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Öğe Mediastinal Gastroenteric Cyst in a Neonate(Galenos Yayincilik, 2016) Ipek, Mehmet Sah; Ertugrul, Sabahattin; Ulku, RefikMediastinal cysts in neonates are infrequently reported. Enteric cysts in the posterior mediastinum are mostly asymptomatic. Vertebral malformations may contribute. Clinical presentation may include respiratory distress. Herein, we report a case of mediastinal gastroenteric cyst and meningomyelocele in a neonate presented respiratory distress signs after delivery. The patient was well managed by excision of mediastinal cyst and closure of dura mater of meningomyelocele. A detailed antenatal scan may help in early diagnosis and better outcome. Moreover, vertebral anomaly in chest radiograph of infants with respiratory distress should suggest the possible presence of a mediastinal enteric cyst.Öğe Neonatal Meningitis Caused by Actinomyces: A Case Report of the Most Probably New Strain(Georg Thieme Verlag Kg, 2017) Ipek, Mehmet Sah; Ozbek, Erdal; Guldemir, Dilek; Akpolat, NezahatOver the past three decades, the detection and identification of the Actinomyces spp. in clinical microbiology laboratories, in addition to their recognition as pathogens in clinical settings, have proven challenging. A case of a preterm neonate who was diagnosed with meningitis caused by the Actinomyces spp. during application of a ventricular puncture for the treatment of posthemorrhagic hydrocephalus was presented. PCR tests showed that the neonate's strain exhibited 98.26% 16S ribosomal ribonucleic acid (rRNA) gene sequence similarity with the Actinomyces oris strain (ATCC 27044). The GenBank accession number for the nucleotide sequence is Actinomyces KX026867. This case report provides evidence that the Actinomyces spp. should be considered as a potential pathogen of neonatal meningitis, even if the strain is rarely isolated, phenotypically aberrant, and has often been poorly described.