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    Mortality factors in flame and scalds burns: our experience in 816 patients
    (Turkish Assoc Trauma Emergency Surgery, 2009) Al, Behcet; Yildirim, Cuma; Coban, Sacit; Aldemir, Mustafa; Guloglu, Cahfer
    BACKGROUND Our aim was to evaluate the effective factors on mortality in flame and scald burns in the Diyarbakir region. METHODS The data of 816 patients who applied to the Dicle University Emergency Department between January 2001 and May 2005 with flame and scald burns were investigated retrospectively. The patients were separated into two groups as alive or deceased. Gender, age, burns shapes, burn degrees and rates, burn regions, admission periods, hospitalization times, complications, and the treatments were analyzed. RESULTS 43.5% of the patients were female and 57.5% were male. Six hundred fifty-eight patients were under 6 years old. 70.5% of burns occurred as a result of negligence; 76.5% occurred due to scald and 23.5% due to flame. In cases of death, 39 patients were under 10 years old. The mean age was 9.32 years. The average hospitalization period was 10.37 days. The most common complication was wound infection. The mortality rate was 6.1%. CONCLUSION The mortality rate was higher among patients who were hospitalized longer than 15 days (p=0.030); whose burns were due to suicide attempt (p=0.002); who used shoe paint on the burn wounds instead of treatment (p=0.000); who had more than 40% second-degree burns (p=0.000) or more than 20% third-degree burns (p=0.000); and among those with acute respiratory failure, compartment syndrome, hypoalbuminemia, and sepsis (p=0.000).
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    Staphylococcus Hominis Native Tricuspid Valve Endocarditis Following Spontaneous Abortus
    (Emergency Medicine Physicians Assoc Turkey, 2012) Soydinc, Hatice Ender; Yuce, Murat; Sari, Emine; Sari, Ibrahim; Yildirim, Cuma; Davutoglu, Vedat; Ercan, Suleyman
    The patient had a spontaneous abortion in the fifth week of her pregnancy and had nonspecific treatment due to fever and chills that had started 3 days after the spontaneous abortion. She was diagnosed and treated as endocarditis as there was vegetation on the tricuspid valve on transthoracic echocardiography, and blood culture revealed Stphylococcus Hominis. The patient completely recovered from endocarditis after antibiotic treatment and had another pregnancy ending with normal birth without any complication. Stphylococcus Hominis is a coagulase negative microorganism that normaly exists in skin flora, causing endocarditis more commonly in immunesup-pressed subjects, patients with prosthetic valves and acessory devices. Here in this case report, we present a 31 year-old woman who had the complication of native tricuspid valve endocarditis after spontaneous abortus in her fifth week of pregnancy. To our knowledge, the present case is the first to be reported as a native valve endocarditis caused by Stphylococcus Hominis associated with pregnancy or abortus.