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Primitive cable car “varangel” accidents in the black sea region of Rize in Turkey 土耳其里泽黑海地区的原始缆车“varangel”事故
Pub Date : 2016-06-16 DOI: 10.5835/JECM.OMU.33.02.003
G. Ersunan, O. Bilir, M. Balik
Varangels are simple and uniquely-designed cable car-like vehicles commonly used for human and cargo transportation in the Eastern Black Sea Region of Turkey, a mountainous region. Varangels cause various accidents, resulting even in death. This study investigated the characteristics of the patients with injuries caused by varangel accidents. Medical records of 78 patients (55 males) admitted with injuries due to varangel accidents to Recep Tayyip Erdogan University Training and Research Hospital between January 2010 and December 2012 were retrospectively evaluated. Data including age, gender, site and type of the injury, accident type, and outcomes were recorded. No significant differences were determined among patients in terms of the time and type of the accident, site of the injury and outcomes according to gender or age groups. According to the type of the accident, significant differences were observed regarding the site of the injury and outcomes. Compression injuries appeared to affect the extremities more, whereas head-neck injuries were encountered more often due to falling from high. While patients with impact injuries were mostly treated in the outpatient units, those with compression injuries were treated both in the inpatient and outpatient units. Although no significant difference was determined according to the injury site, two patients who died had head-neck injuries. This study evaluating cable car-related accidents in Turkey is the most comprehensive study, with the highest number of cases analyzed. Therefore, local authorities take the necessary measures in place and widely used in the region varangels is intended to provide the legal regulations.
Varangels是一种简单而设计独特的类似缆车的车辆,通常用于土耳其东部黑海地区的山区人员和货物运输。变种天使造成各种事故,甚至导致死亡。本研究探讨了瓦格尔意外损伤患者的特点。回顾性分析了2010年1月至2012年12月在雷杰普·塔伊普·埃尔多安大学培训与研究医院收治的因varangel事故受伤的78例患者(55例男性)的医疗记录。数据包括年龄、性别、受伤部位和类型、事故类型和结果。根据性别或年龄组,在事故发生的时间和类型、损伤部位和结果方面,患者之间没有明显差异。根据事故类型,在损伤部位和结果方面观察到显著差异。压迫性损伤似乎更容易影响四肢,而头颈部损伤更常因高处坠落而发生。撞击伤患者大多在门诊治疗,而压迫伤患者则在住院和门诊治疗。虽然损伤部位的差异无统计学意义,但两例死亡患者均有头颈部损伤。这项评估土耳其缆车相关事故的研究是最全面的研究,分析的案例数量最多。因此,地方当局采取必要的措施到位,并在区域内广泛使用各种各样的法律规定。
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引用次数: 0
Early period results after cataract surgery with phacoemulsification in monocular patients 单眼白内障超声乳化术术后早期疗效
Pub Date : 2016-06-16 DOI: 10.5835/JECM.OMU.33.02.004
O. Sayın, Ertuğrul Can
In our study, the increase in visual acuity of monocular patients in the early period following cataract surgery with phacoemulsification (PHACO), the reasons for being monocular and the comorbid pathologies in the operated eye were examined. The files of 24 patients who had PHACO and intraocular lens (IOL) implantation were analyzed retrospectively. The patients who have 0.1 and worse best-corrected visual acuity (BCVA) in the other eye with Snellen chart and whose vision could not be increased by a medical or surgical treatment were accepted as monocular. All operations were performed with clear corneal incision and standard PHACO methods. IOLs were implanted into capsular bag for all patients. The postoperative visits were made on the 1st, 7 th and 30 th days.  The mean age of the 24 patients included in the study was 65.0±14.1. Seven (29.1%) patients were female, while 17 (70.9%) were male. Right eyes of 4 (16.6%) patients and left eyes of 20 (83.4%) patients were operated. Comorbid disease was found in 16 (66.6%) of the eyes operated. When non-operated eyes of the cases were analyzed, the first three reasons for being monocular were age related macula degeneration (AMD), phthisis bulbi following penetrating injury and glaucomatous optic atrophy. The mean BCVA was 1.31±0.71 logMAR before the surgery, 0.32±0.57 logMAR on the 7 th day control and 0.14±0.16 logMAR on the first month control. 22 (91.1%) patients had better visual acuity after the surgery and on first month control 18 (75%) patients’ BCVA was equal to or better than 0.3 logMAR. No complication was seen in the 30 day followup of our cases.
