www.readbyqxmd.com/read/27976570/aberrant-cervical-thymus-and-the-role-of-ultrasonography-a-case-report
#1
Emre Ünal, Hanife Gülden Düzkalır, Seray Kurt-Güney, Emek Tolga Işıldak
Ectopic/aberrant cervical thymic tissue is a rare cause of neck mass and usually detected incidentally. Aberrant thymic tissue can occur anywhere in the course of thymic descent from the angle of the mandible to the superior mediastinum. We report a case of aberrant cervical thymus demonstrated by ultrasound.
2016: Turkish Journal of Pediatrics
https://www.readbyqxmd.com/read/27976569/horseshoe-kidney-with-growth-retardation-don-t-forget-turner-syndrome
#2
Seçil Arslansoyu-Çamlar, Alper Soylu, Ayhan Abacı, Mehmet Atilla Türkmen, Ayfer Ülgenalp, Salih Kavukçu
Horseshoe kidney is the most frequent renal fusion anomaly that is usually asymptomatic and isolated malformation. However it can be seen with various syndromes and chromosomal anomalies. It was reported that 15-35% of Turner syndrome cases (TS) also display horseshoe kidney condition. TS is a chromosomal anomaly that had been characterized by delayed puberty, short body height and gonadal dysgenesis. In this report a five-year-old girl with horseshoe kidney, which has growth retardation during follow-up as only symptom of Turner syndrome...
2016: Turkish Journal of Pediatrics
https://www.readbyqxmd.com/read/27976568/an-unexpected-diagnostic-course-of-systemic-lupus-erythematosus
#3
Aysel Taktak, Adem Köksoy, Özge Başaran, Saba Kiremitçi, Banu Acar, Nermin Uncu, Nilgün Çakar
Thrombotic microangiopathy (TM), especially thrombotic thrombocytopenic purpura (TTP) is described in systemic lupus erythematosus (SLE) as a severe hematological involvement. However hemolytic uremic syndrome (HUS) is seen less frequently in SLE, particularly as an initial presentation. Here we present a 15-year old boy presenting with gross hematuria, decreased urinary output and petechial lesions. He was diagnosed as atypical HUS according to the classical triad of TM, along with observation of hypocomplementemia and negative stool cultures...
2016: Turkish Journal of Pediatrics
https://www.readbyqxmd.com/read/27976567/successful-treatment-of-refractory-listeria-meningitis-and-bacteremia-with-trimethoprim-sulfamethoxazole-in-an-immunocompetent-child
#4
Meltem Polat, Soner Sertan Kara, Anıl Tapısız, Okşan Derinöz, Kayhan Çağlar, Hasan Tezer
Listeria monocytogenes is an important cause of life-threatening bacteremia and meningoencephalitis in neonates, pregnant women, the elderly, and immunocompromised individuals. However, it is an uncommon cause of illness in immunocompetent children beyond the neonatal period. Ampicillin with or without an aminoglycoside remains the best treatment for listeriosis. Here, we report a rare case of Listeria meningitis and bacteremia in a 7-month-old immunocompetent girl, which was refractory to ampicillin plus gentamicin treatment and successfully treated by the addition of TMP/SMX...
2016: Turkish Journal of Pediatrics
https://www.readbyqxmd.com/read/27976566/ceftriaxone-induced-hemolytic-anemia-in-a-child-successfully-managed-with-intravenous-immunoglobulin
#5
Aysel Vehapoğlu, Nilüfer Göknar, Rümeysa Tuna, Fatma Betül Çakır
Drug-induced hemolytic anemia is an immune-mediated phenomenon that leads to the destruction of red blood cells. Here, we present a case of life-threatening ceftriaxone-induced hemolytic anemia (CIHA) in a previously healthy 3-year-old girl. We also reviewed the literature to summarize the clinical features and treatment of hemolytic anemia. Acute hemolysis is a rare side effect of ceftriaxone therapy associated with high mortality. Our patient had a sudden loss of consciousness with macroscopic hematuria and her hemoglobin dropped from 10...
