S. Dhotre, Namdev M. Suryawanshi, S. Selkar, B. Nagoba
The human oral cavity is the highly selective environment, which can be colonized by certain microbes. Viridans group streptococci are the most common bacterial isolates along with many other aerobic and anaerobic bacteria. S. salivarius is the most common viridians group streptococcus followed by S. mitis, S. sanguis, S. milleri, S. gordonii and S. mutans. The diverse habitat unique to the oral cavity together with a variety of nutrients is supportive to mixed population. These members of the resident oral flora, including viridians group streptococci, are responsible for colonization resistance, i.e., they prevent colonization / invasion by more pathogenic exogenous bacterial pathogens. Disruption of the oral ecosystem may lead to impairment of colonization resistance leading to higher rates of colonization by more pathogenic exogenous bacterial pathogens. Thus, viridians group streptococci normally present in the oral cavity play a significant role in oral health.
{"title":"Viridans Group Streptococci and the Oral Ecosystem","authors":"S. Dhotre, Namdev M. Suryawanshi, S. Selkar, B. Nagoba","doi":"10.15197/EJGM.1440","DOIUrl":"https://doi.org/10.15197/EJGM.1440","url":null,"abstract":"The human oral cavity is the highly selective environment, which can be colonized by certain microbes. Viridans group streptococci are the most common bacterial isolates along with many other aerobic and anaerobic bacteria. S. salivarius is the most common viridians group streptococcus followed by S. mitis, S. sanguis, S. milleri, S. gordonii and S. mutans. The diverse habitat unique to the oral cavity together with a variety of nutrients is supportive to mixed population. These members of the resident oral flora, including viridians group streptococci, are responsible for colonization resistance, i.e., they prevent colonization / invasion by more pathogenic exogenous bacterial pathogens. Disruption of the oral ecosystem may lead to impairment of colonization resistance leading to higher rates of colonization by more pathogenic exogenous bacterial pathogens. Thus, viridians group streptococci normally present in the oral cavity play a significant role in oral health.","PeriodicalId":12017,"journal":{"name":"European journal of general medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84667648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Çolakoglu, S. Durmaz, H. Poyrazoğlu, F. F. Tekinsen, M. Atalay, A. Koç
Fungal organisms are one of the important factor in nosocomial urinary tract infections caused by endo-urological procedures. Herein we report a case of pyelonephritis caused by Paecilomyces variotti in a 14-month-old child following an uriner tract operation. He had operation in 3.5-month-old for reason of ureteropelvic junction obstruction. Approximately two months after the operation a tissue fragments ejected from urinary tract. The patient admitted to our hospital because of bimonthly recurrence was occured. This tissue fragment was sent for fungal studies to our department. Direct microscopy revealed hyphae. P. variotii was isolated from discarded tissue fragments. Cure was achieved by 2 mg / kg / day for 15 days treatment with amphotericin B.
真菌是泌尿外科手术引起院内尿路感染的重要因素之一。我们在此报告一例由异芽拟青霉引起的肾盂肾炎在一个14个月大的孩子后尿路手术。因肾盂输尿管连接处梗阻，于3.5月龄行手术。手术后大约两个月有组织碎片从泌尿道排出。该患者因每两个月复发而入院。这个组织碎片被送到我们系做真菌研究。直接显微镜下可见菌丝。从丢弃的组织碎片中分离到异芽孢杆菌。两性霉素B以2 mg / kg /天治疗15天，达到治愈。
{"title":"Urinary System Infection Caused by Paecilomyces Variotti","authors":"S. Çolakoglu, S. Durmaz, H. Poyrazoğlu, F. F. Tekinsen, M. Atalay, A. Koç","doi":"10.15197/EJGM.1472","DOIUrl":"https://doi.org/10.15197/EJGM.1472","url":null,"abstract":"Fungal organisms are one of the important factor in nosocomial urinary tract infections caused by endo-urological procedures. Herein we report a case of pyelonephritis caused by Paecilomyces variotti in a 14-month-old child following an uriner tract operation. He had operation in 3.5-month-old for reason of ureteropelvic junction obstruction. Approximately two months after the operation a tissue fragments ejected from urinary tract. The patient admitted to our hospital because of bimonthly recurrence was occured. This tissue fragment was sent for fungal studies to our department. Direct microscopy revealed hyphae. P. variotii was isolated from discarded tissue fragments. Cure was achieved by 2 mg / kg / day for 15 days treatment with amphotericin B.","PeriodicalId":12017,"journal":{"name":"European journal of general medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80075325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
