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Turkish Journal of Pediatrics

Zoran Igrutinovic, Rasa Medovic, Slavica Markovic, Gordana Kostic, Zorica Raskovic, Jelena Tanaskovic-Nestorovic, Marija Radovanovic, Biljana Vuletic
Rosai-Dorfman disease is a rare benign histiocytic disorder that arises predominantly in lymph nodes with fever and malaise, but can affect various organs, with or without lymphadenopathy. Solitary extranodal skeletal lesions are extremely rare. Herein, we describe a case of isolated disease of thoracic spine, with vertebral body fracture. A 14-year-old girl presented with cervical back pain for about one month as the only symptom. There was no lymphadenopathy. Results of laboratory tests were within reference ranges...
2016: Turkish Journal of Pediatrics
Tuğçe Tural-Kara, Halil Özdemir, Suat Fitöz, Ergin Çiftçi, Fatoş Yalçınkaya
After bone marrow aspiration procedure; some complications like pain and bleeding at the puncture site may be expected but some serious complications like osteomyelitis and soft tissue infections may also rarely occur. In this case we present a boy with recurrent fever. During etiologic investigation, familial Mediterranean fever (FMF) gene M694V mutation was +/+. Patient was treated with oral colchicine however fever persisted. The patient was considered as colchicine resistant FMF and steroid treatment was planned...
2016: Turkish Journal of Pediatrics
Gülşah Malkoçoğlu, Haşim Gencer, Ayşenur Kaya, Nazan Dalgıç, Mehmet Emin Bulut, Elif Aktaş
Nondiphtherial Corynebacterium species isolated from clinical specimens are usually considered as contaminants by many clinicians when reported by microbiologists. However, an increasing number of studies have confirmed the importance of Corynebacterium spp. in the etiology of a variety of infectious processes. In this report, we present a case of bronchopneumonia caused by Corynebacterium propinquum. The infection occurred in a seven-year-old child who had a history of immunosuppression due to ataxia telangiectasia...
2016: Turkish Journal of Pediatrics
Başak Akyıldız, Nazan Ülgen-Tekerek, Abdullah Özyurt, Özge Pamukçu, Nazmi Narin
A 9-year-old boy presented to the emergency department with blunt abdominal trauma. Initial assessment was normal except for abdominal tenderness. On day 3, patient was transferred to the pediatric intensive care unit (PICU) for hemodynamic instability, and persistent fever despite antibiotic therapy. On PICU admission, his body temperature was 40 0C, heart rate was 160/min, respiratory rate was 36/min, blood pressure was 85/40 mmHg, and impaired consciousness was noticed. Complete blood count revealed hemoglobin of 11...
2016: Turkish Journal of Pediatrics
Ayhan Yaman, Baver Demir, Fatma Burcu Belen, Bülent Filik, Necibe Güneş, Faruk Barlık, Tanıl Kendirli
Paracetamol (also known as Acetaminophen) is an antipyretic, non-opioid analgesic, and non-steroidal anti-inflammatory drug (NSAID), and is one of the most commonly used medications worldwide. In recent years, IV paracetamol has been frequently used in hospitalized patients to reduce fever and pain. Significant adverse reactions associated with intravenous paracetamol are extremely rare. Typically reported adverse events include hypotension, malaise, hypersensitivity reaction, liver enzyme elevation, and thrombocytopenia...
2016: Turkish Journal of Pediatrics
Mustafa Çakan, Gonca Keskindemirci, Çiğdem Aydoğmuş, Hilal Akı, Nevin Hatipoğlu, Aysel Kıyak, Gönül Aydoğan, Nuray Aktay-Ayaz
Pediatric sarcoidosis comprises a spectrum of childhood granulomatous inflammatory conditions. Pathological hallmark of the disease is granuloma formation that is seen in the affected tissues and almost any organ or system can be involved. There are two forms of pediatric sarcoidosis. One is seen in older children and the clinical picture is very similar to that of adult sarcoidosis and the other one is seen in early childhood. Sarcoidosis in early childhood can be divided as Blau syndrome (familial form) and early onset sarcoidosis (sporadic form)...
2016: Turkish Journal of Pediatrics
Sibel Aka, Yasemin Alanay, Kara E Boodhansingh, Charles A Stanley, Serap Semiz
Hyperinsulinism/hyperammonemia (HI/HA) syndrome is a rare disorder presented with recurrent hypoglycemia and elevated serum ammonia, which may lead to development delays, permanent neurologic damages, if it remains underdiagnosed. It is caused by activating mutations in the GLUD1 gene which encodes the intra-mitochondrial enzyme glutamate dehydrogenase (GDH). HI/HA syndrome is considered the second most common form of hyperinsulinism (HI), and usually associated with epileptic seizures, mental retardation and generalized dystonia...