本研究对白内障超声乳化术(PHACO)术后早期单眼患者的视力增加、单眼的原因及手术眼的合并症进行了分析。回顾性分析24例PHACO合并人工晶状体植入术患者的资料。单眼最佳矫正视力(BCVA)为0.1及以下且无法通过药物或手术治疗提高视力的患者被接受为单眼。所有手术均采用角膜透明切口和标准PHACO方法进行。所有患者均在囊袋内植入人工晶状体。术后第1天、第7天、第30天随访。纳入研究的24例患者的平均年龄为65.0±14.1岁。女性7例(29.1%),男性17例(70.9%)。右眼4例(16.6%),左眼20例(83.4%)。合并症16例(66.6%)。对未手术眼的病例进行分析,单眼的前三位原因分别是年龄相关性黄斑变性(AMD)、穿透伤后球芽炎和青光眼性视神经萎缩。术前平均BCVA为1.31±0.71 logMAR,对照组第7天为0.32±0.57 logMAR,第1个月为0.14±0.16 logMAR。术后22例(91.1%)患者视力较好,第一个月对照18例(75%)患者BCVA等于或优于0.3 logMAR。在30天的随访中未见并发症。
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引用次数: 1
Evaluation of prognostic factors in idiopathic sudden sensorineural hearing loss 特发性突发性感音神经性听力损失预后因素的评价
Pub Date : 2016-06-16 DOI: 10.5835/JECM.OMU.33.02.005
S. Terzi, A. Özgür, Z. Coşkun, O. Erdivanlı, M. Demirci, E. Dursun
It was aimed to establish which identifiable variables for an idiopathic sudden sensorineural hearing loss (ISSHL) have a prognostic value in the hearing recovery. Patients hospitalized with diagnosis of ISSHL and treated in our clinic between 2009 and 2013 were evaluated retrospectively. Individuals received the same treatment were classified into two groups after a month from diagnosis by a pure tone audiogram regarding Siegel’s criteria. Effect of patient’s age, gender, side of ear, degree of hearing loss, patterns of initial pure-tone audiogram, comorbidities such as systemic diseases, time of initial treatment, contralateral ear hearing, presence of vestibular symptoms and tinnitus on the prognosis of ISSHL was evaluated in this study. Eighty two patients (46 male, 36 female, mean age 47.9, age ranging between 21 and 85) were included in this study. Hearing recovery was observed in 50 patients (61%). Recovery rate was significantly better in patients less than 60 years and received a medical treatment in the first seven days. On the other hand, it was lower in patients presenting with profound audiogram and contralateral hearing loss. Presence of comorbidities including systemic diseases, vestibular symptoms and tinnitus did not affected prognosis.
该研究旨在确定特发性突发性感音神经性听力损失(ISSHL)的哪些可识别变量在听力恢复中具有预后价值。回顾性评价2009年至2013年在我院诊治的ISSHL患者。接受相同治疗的个体在根据西格尔标准进行纯音听力图诊断后一个月被分为两组。本研究评估患者的年龄、性别、侧耳、听力损失程度、初始纯音听图模式、合并症(如全身性疾病)、初始治疗时间、对侧耳听力、前庭症状和耳鸣的存在对ISSHL预后的影响。本研究纳入82例患者,其中男46例,女36例,平均年龄47.9岁,年龄21 ~ 85岁。50例(61%)患者听力恢复。年龄小于60岁且在头7天接受治疗的患者的康复率明显更好。另一方面,在表现为重度听力图和对侧听力损失的患者中,它较低。包括全身性疾病、前庭症状和耳鸣在内的合并症的存在不影响预后。
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引用次数: 0
Emotional and behavioral characteristics of childhood depression 儿童抑郁症的情绪和行为特征
Pub Date : 2016-06-16 DOI: 10.5835/JECM.OMU.33.02.007
Çilem Bilginer, S. Kandil
This study aimed to determine whether there were any differences between the behavioral and emotional problems of depressed children in clinical setting and their healthy peers without chronic medical illnesses or psychiatric disorders. The study was carried out in a child and adolescent psychiatry department of Karadeniz Technical University, Faculty of Medicine, between the dates of 03 March 2013 and 03 March 2014. Forty two children, ranging from 7 to 12 years, diagnosed with major depression, were choosen as study sample. Child Depression Inventory (CDI) was used to evaluate the severity of depression and the behavioral problems of children were evaluated with Child Behavior Checklist for Ages 6-18 (CBCL 6/18). According to the CBCL 6/18, the internalizing, externalizing and total behavior problem scores were found significantly higher (respectively p<0.001; p<0.001; p<0.001) in the study group. The internalizing and total behavior problems were significantly higher in girls, but there was no significant difference in externalizing behavior in both genders. In addition, 57.1% of the study group (n=24) had suicidal ideation and 19% (n=8) showed self-injurious behavior. Suicidal ideation was increasing with child’s depression severity but not related with behavioral problems. In addition, self-injurious was significantly associated with rule-breaking behavior, aggresive behavior and externalizing behavior problem subscales, but not associated with suicidal ideation or depression severity. Consequently, children diagnosed with major depressive disorder ( MDD) had significantly higher behavior problems than their healthy peers. The results suggest that externalizing behavior problems could be a part of childhood depression regardless of gender differences. Besides, the results suggest that self harming behavior in depressive children may not always be related with depression severity. Impulsivity and high comorbidity rates may be additional contributions to this behavior. Lastly, children are at the risk of suicide as adolescent and should be examined carefully.