B. Bilir, N. Altintas, M. Aydın, M. Oran, S. Ozsu, Umit Tutar
Objective:Recently neutrophil-to-lymphocyte ratio (NLR) -the level of neutrophil reflecting the severity of inflammation and lymphocyte occurring after physiological stress has been gaining popularity, which was, along with other inflammatory markers, commonly accepted as an accurate marker of the inflammatory status.In this multi-centered study, an early, rapid, and low-cost diagnosis method was investigated. To this end, the correlation between chronic obstructive pulmonary disease and inflammation was planned to be utilized and whether neutrophil-to-lymphocyte ratio can be used as a valid tool in the diagnosis of acute exacerbations of chronic obstructive pulmonary disease was investigated.Method:We retrospectively enrolled the 467 patients. Control group included sex and age-matched healthy people.C-Reactive protein, forced expiratory volume-1, forced vital capacity, complete blood count and clinical data A receiver-operating characteristic curve analysis was performed to determine the best cut-off value of N/L ratio and C-Reaktif protein to predict the exacerbation. Two-sided p values <0.05 were considered statistically significant.Results:By spearman analysis, there was a strong correlation between.C-Reactive protein and N/L ratio in both stable group (r=0.436, p<0.001) and exacerbation group (r=0.534, p=0.001).Conclusion:Neutrophil/lymphocyte ratio may bea useful predictor of inflammation in chronic obstructive pulmonary disease and acute exacarbation of chronic obstructive pulmonary disease patients.
目的:近年来，中性粒细胞与淋巴细胞比值(NLR)——反映生理应激后炎症和淋巴细胞发生的严重程度的中性粒细胞水平越来越受欢迎，它与其他炎症标志物一起被普遍认为是炎症状态的准确标志。本研究旨在探讨一种早期、快速、低成本的诊断方法。为此，拟利用慢性阻塞性肺疾病与炎症的相关性，探讨中性粒细胞与淋巴细胞比值能否作为诊断慢性阻塞性肺疾病急性加重期的有效工具。方法:对467例患者进行回顾性研究。对照组为性别、年龄相匹配的健康人，采用c反应蛋白、用力呼气量-1、用力肺活量、全血细胞计数及临床资料进行受体-工作特征曲线分析，确定N/L比和C-Reaktif蛋白预测病情恶化的最佳截断值。双侧p值<0.05认为有统计学意义。结果:经spearman分析，稳定组(r=0.436, p<0.001)和加重组(r=0.534, p=0.001) c -反应蛋白与N/L比值有较强的相关性。结论:中性粒细胞/淋巴细胞比值可能是慢性阻塞性肺疾病患者炎症和慢性阻塞性肺疾病急性加重的有效预测因子。
{"title":"The Predictive Role of Neutrophil to Lymphocyte ratio in Chronic Obstructive Pulmonary Disease","authors":"B. Bilir, N. Altintas, M. Aydın, M. Oran, S. Ozsu, Umit Tutar","doi":"10.15197/EJGM.1554","DOIUrl":"https://doi.org/10.15197/EJGM.1554","url":null,"abstract":"Objective:Recently neutrophil-to-lymphocyte ratio (NLR) -the level of neutrophil reflecting the severity of inflammation and lymphocyte occurring after physiological stress has been gaining popularity, which was, along with other inflammatory markers, commonly accepted as an accurate marker of the inflammatory status.In this multi-centered study, an early, rapid, and low-cost diagnosis method was investigated. To this end, the correlation between chronic obstructive pulmonary disease and inflammation was planned to be utilized and whether neutrophil-to-lymphocyte ratio can be used as a valid tool in the diagnosis of acute exacerbations of chronic obstructive pulmonary disease was investigated.Method:We retrospectively enrolled the 467 patients. Control group included sex and age-matched healthy people.C-Reactive protein, forced expiratory volume-1, forced vital capacity, complete blood count and clinical data A receiver-operating characteristic curve analysis was performed to determine the best cut-off value of N/L ratio and C-Reaktif protein to predict the exacerbation. Two-sided p values <0.05 were considered statistically significant.Results:By spearman\u0000analysis, there was a strong correlation between.C-Reactive protein\u0000and N/L ratio in both stable group (r=0.436, p<0.001) and exacerbation\u0000group (r=0.534, p=0.001).Conclusion:Neutrophil/lymphocyte ratio may bea useful predictor of inflammation in chronic obstructive pulmonary disease and acute exacarbation of chronic obstructive pulmonary disease patients.","PeriodicalId":12017,"journal":{"name":"European journal of general medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85559207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Ortakoylu, S. Altın, A. Bahadır, H. Urer, A. Kosar, Ali Coskun