2016: Turkish Journal of Pediatrics
https://www.readbyqxmd.com/read/27976565/different-clinical-spectrum-of-leptospirosis
#6
Fatma Deniz Aygün, Pınar Özge Avar-Aydın, Haluk Çokuğraş, Yıldız Camcıoğlu
Leptospirosis is a prevalent zoonotic disease. Human infection usually occurs through exposure to environmental sources. Clinical course of leptospirosis is variable. We presented five patients, aged between 4-14 years, having a history of contact with rodents and symptoms 7-10 days after contact. The first three cases were relatives and had contact with dead rats after applying insecticides to bakery across from their house. The first case diagnosed as isolated meningitis, others as flu-like illness. The fourth case had a contact history with a rat inundate in the canalization and diagnosed as acute hepatitis...
2016: Turkish Journal of Pediatrics
https://www.readbyqxmd.com/read/27976564/nasal-chondromesenchymal-hamartoma-a-rare-pediatric-tumor-case-report
#7
Adnan Ünal, Rauf Oğuzhan Kum, Yonca Avcı, Devrim Tuba Ünal
Nasal chondromesenchymal hamartoma has characteristic clinicopathological features and it is accepted as the upper airway analogue of mesenchymal hamartoma of the chest wall. It is a rare lesion and only 31 cases have been reported in the English literature until 2014. In this article, a 13-year-old nasal chondromesenchymal hamartoma case is presented, which is the first nasal chondromesenchymal hamartoma case from Turkey. Although, nasal chondromesenchymal hamartoma has been accepted as a benign lesion, the possibility of malignant transformation should be kept in mind, and detailed histologic examination should be performed particularly in adult nasal chondromesenchymal hamartoma cases...
2016: Turkish Journal of Pediatrics
https://www.readbyqxmd.com/read/27976563/effects-of-physiotherapy-combined-with-sirolimus-in-a-patient-with-vascular-malformation-a-case-report
#8
Türkan Akbayrak, Ceren Orhan, Emine Baran, Serap Kaya, Gürsoy Coskun, Ali Varan
The aim of the present case report was to investigate the effects of a physiotherapy program combined with sirolimus in a child patient with upper extremity edema and joint limitation due to low-flow vascular malformation. This case report included an 11-year-old male patient (26 kg, 130 cm) diagnosed with congenital lymphovascular malformation on the left and right chest. The patient, who had edema on the upper left extremity and experienced joint limitations, was administered complete decongestive therapy (CDT) and manual therapy in combination with sirolimus...
2016: Turkish Journal of Pediatrics
https://www.readbyqxmd.com/read/27976562/venlafaxine-intoxication-in-an-adolescent-presenting-with-severe-lactic-acidosis
#9
İrem Eldem, Tanıl Kendirli, Ebru Azapağası, Gülşah Özdemir, Çisem Yıldız, Mehmet Mustafa Yılmaz, Özlem Karataşoğlu, Elif Benderlioğlu
Venlafaxine is a selective serotonin noradrenaline reuptake inhibitor and commonly prescribed antidepressant in adults. Most patients overdosing with venlafaxine develop only mild symptoms. Severe toxicity is reported with the most common symptoms being CNS depression, serotonin toxicity, seizure, or cardiac conduction abnormalities. However, lactic acidosis is an uncommon adverse effect. Here, we present the first case in the literature reporting lactic acidosis due to venlafaxine overuse in an adolescent.
2016: Turkish Journal of Pediatrics
https://www.readbyqxmd.com/read/27976561/congenital-malaria-importance-of-diagnosis-and-treatment-in-pregnancy
#10
Selvi Gülaşı, Nureddin Özdener
Congenital malaria, in which infants are directly infected with malaria parasites from their mother prior to or during birth, is a potentially life-threatening condition that occurs at relatively low rates in malaria endemic regions. We report an unusual case of a 23-day-old girl with neonatal Plasmodium vivax malaria, suspected primarily on the basis of positive maternal history that her mother had malaria during her pregnancy and was cured with chloroquine therapy. Infant presented with fever, thrombocytopenia and a significant parasitemia...