2016: Turkish Journal of Pediatrics
Melikşah Keskin, Şenay Savaş-Erdeve, Erdal Kurnaz, Semra Çetinkaya, Ayşe Karaman, Sema Apaydın, Zehra Aycan
46, XY complete gonadal dysgenesis (Swyer syndrome) is a rare cause of 46, XY sexual development disorder. The patient presented to our clinic with absence of breast development and lack of periods at the age of 17 years. Her history and familial history involved no relevant conditions. She had Tanner stage 1 thelarche, and Tanner stage 2 pubic hair development with no axillary hair development. External genital structure appearance was consistent with female phenotype and the patient had no palpable gonad...
2016: Turkish Journal of Pediatrics
Sinan Kılıç, Ahmet Atıcı, Özlem Soyköse-Açıkalın
Peutz-Jeghers syndrome (PJS) is an autosomal dominant inherited disorder characterized by intestinal hamartomatous polyps in association with mucocutaneous pigmentations. Main symptoms of PJS in childhood are abdominal pain, obstruction, intussusception, and bleeding from hamartomatous polyps. PJS carries a high risk of gastrointestinal cancer with advancing years. Although, intussusception has been reported as a well-known complication of PJS, recurrent intussusception as an alarming finding in a patient with normal gastrointestinal endoscopy is uncommon...
2016: Turkish Journal of Pediatrics
Onur Telli, Ufuk Ateş, Ergun Ergun, Rahşan Vargun Yıldız, Banu Yağmurlu, Bilgehan Yalçın, Banu Bilezikçi, Gülnur Göllü, Aydın Yağmurlu
We report a 13-month-old girl with primary intrarenal neuroblastoma initially diagnosed as Wilms' tumor. Intrarenal neuroblastoma is exceedingly rare in pediatric age that may masquerade as Wilms' tumor clinically and radiographically and it is important to differentiate for management.
2016: Turkish Journal of Pediatrics
Gönül Çaltepe, Özlem Yüce, Atakan Comba, Hamit Özyürek, Ayhan Gazi Kalaycı, Haydar Ali Taşdemir
Gastroesophageal reflux (GER) is a very common condition in children with neurological impairment and this can influence nutritional and respiratory outcomes. The aim of this study was to investigate the presence of GER in children with cerebral palsy (CP) using multiple intraluminal impedance (MII)-pH monitoring. The use of combined MII-pH allows for the detection of both acid and non-acid reflux episodes. A total of 29 CP patients with symptoms suggesting GER, aged 2 to 10 years old, underwent 24-hour combined MII-pH monitoring...
2016: Turkish Journal of Pediatrics
Bayram Özhan, Betül Ersoy, Mine Özkol, Seniha Kiremitci, Ahmet Ergin
Simple predictors are needed for the screening of nonalcoholic fatty liver disease (NAFLD) in obese children. We aimed to assess the role of anthropometric parameters in the prediction of NAFLD. Three hundred and thirty two obese children (152 male, 180 female) aged 4.6-17.0 years were included in this study. Weight, height, waist (WC), and hip circumference were measured. Body mass index (BMI), waist-hip-ratio (WHR), and waist-height-ratio (WHtR) were calculated. Obesity was defined as BMI for age and sex ≥ 95th percentile...
2016: Turkish Journal of Pediatrics
Timuçin Sabuncu, Metin Demircin, Rıza Doğan, Mustafa Yılmaz, Ülkü Aypar, İlhan Paşaoğlu
Hacettepe University Faculty of Medicine Department of Cardiovascular Surgery; data of 413 patients under 18 years old who had congenital heart surgery were evaluated between 01.01.2011-30.10.2012 and risk scorings were made by "RACHS-1 (Risk Adjustment in Congenital Heart Surgery)", "Aristotle Basic Complexity Score (ABS)" and "Aristotle Comprehensive Complexity Score (ACS)" systems used in evaluation of the risk of mortality and morbidity in (ACS)" systems used in evaluation of the risk of mortality and morbidity in congenital heart surgery...
2016: Turkish Journal of Pediatrics
Rana İşgüder, Gökhan Ceylan, Hasan Ağın, Hikmet Tekin Nacaroğlu, Hüseyin A Korkmaz, İlker Devrim, Canan Vergin
Our aim is to investigate the correlation between the mean platelet volume (MPV) levels and platelet counts of the septic children with 28-day mortality risk. MPV at admission (MPV < sub > adm < /sub > ), MPV at 72 < sup > nd < /sup > hour (MPV < sub > 72h < /sub > ) and the difference between these two parameters (ΔMPV < sub > 72h-adm < /sub > ) and platelet counts were recorded retrospectively. The control group consisted of 100 healthy children matched for age, gender, and ethnicity...