Objective:Chronic obstructive pulmonary disease (COPD), one of the most important causes of morbidity and mortality worldwide, is an important economic burden due to hospitalizations, incapacity to work, and disability. The present study aimed to demonstrate one-year activity-based costing of services provided by service-providing centers of Yedikule Chest Diseases and Thoracic Surgery Training and Research Hospital, which provides services for a wide region, and to present the share of COPD in this cost.Method:Income and expense cost sheets of the year 2011 of the hospital was reviewed. The activity-based costing system was used for calculations. After the identification of the main service centers's expenses of the hospital,the annual expenditure of each unit was calculated. The cost of COPD patients was calculated based on the expenditures of the units caring for COPD patients. The cost per unit of services like radiography, laboratory and pulmonary function tests was calculated and added to the cost of COPD patients.Results:Annual cost according to the activity-based costing system was found to be 3,839,788.32 US Dollars ($) for COPD patients examined and treated as inpatient (2,531,290.9 $ ) , or at emergency room (586,170.7 $) , or at respiratory intensive care unit (419,282.11$) , or at polyclinics (303,044.5 . It accounted for 19.5% of one-year hospital cost (total annual hospital cost was 20,055,400.8 US Dollars).Conclusion:The rising economic burden of COPD corralates with acute exacerbations. As COPD is a high-cost disease, measures should be of priority to reduce economic burden of the disease.
{"title":"Activity-Based Costing Management and Hospital Cost in Patients with Chronic Obstructive Pulmonary Disease","authors":"M. Ortakoylu, S. Altın, A. Bahadır, H. Urer, A. Kosar, Ali Coskun","doi":"10.15197/EJGM.1537","DOIUrl":"https://doi.org/10.15197/EJGM.1537","url":null,"abstract":"Objective:Chronic obstructive pulmonary disease (COPD), one of the most important causes of morbidity and mortality worldwide, is an important economic burden due to hospitalizations, incapacity to work, and disability. The present study aimed to demonstrate one-year activity-based costing of services provided by service-providing centers of Yedikule Chest Diseases and Thoracic Surgery Training and Research Hospital, which provides services for a wide region, and to present the share of COPD in this cost.Method:Income and expense cost sheets of the year 2011 of the hospital was reviewed. The activity-based costing system was used for calculations. After the identification of the main service centers's expenses of the hospital,the annual expenditure of each unit was calculated. The cost of COPD patients was calculated based on the expenditures of the units caring for COPD patients. The cost per unit of services like radiography, laboratory and pulmonary function tests was calculated and added to the cost of COPD patients.Results:Annual cost according to the activity-based costing system was\u0000found to be 3,839,788.32 US Dollars ($) for COPD patients examined and\u0000treated as inpatient (2,531,290.9 $ ) , or at emergency room (586,170.7\u0000$) , or at respiratory intensive care unit (419,282.11$) , or at polyclinics\u0000(303,044.5 . It accounted for 19.5% of one-year hospital cost (total\u0000annual hospital cost was 20,055,400.8 US Dollars).Conclusion:The rising economic burden of COPD corralates with acute exacerbations. As COPD is a high-cost disease, measures should be of priority to reduce economic burden of the disease.","PeriodicalId":12017,"journal":{"name":"European journal of general medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83606369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Huseyin Gulyer, Bülent Savut, M. Şahin, T. Gungor, A. Kucuk, M. Kulaksızoğlu, A. Kaya
Calcium pyrophosphate dihydrate deposition disease is a dis- ease characterized by collecting of crystals in hyaline carti- lage, fibrocartilage and soft tissues, related to many endo - crine and metabolic conditions, and seen more commonly in old age. Hypopituitarism may occur in old age with fatigue, decrease in libido, weight loss and musculoskeletal symptoms as a major cause of the overall condition impairment. As one gets older, the signs of these two diseases may progress even without any significant disease. The natural process which comes with old age, and pseudogout and hypopituitarism can mask one to another clinically and the symptoms of three situ- ation may be overlapping. This can lead to difficulty and delay in diagnosis. Our case was an elderly female patient diagnosed with hypopituitarism and pseudogout.