2016: Turkish Journal of Pediatrics
https://www.readbyqxmd.com/read/27976560/evaluation-of-the-removal-reasons-of-totally-implantable-venous-devices-in-children-a-retrospective-study
#11
Sinan Kılıç, Tutku Soyer, İbrahim Karnak, Arbay Özden Çiftçi, Feridun Cahit Tanyel, Mehmet Emin Şenocak
Totally implantable venous access devices (TIVADs) increase the quality of life in children with hematologic and oncologic diseases or organ failures. The aim of this study is to determine the reasons for port removal. The port catheters, implanted and removed in patients between January 2000 and June 2013 were evaluated retrospectively. The patients were divided into two groups, whose port catheters were removed due to completed therapy (completed therapy group, CTG) and whose port catheters were removed because of a port catheter-related complications (complication group, CG)...
2016: Turkish Journal of Pediatrics
https://www.readbyqxmd.com/read/27976559/clinical-accuracy-of-non-contact-infrared-thermometer-from-umbilical-region-in-children-a-new-side
#12
Hurşit Apa, Salih Gözmen, Şükran Keskin-Gözmen, Fatma Aslan, Nuri Bayram, İlker Devrim
Measurement from axillary site with digital thermometer has been accepted as the most accurate method. But this method is time consuming. Tympanic and forehead measurements are often used but don't always seem to be more appropriate. Another site, umbilical region, could be an alternative site. This study aims to compare the measurements with axillary digital thermometer and non-contact infrared thermometers at sites from umbilicus and forehead to determine whether umbilical site could be used accurately in children...
2016: Turkish Journal of Pediatrics
https://www.readbyqxmd.com/read/27976558/carotid-intima-media-thickness-and-arterial-stiffness-as-early-markers-of-atherosclerosis-in-pediatric-celiac-disease
#13
Arzu Meltem Demir, Zarife Kuloğlu, Aytaç Yaman, Suat Fitöz, Gökhan Nergizoğlu, Aydan Kansu
The association between pediatric celiac disease (CD) and atherosclerosis is unknown. Our aim was to investigate whether pediatric CD patients have an increased risk of atherosclerosis. We evaluated the premature atherosclerosis by pulse wave velocity (PWV) and carotid intima-media thickness (cIMT). A total of 37 CD patients (20 girls, mean age 13±3.3 years) and 36 healthy age and sex matched controls were enrolled. Mean duration of CD was 47.1±32.3 months and 40.5% of patients had positive tissue transglutaminase antibody (tTg) IgA...
2016: Turkish Journal of Pediatrics
https://www.readbyqxmd.com/read/27976557/prepubertal-vaginal-discharge-vaginoscopy-to-rule-out-foreign-body
#14
Saniye Ekinci, İbrahim Karnak, Feridun Cahit Tanyel, Arbay Özden Çiftçi
Medical records of all prepubertal patients who underwent vaginoscopy to rule out vaginal foreign body between 2004 and 2013 were reviewed retrospectively. All patients were evaluated by pediatricians prior to surgical consultation. Vaginoscopy is performed in the operating room under general anesthesia. During the study period, 20 girls with persistent vaginal discharge with a mean age of 6.8 years (1-13 years) underwent vaginoscopy to rule out vaginal foreign body. Six patients had bloody vaginal discharge and 4 had recurrent vaginal bleeding lasting for more than one month...
2016: Turkish Journal of Pediatrics
https://www.readbyqxmd.com/read/27976556/functional-outcomes-of-mandibular-distraction-for-the-relief-of-severe-airway-obstruction-and-feeding-difficulties-in-neonates-with-pierre-robin-sequence
#15
Ersoy Konaş, Mert Çalış, Ozan Bitik, Şule Yiğit, Ayşe Korkmaz, Murat Yurdakök, Gökhan Tunçbilek
The purpose of this study was to review the application of mandibular distraction to relieve severe airway obstruction or feeding problems of neonates. Thirteen neonates with Pierre Robin sequence who underwent bilateral mandibular distraction between 2010 and 2013 for relief of their severe airway obstruction or feeding problems were retrospectively reviewed. The mean preoperative and postoperative airway diameters were 3.89±1.64 and 9.03±1.98 mm. respectively and significant difference was observed with distraction (p < 0...