本研究旨在确定临床环境中抑郁儿童的行为和情绪问题与没有慢性医学疾病或精神障碍的健康同龄人之间是否存在差异。该研究于2013年3月3日至2014年3月3日在卡拉德尼兹技术大学医学院的儿童和青少年精神病学部门进行。选取42名7 - 12岁的重度抑郁症患儿作为研究样本。采用儿童抑郁量表(CDI)评估儿童抑郁的严重程度,采用《6-18岁儿童行为检查表》(CBCL 6/18)评估儿童行为问题。根据CBCL 6/18,内化、外化和总行为问题得分显著高于对照组(p<0.001;p < 0.001;P <0.001)。女生的内化行为和总行为问题显著高于女生,而外化行为在两性间无显著差异。此外,研究组有自杀意念的占57.1% (n=24),有自残行为的占19% (n=8)。自杀意念随儿童抑郁严重程度的增加而增加,但与行为问题无关。此外,自伤与违规行为、攻击行为和外化行为问题分量表显著相关,而与自杀意念和抑郁严重程度无显著相关。因此,被诊断为重度抑郁症(MDD)的儿童比健康的同龄人有更多的行为问题。结果表明,无论性别差异如何,外化行为问题可能是儿童抑郁症的一部分。此外,研究结果表明,抑郁症儿童的自残行为可能并不总是与抑郁症的严重程度有关。冲动和高共病率可能是这种行为的额外贡献。最后,儿童在青少年时期有自杀的危险,应该仔细检查。
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引用次数: 0
Diffuse large B-cell lymphoma of the urinary bladder with synchronous rectum invasion: A rare case report 膀胱弥漫性大b细胞淋巴瘤伴直肠侵袭:一例罕见病例报告
Pub Date : 2016-06-16 DOI: 10.5835/JECM.OMU.33.02.015
S. Aktimur, N. A. Aslan, Soner Onem, Piltan Büyükkaya, H. Cetin, E. Ozden, M. H. Atay
Diffuse large B-cell lymphomas (DLBCLs) are a heterogeneous group of malignant neoplasms appeared in the lymphocyte cell lines, accounting for approximately 25-30% of lymphoma cases. The occurrence of primary urinary bladder or rectal lymphomas synchronously is uncommon, also first presenting sign of disseminated disease in bladder or rectum are considerably rare. Here, we report the first case of extensive DLBCL in bladder and rectum synchronously mimicking primary urinary bladder lymphoma in a 43-year-old male, relatively young patient.
弥漫性大b细胞淋巴瘤(DLBCLs)是一种出现在淋巴细胞系的异质性恶性肿瘤,约占淋巴瘤病例的25-30%。原发性膀胱或直肠淋巴瘤的同时发生是罕见的,在膀胱或直肠中首次出现弥散性疾病的症状也是相当罕见的。在这里,我们报告第一例广泛的DLBCL膀胱和直肠同步模拟原发性膀胱淋巴瘤,患者为43岁男性,相对年轻。
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引用次数: 0
Case of Crohn’s disease presenting with pemphigus vulgaris: A case report 克罗恩病伴寻常性天疱疮1例
Pub Date : 2016-06-16 DOI: 10.5835/JECM.OMU.33.02.011
E. Alataş, Asude Kara, G. Dogan, Yelda Dere, A. Kayapınar, R. M. Kılınc, R. Inci
Pemphigus vulgaris is an autoimmune bullous disease which is characterized by erosion and bullae on the skin and mucosae. The disease is thought to occur under the influence of predisposing factors in people with genetic susceptibility. Pemphigus may coexist with other autoimmune diseases such as myasthenia gravis, lupus erythematosus, rheumatoid arthritis, and pernicious anemia as well as with neoplasias such as thymoma, carcinoma, and lymphoproliferative diseases. Crohn’s disease is a chronic inflammatory disease which involves the whole gastrointestinal mucosa from the mouth to the anus. Etiopathogenesis of this disease includes autoimmunity. A 39-year-old Turkish man presented to our polyclinic due to the erythema on the trunk and the shoulders. The patient stated that his complaints had started a month before and were accompanied by pruritus. He had had a history of Crohn’s disease for 10 years. Histopathologic examination of the blister revealed pemphigus vulgaris. Physicians should be able to recognize Crohn’s disease might accompany with autoimmune skin disease. For our knowledge this is the first case with coexistence of two diseases.