{"title":"Miscible Two Diseases in Old Age: Hypopituitarism and Pseudogout","authors":"Huseyin Gulyer, Bülent Savut, M. Şahin, T. Gungor, A. Kucuk, M. Kulaksızoğlu, A. Kaya","doi":"10.15197/ejgm.01368","DOIUrl":"https://doi.org/10.15197/ejgm.01368","url":null,"abstract":"Calcium pyrophosphate dihydrate deposition disease is a dis- ease characterized by collecting of crystals in hyaline carti- lage, fibrocartilage and soft tissues, related to many endo - crine and metabolic conditions, and seen more commonly in old age. Hypopituitarism may occur in old age with fatigue, decrease in libido, weight loss and musculoskeletal symptoms as a major cause of the overall condition impairment. As one gets older, the signs of these two diseases may progress even without any significant disease. The natural process which comes with old age, and pseudogout and hypopituitarism can mask one to another clinically and the symptoms of three situ- ation may be overlapping. This can lead to difficulty and delay in diagnosis. Our case was an elderly female patient diagnosed with hypopituitarism and pseudogout.","PeriodicalId":12017,"journal":{"name":"European journal of general medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73252462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
F. Kılınç, Munire Çağın, Erkun Tuncer, D. Efe, S. Özen
High grade transformation in epithelial-myoepithelial carcino¬ma is a recently defined entity with only a few cases reported in the literature. We present a 59 years old female patient with a polypoid lesion in nasal cavity, together with clinical com¬plaints as recurrent epistaxis and stuffiness. Histological and immunohistochemical examination of the surgically excised le¬sion revealed a diagnosis of epithelialmyoepithelial carcino¬ma with high grade transformation. Epithelial-myoepithelial carcinoma originates from salivary glands, mainly parotid gland. Other affected sites are submandibular gland and minor sali¬vary glands. Epithelialmyoepithelial carcinoma is characterized by double layered duct-like structures. Greater cytologi¬cal atypia, higher mitotic rate, presence of necrosis and loss of the biphasic ductlike structures are features of high grade transformation. Local recurrence and cervical lymph node me¬tastases are seen with low incidence in classical epithelial-myoepithelial carcinoma, whereas epithelial-myoepithelial carcinoma with high grade transformation has high tendency for lymph node and distant metastases.
{"title":"Epithelial-Myoepithelial Carcinoma with High Grade Transformation of Nasal Cavity","authors":"F. Kılınç, Munire Çağın, Erkun Tuncer, D. Efe, S. Özen","doi":"10.15197/EJGM.01447","DOIUrl":"https://doi.org/10.15197/EJGM.01447","url":null,"abstract":"High grade transformation in epithelial-myoepithelial carcino¬ma is a recently defined entity with only a few cases reported in the literature. We present a 59 years old female patient with a polypoid lesion in nasal cavity, together with clinical com¬plaints as recurrent epistaxis and stuffiness. Histological and immunohistochemical examination of the surgically excised le¬sion revealed a diagnosis of epithelialmyoepithelial carcino¬ma with high grade transformation. Epithelial-myoepithelial carcinoma originates from salivary glands, mainly parotid gland. Other affected sites are submandibular gland and minor sali¬vary glands. Epithelialmyoepithelial carcinoma is characterized by double layered duct-like structures. Greater cytologi¬cal atypia, higher mitotic rate, presence of necrosis and loss of the biphasic ductlike structures are features of high grade transformation. Local recurrence and cervical lymph node me¬tastases are seen with low incidence in classical epithelial-myoepithelial carcinoma, whereas epithelial-myoepithelial carcinoma with high grade transformation has high tendency for lymph node and distant metastases.","PeriodicalId":12017,"journal":{"name":"European journal of general medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91304837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
F. Yıldırım, I. Kara, Büsra Yürümez, G. Aygencel, M. Turkoglu
Central venous catheterization is a frequently performed procedure in the intensive care units (ICU) for various treatments such as iv therapy, parenteral nutrition and hemodialysis but occasionally encountered complications can be fatal. Therefore, safe insertion with confirmation of correct positioning of the catheter is vital. Ultrasound (US)-guided insertion of catheters has been used widely, and its safety and efficacy have been demonstrated in several studies. However, this technique is not free from complications, such as carotid artery puncture, hemothorax, pneumothorax and infection. In this case, anterior mediastinal hematoma proceeded after US-guided internal jugular vein (IJV) catheterization.