2016: Turkish Journal of Pediatrics
Serhat Koca, Feyza A Paç, İbrahim Ece, Denizhan Bağrul, Serkan Çay
In the present study, cardiac nodal (sinoatrial node and atrioventricular node) and cardiac autonomic functions have been investigated in children with vasovagal syncope (VVS). Thus, the effect of existing autonomic status on the characteristics of cardiac conduction system has been demonstrated in children with VVS. The study included 51 pediatric patients (the mean age was 14.01±2.79 years, range 7 to 18 years; 30 females), who were evaluated for syncope using ECG, Holter monitoring, and echocardiography, all of which showed normal findings...
2016: Turkish Journal of Pediatrics
Nükhet Aladağ-Çiftdemir, İlay Yücel, Rıdvan Duran, Ülfet Vatansever-Özbek, Betül Acunaş
Synthetic cannabinoids or synthetic marijuana derivatives known as "Bonzai" in Turkey are addictive substances that affect the brain and have serious side effects. In recent years, the use of these substances has also been increasing in our country as well as all over the world. These substances present with various names and brands, the most common names in Turkey are "Bonzai" and "Jamaika". In this study, we aimed to evaluate the demographic and clinical findings of these patients. We retrospectively evaluated patients admitted to our pediatric emergency department between March 2013 and March 2015 due to the complaints developing after the use of "Bonzai" in terms of age, gender, admission date, complaint, clinical findings, laboratory findings, consuming method of the substance, additional substance use, observation durations, hospitalization status and mortality rates...
2016: Turkish Journal of Pediatrics
Tayfur Demiray, Mehmet Köroğlu, Kathryn H Jacobsen, Ahmet Özbek, Hüseyin A Terzi, Mustafa Altındiş
This paper presents the results of a comprehensive examination of current distribution of Hepatitis A virus (HAV) seroprevalence and endemicity in Turkey and the possible links between HAV endemicity and socioeconomic development. We performed a systematic search in online resources published between January 2000 and August 2015. The 22 provinces were able to be assigned a hepatitis A endemicity level based on this systematic review. The incidence rates for symptomatic hepatitis A infection are higher in the eastern part of Turkey than in the western and central region...
2016: Turkish Journal of Pediatrics
İbrahim İlker Çetin, Filiz Ekici, Abdullah Kocabaş, Berna Şaylan Çevik, Sancar Eminoğlu, Emine Azak, Ayşe Esin Kibar, Mehmet Emre Arı, Murat Sürücü, Ali Orgun
The objective was to compare the efficacy and safety of naproxen (NXN) to acetylsalicylic acid (ASA) in the treatment of acute rheumatic fever (ARF). The data of 338 children were retrospectively analyzed. The patients were grouped according to joint and valve involvement and also drug chosen [methyl prednisolone (mPSL), ASA or NXN]. The treatment results and adverse events in each group were compared. The mean age was 10.3 years and the median follow-up was 62 months. Median time for normalization of acute phase reactants was 1 week in patients given steroids and 2 weeks in patients given ASA or NXN...
2016: Turkish Journal of Pediatrics
Pınar Karadeniz, Şebnem Özdoğan, Durdugül Ayyıldız-Emecen, Ümmühan Öncül
The aim of this study was to evaluate the association between Pediatric Asthma Quality of Life Questionnaire (PAQLQ) and Asthma Control Test (ACT) in patients with poor asthma control. Children between 7-17 years of age with diagnosis of persistent asthma who are not on daily inhaler corticosteroid therapy were involved. At enrollment, sociodemographic and asthmatic characteristics were investigated and pulmonary function test (PFT), ACT and PAQLQ were administered. Patients were reevaluated following six week regular inhaler therapy and ACT, PAQLQ and PFT were performed...
2016: Turkish Journal of Pediatrics
Önder Özden, İbrahim Karnak, Arbay Özden Çiftçi, F Cahit Tanyel, Mehmet Emin Şenocak
This clinical study was designed to evaluate mortality rate and the factors that may affect survival in neonatal surgery unit. Randomly chosen 300 (ß: 0.20) patients among 1,439 patients treated in neonatal surgery unit during years 1983 to 2009, were evaluated retrospectively. The patients were separated into three groups according to date of treatment; Group A: 1983 - 1995, Group B: 1996 - 2005 and Group C: 2005 - 2009. M/F ratios did not differ between non-survived and survived patient populations. Mortality rates were 37%, 22% and 13% in Group A, B, and C respectively (p < 0...
2016: Turkish Journal of Pediatrics
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