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Öğe Enteric fever in 19 children cases with positive hemocultures(2006) Katar S.; Onur H.; Yaramiş A.; Özbek M.N.; Ecer S.Clinical and laboratory findings of 19 children with enteric fever and positive hemocultures, hospitalized in the Infection Clinic of Diyarbakir Children's Hospital, were evaluated retrospectively. Ten patients were male and nine were female, and mean age was 9.3 years. The most common symptoms were fever, malaise and lack of appetite. On admission, clinical and laboratory findings were coated tongue in all cases, abdominal tenderness in four, hepatomegaly in three, nuchal rigidity in two, anemia in 12, leukopenia in four, thrombocytopenia in four, and high levels of transaminases in nine of the cases. Widal test titration was above 1/200 in 15 cases (79%). Antibiogram was applied to all patients; no resistance to antibiotics was determined. All cases were discharged with complete recovery. Given clinical and laboratory findings of enteric fever cases whose cultures were positive within this study, it is implied that multi-drug resistance against Salmonella typhi is an important health problem in Turkey, especially in the southeastern anatolia region.Öğe Intracranial hemorrhage in newborns due to vitamin K deficiency(2006) Katar S.; Özbek M.N.; Güzel A.; Devecioğlu C.; Ecer S.The late hemorrhagic disease of the newborn results from vitamin K deficiency and the bleeding in these patients is usually intracranial. In this study, clinical and laboratory findings of 10 cases with intracranial bleeding are described. Of these 10 patients, nine had not been given prophylactic vitamin K, while one had received prophylaxis. Eighty percent were male and their age was between 8 and 29 days. All patients were term newborns, with one born in hospital and nine at home. There was no history of medication use, diarrhea or trauma, and all newborns were solely breast-feeding. Prothrombin, partial thromboplastin and coagulation times were prolonged in all cases. Four hours after intravenous administration of vitamin K (2 mg), all these values returned to normal levels. Intracranial bleeding was evacuated surgically in one patient. Two patients died. In conclusion, we believe that every newborn should receive prophylactic vitamin K. In addition, it appears that a second dose of vitamin K is required during the first month of life due to the possibility of late hemorrhagic disease of the newborn despite initial prophylaxis.Öğe Neonatal tetanus in Southeast Turkey(2006) Yaramiş A.; Katar S.; Nuri Özbek M.; Ecer S.Neonatal tetanus is unfortunately still seen in southeast Turkey. Twenty-four patients with neonatal tetanus who were admitted to our clinic between January 1999 and December 2002 were reviewed retrospectively according to clinical features, prognostic aspects and risk factors. Sixteen of 24 cases were male and their ages were from 2 to 15 days. Fever and lack of sucking reflex were the main complaints the admission. Lack of sucking (100%), trismus (79%), fever (58%), risus sardonicus (29%), omphalitis (33%), and opisthotonus (17%) were the most common presenting signs. Untrained traditional birth attendants delivered all the patients at home, and umbilical cords were cut using non-hygienic instruments. Seventy-five percent of the patients who were admitted died. The most important risk factors were uneducated parents, birth at home, cutting of cords using non-hygienic instruments, failure to give mothers tetanus toxoid immunizations during pregnancy, and poor health and sanitary conditions of the mothers and their babies.Öğe A rare cause of respiratory distress in a newborn: Mediastinal enteric cyst associated with costovertebral malformation: Case report(2010) Özbek M.N.; Taşkesen M.; Katar S.; Ecer S.; Onat S.Mediastinal enteric cyst is usually associated with segmental costovertebral malformations include Jarcho-Levin syndrome, spondylocostal dysostosis, and spondylothoracic dysostosis. We aimed to report a case of thoracal vertebral anomaly associated with a mediastinal enteric cyst. A 1 day-old girl patient was admitted to our clinic with symptoms of dyspnea, cyanosis, grunting and poor sucking. Low hairline, a short webbed neck, and flexion contracture in the left fourth phalanx were detected in her physical examination. Posteroanterior chest X-ray and thorax computerized tomography demonstrated a large cystic lesion at the right lung. Herein this newborn with respiratuar distress due to mediastinal enteric cyst associated with costovertebral malformation was reported. Copyright © 2009 by Türkiye Klinikleri.