{"title":"Asymptomatic Mediastinal Hematoma as a Complication of Ultrasound-Guided Internal Jugular Vein Catheterization","authors":"F. Yıldırım, I. Kara, Büsra Yürümez, G. Aygencel, M. Turkoglu","doi":"10.15197/EJGM.01452","DOIUrl":"https://doi.org/10.15197/EJGM.01452","url":null,"abstract":"Central venous catheterization is a frequently performed procedure in the intensive care units (ICU) for various treatments such as iv therapy, parenteral nutrition and hemodialysis but occasionally encountered complications can be fatal. Therefore, safe insertion with confirmation of correct positioning of the catheter is vital. Ultrasound (US)-guided insertion of catheters has been used widely, and its safety and efficacy have been demonstrated in several studies. However, this technique is not free from complications, such as carotid artery puncture, hemothorax, pneumothorax and infection. In this case, anterior mediastinal hematoma proceeded after US-guided internal jugular vein (IJV) catheterization.","PeriodicalId":12017,"journal":{"name":"European journal of general medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90085235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Shukurov, R. Erkoç, M. Ilhan, M. Ozdemir, M. Alay, E. Tasan
An 59 year old women with type two diabetes and psoriasis admitted with severe hypoglycemic attacks. Acitretin use was identified as the cause of this attacks. Two years after cessation of acitretin, she is still in remission of diabetes and psoriasis. This condition was attributed to extraordinary prolonged use of acitretin.
{"title":"Severe Hyoglycemic Attacks and Remission of Type 2 Diabetes and Psoriasis Due to Acitretin","authors":"S. Shukurov, R. Erkoç, M. Ilhan, M. Ozdemir, M. Alay, E. Tasan","doi":"10.15197/ejgm.01446","DOIUrl":"https://doi.org/10.15197/ejgm.01446","url":null,"abstract":"An 59 year old women with type two diabetes and psoriasis admitted with severe hypoglycemic attacks. Acitretin use was identified as the cause of this attacks. Two years after cessation of acitretin, she is still in remission of diabetes and psoriasis. This condition was attributed to extraordinary prolonged use of acitretin.","PeriodicalId":12017,"journal":{"name":"European journal of general medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87104738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Doğan, Afra Yıldırım, Refika Erbakirci, A. Okur, S. Çağlı, E. Mavili, İ. Yüce, E. Güney, M. Öztürk
Objective:To investigate the value of grey scale and Doppler ultrasonography in the assessment of metastatic and lymphomatous cervical lymph nodes.Methods:One hundred and nineteen malignant cervical lymph nodes in 119 patients diagnosed as malignant according to grey scale, color Doppler and spectral Doppler ultrasonography features were included in this study. The sizes, shape, echo pattern, echogenic hilus, nodal border, cystic necrosis and coagulation necrosis, vascular distribution pattern, resistivity and pulsatility index values of lymph nodes were noted. All patients had histopathological diagnosis.Results:The final diagnosis of the 42 lymph nodes was lymphoma, and of the 77 lymph nodes was carcinoma metastasis (33 thyroid carcinoma metastasis and 44 squamous cell carcinoma metastasis). While a hyperechoic pattern and calcification were detected in the lymph nodes originating from thyroid carcinoma as 39% and 33%, respectively, a reticular pattern (26%) and low resistive and pulsatility indices were detected in lymph nodes originating from lymphoma. These criteria were statistically significant for the differential diagnosis (p<0.05). Size, shape, hypoechoic echo pattern, absence of echogenic hilus, nodal border, cystic necrosis, coagulation necrosis and vascular distribution pattern were not found to be significant for the detection of a primary tumour.Conclusion:Hyperechoic echo pattern, reticular pattern, calcification, low resistivity and pulsatility indices are useful parameters for the differential diagnosis of malignant cervical lymph nodes. These ultrasonography critaria can be used for assesment and management of unknown primary malign neck nodes.