2016: Turkish Journal of Pediatrics
https://www.readbyqxmd.com/read/27976555/are-the-methylenetetrahydrofolate-reductase-1298-and-677-gene-polymorphisms-related-to-optic-glioma-and-hamartoma-risk-in-neurofibromatosis-type-1-patients
#16
Hikmet Gülşah Tanyıldız, Şule Yeşil, Ceyhun Bozkurt, Mehmet Onur Çandır, Sibel Akpınar-Tekgündüz, Şule Toprak, Deniz Yüksel, Gürses Şahin
The methylenetetrahydrofolate reductase (MTHFR) gene plays a key role in carcinogenesis through its effects on DNA synthesis and methylation and also has a significant role in the etiology of many disorders, such as diabetes, migraine, and cardiovascular disease. Neurofibromatoses (NF) are autosomal dominant inherited diseases that can affect tissues such as bone and skin and predispose individuals to tumor development in various parts of the nervous system or body. Optic nerve glioma and brain tumors are common in children with NF, and leukemia and lymphoma incidence is also higher than normal...
2016: Turkish Journal of Pediatrics
https://www.readbyqxmd.com/read/27976554/stepwise-diet-management-in-pediatric-gastrointestinal-graft-versus-host-disease
#17
Nevra Koç, Mehmet Gündüz, M Fatih Azık, Betül Tavil, Dilek Gürlek-Gökçebay, Eda Özaydın, Bahattin Tunç, Duygu Uçkan
Gastrointestinal tract is one of the major systems affected by graft-versus-host disease (GVHD). Injury to the gut during conditioning therapy before stem-cell transplantation (SCT) plays a pivotal role in the initiation of inflammatory stimuli. We reviewed medical records of the patients who underwent SCT between April 2010 and June 2013 in our center. A stepwise upgrade diet was given to the children with acute GI-GVHD (Gastrointestinal GVHD) including parenteral and enteral nutrition. A total of 105 patients underwent SCT and seven patients developed grade III-IV acute GI-GVHD...
2016: Turkish Journal of Pediatrics
https://www.readbyqxmd.com/read/27976553/screening-5-and-6-year-old-children-starting-primary-school-for-development-and-language
#18
Deniz Yılmaz, Nuray Bayar-Muluk, Birgül Bayoğlu, Aysun İdil, Banu Anlar
Beginning school is an important milestone for children. Children's readiness for school involves cognitive, physical, and emotional development. Certain school programs allow children to start first grade after 66 months of age, together with 72 month-old children. In order to estimate school readiness, we screened children before starting first grade and compared their school performance according to their age and socio-demographic characteristics. Marmara School Readiness, Denver II developmental screening, and language assessment tests were applied...
2016: Turkish Journal of Pediatrics
https://www.readbyqxmd.com/read/27976552/parotidectomy-outcomes-diagnosis-and-complications-on-pediatric-patients-twelve-years-of-experiences-in-a-tertiary-care-center
#19
Oğuz Kuşcu, Bahar Kayahan, Övsen Önay, Rıza Önder Günaydın, Mehmet Umut Akyol
The aim of this study is to evaluate parotid masses management in pediatric population. From June 2002 to December 2014, 13 patients under the age of 18 with parotid tumors were treated via surgery at Hacettepe University Department of Otorhinolaryngology. Information on patients' demographics, clinical and histopathologic tumor characteristics and treatment modalities with results was obtained from medical records, retrospectively. The age was ranging between 8-17 years. Ten (76.9%) patients had benign tumors and 8 (61...
2016: Turkish Journal of Pediatrics
https://www.readbyqxmd.com/read/27976551/serum-vitamin-d-levels-during-activation-and-remission-periods-of-patients-with-juvenile-idiopathic-arthritis-and-familial-mediterranean-fever
#20
Aydilek Dağdeviren-Çakır, Ahmet Arvas, Kenan Barut, Emel Gür, Özgür Kasapçopur
The aim of this study was to determine the frequency of vitamin D deficiency and/or insufficiency in children with juvenile idiopathic arthritis (JIA) and familial Mediterranean fever (FMF) and to assess the relationship between vitamin D and disease activity. Sixty four patients with JIA, thirty six patients with FMF and one hundred healthy children were enrolled in this study. Vitamin D levels were measured during activation and remission periods in the patients with JIA and during attack and attack free periods in the patients with FMF...
2016: Turkish Journal of Pediatrics
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