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    Chest computerized tomography scan findings in 74 children with tuberculous meningitis in southeastern Turkey
    (Turkish J Pediatrics, 2007) Yaramis, Ahmet; Buekte, Yasar; Katar, Selahattin; Oezbek, M. Nuri
    This prospective study was done over seven years from 1996 to 2003 to investigate the chest computed tomography scan findings along with other radiologic examinations that included chest roentgenography and cranial computed tomography in children with tuberculous meningitis (TBM). Chest roentgenography demonstrated abnormal findings in 32 cases (43%) (hilar adenopathy, 32%; miliary pattern, 18%; bronchopneumonic infiltrate, 24%), while chest computerized tomography was abnormal in 65 cases (88%; p<0.005): mediastinal and hilar lymphadenopathy were present in 46% (p<0.005); miliary pattern, in 23% (p<0.05); and bronchopneumonic infiltrate, in 23% (p<0.05). Cranial computerized tomography was abnormal in 68 cases (92%). Chest computerized tomography scan helps establish the diagnosis of TBM when chest radiography is normal or inconclusive, and it is useful in assessing children with suspected TBM.
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    Early response to medical treatment in a case of brucellar spondylodiscitis with medullary compression
    (Ios Press, 2008) Nas, Kemal; Tasdemir, Nebahat; Kemaloglu, Mustafa Serdar; Buekte, Yasar; Guer, Ali; Tasdemir, Mehmet Serhan
    We have presented a patient with brucellar spondylodiscitis who developed paraparezi secondary to spinal cord compression, and responded well to the medical treatment. A 55 year-old male farmer presented with a 7-day history headache, urinary retention, weakness in his lower extremities and a 3-month history of back pain. Blood brucella Wright antibody titer was 1/160 and Rose Bengal test was positive. Our case did not need a surgical intervention and gave a good response to medical treatment and rehabilitation. Thus, we suggest that in cased with brucella spondylitis, medical treatment should be considered at first, even in cases with spinal cord compression due to prevertebral abscess.
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    Unusual Combination of Tracheobronchopathia Osteochondroplastica and AA Amyloidosis
    (Yonsei Univ Coll Medicine, 2009) Kirbas, Goekhan; Dagli, Canan Eren; Tanrikulu, Abdullah Cetin; Yildiz, Fetin; Buekte, Yasar; Senyigit, Abdurrahman; Kiyan, Esen
    Tracheobronchopathia osteochondroplastica (TO) is a rare disorder of unknown cause characterized by the presence of multiple submucosal osseous and/or cartilaginous nodules that protrude into the lumen of the trachea and large bronchi. A simultaneous diagnosis of TO and amyloidosis is rarely reported. In this report, a case initially suspected to be asthma bronchiole that could not be treated, was radiologically diagnosed as TO, and also secondary amyloidosis is presented. A 53 years, man patient reported a 3 years history of dyspnea. Pulmonary function tests (PFTs) showed an obstructive pattern. Chest X-rays revealed right middle lobe atelectasis. FOB and CT detected nodular lesions in the trachea and in the anterior and lateral walls of the main bronchi. AA amyloidosis was confirmed by endobronchial biopsy. In the abdominal fat pad biopsy, amyloidosis was not detected. Asthma bronchiole was excluded by PFTs. This case illustrates that it is possible for TO and amyloidosis to masquerade as asthma. TO and amyloidosis should be suspected in patients of older ages with asthma and especially with poorly treated asthmatic patients. Although nodular lesions in the anterior and lateral tracheobronchial walls are typical for TO, a biopsy should be obtained to exclude amyloidosis.