{"title":"The Role of Ultrasonography for Differentiating and Management of Malignant Cervical Lymph Nodes","authors":"S. Doğan, Afra Yıldırım, Refika Erbakirci, A. Okur, S. Çağlı, E. Mavili, İ. Yüce, E. Güney, M. Öztürk","doi":"10.15197/EJGM.01416","DOIUrl":"https://doi.org/10.15197/EJGM.01416","url":null,"abstract":"Objective:To investigate the value of grey scale and Doppler ultrasonography in the assessment of metastatic and lymphomatous cervical lymph nodes.Methods:One hundred and nineteen malignant cervical lymph nodes in 119 patients diagnosed as malignant according to grey scale, color Doppler and spectral Doppler ultrasonography features were included in this study. The sizes, shape, echo pattern, echogenic hilus, nodal border, cystic necrosis and coagulation necrosis, vascular distribution pattern, resistivity and pulsatility index values of lymph nodes were noted. All patients had histopathological diagnosis.Results:The final diagnosis of the 42 lymph nodes was lymphoma, and of the 77 lymph nodes was carcinoma metastasis (33 thyroid carcinoma metastasis and 44 squamous cell carcinoma metastasis). While a hyperechoic pattern and calcification were detected in the lymph nodes originating from thyroid carcinoma as 39% and 33%, respectively, a reticular pattern (26%) and low resistive and pulsatility indices were detected in lymph nodes originating from lymphoma. These criteria were statistically significant for the differential diagnosis (p<0.05). Size, shape, hypoechoic echo pattern, absence of echogenic hilus, nodal border, cystic necrosis, coagulation necrosis and vascular distribution pattern were not found to be significant for the detection of a primary tumour.Conclusion:Hyperechoic echo pattern, reticular pattern, calcification, low resistivity and pulsatility indices are useful parameters for the differential diagnosis of malignant cervical lymph nodes. These ultrasonography critaria can be used for assesment and management of unknown primary malign neck nodes.","PeriodicalId":12017,"journal":{"name":"European journal of general medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86912564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Şentürk, Gültekin Övet, N. Alatas, Isa Azgin, O. Erdur
Rhinolithiasis is a rare condition in routine otolaryngologic practice and may cause chronic sinusitis. Pseudomonas aeruginosa is frequently found microorganism in chronic sinusitis. Although pseudomonas infections are not uncommon in chronic sinusitis, no report of co-existance of the trinity of rhinolithiasis, nasal pseudomonas infection and diabetes mellitus was found in the literature. This paper discusses the clinical features of rhinolithiasis in a 45-year-old diabetic female who presented with rhinolithiasis and nasal pseudomonas infection.
{"title":"Rhinolith Associated with Pseudomonas Aeruginosa in a Diabetic Patient","authors":"M. Şentürk, Gültekin Övet, N. Alatas, Isa Azgin, O. Erdur","doi":"10.15197/EJGM.01461","DOIUrl":"https://doi.org/10.15197/EJGM.01461","url":null,"abstract":"Rhinolithiasis is a rare condition in routine otolaryngologic practice and may cause chronic sinusitis. Pseudomonas aeruginosa is frequently found microorganism in chronic sinusitis. Although pseudomonas infections are not uncommon in chronic sinusitis, no report of co-existance of the trinity of rhinolithiasis, nasal pseudomonas infection and diabetes mellitus was found in the literature. This paper discusses the clinical features of rhinolithiasis in a 45-year-old diabetic female who presented with rhinolithiasis and nasal pseudomonas infection.","PeriodicalId":12017,"journal":{"name":"European journal of general medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84867808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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