寻常型天疱疮是一种自身免疫性大疱性疾病,其特征是皮肤和粘膜上的侵蚀和大疱。这种疾病被认为是在遗传易感性人群的易感因素的影响下发生的。天疱疮可能与其他自身免疫性疾病共存,如重症肌无力、红斑狼疮、类风湿关节炎和恶性贫血,也可能与肿瘤如胸腺瘤、癌和淋巴细胞增生性疾病共存。克罗恩病是一种慢性炎症性疾病,累及从口腔到肛门的整个胃肠道粘膜。本病的发病机制包括自身免疫。一名39岁的土耳其男子因躯干和肩部的红斑而来到我们的综合诊所。病人说他的症状是一个月前开始的,并伴有瘙痒。他有10年的克罗恩病病史。水疱的组织病理学检查显示为寻常型天疱疮。医生应该能够认识到克罗恩病可能伴随自身免疫性皮肤病。据我们所知,这是两种疾病共存的第一例。
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引用次数: 0
A rare complication of penetrating foreign body: Meningitis 穿透异物的罕见并发症:脑膜炎
Pub Date : 2016-06-16 DOI: 10.5835/JECM.OMU.33.02.014
B. Çalışkan, A. Güzel, H. Çelik, F. Çalışkan, M. Acikgoz, Y. Yavuz
Penetrating head injuries can originate many intentional or unintentional events. We presented a case of six year-old girl developed complication of menengitis after intranasal penetration of a wooden pencil. Emergency physician should be aware the possibility of residual foreign bodies in the management of patients diagnosed with intracranial injury, hemorrhage and infections because these serious complications may originate from transnasal penetrating foreign bodies. The advanced imaging modalites and early consultations of ear-nose-throat specialist and neurosurgery are necessary in these cases.
穿透性头部损伤可以引起许多有意或无意的事件。我们提出了一个病例六岁的女孩发展脑膜炎并发症后,鼻内穿透木铅笔。急诊医师在处理诊断为颅内损伤、出血和感染的患者时应注意残留异物的可能性,因为这些严重的并发症可能源于经鼻穿透的异物。在这些病例中,先进的成像方式和早期耳鼻喉专科医生和神经外科医生的咨询是必要的。
{"title":"A rare complication of penetrating foreign body: Meningitis","authors":"B. Çalışkan, A. Güzel, H. Çelik, F. Çalışkan, M. Acikgoz, Y. Yavuz","doi":"10.5835/JECM.OMU.33.02.014","DOIUrl":"https://doi.org/10.5835/JECM.OMU.33.02.014","url":null,"abstract":"Penetrating head injuries can originate many intentional or unintentional events. We presented a case of six year-old girl developed complication of menengitis after intranasal penetration of a wooden pencil. Emergency physician should be aware the possibility of residual foreign bodies in the management of patients diagnosed with intracranial injury, hemorrhage and infections because these serious complications may originate from transnasal penetrating foreign bodies. The advanced imaging modalites and early consultations of ear-nose-throat specialist and neurosurgery are necessary in these cases.","PeriodicalId":15770,"journal":{"name":"Journal of Experimental & Clinical Medicine","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87360767","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}
引用次数: 1
MCP-1-2518 A>G and CCR2 V64I polymorphisms in Turkish patients with lung cancer MCP-1-2518 A>G和CCR2 V64I在土耳其肺癌患者中的多态性
Pub Date : 2016-06-16 DOI: 10.5835/JECM.OMU.33.02.006
Binnur Bagci, S. Arslan, Hande Küçük Kurtulgan, I. Sezgin, M. Yıldırım, G. Bagci
In the current study, we aimed to investigate the possible role of MCP-1 -2518 A>G and CC chemokine receptor 2 (CCR2) V64I polymorphisms in patients with lung cancer. Sixty-five patients with lung cancer (57 with NSCLC and 8 with SCLC) and 57 healthy controls were enrolled. Polymerase chain reactionrestriction fragment length polymorphism (PCR-RFLP) method was used. Genotype distribution of monocyte chemoattractant protein 1 (MCP-1) -2518 A>G polymorphism in lung cancer patients was as follows: 30 for AA, 30 for AG and 5 for GG genotype. Frequency of minor G allele in patients and controls were found as 30.8% and 23.7%, respectively. In patients, genotype distribution of CCR2 V64I polymorphism was as follows: 47 for GG, 16 for GA, and 2 for AA. Frequency of minor A allele was found in patients and controls as 15.4% and 19.2%, respectively. Genotype distribution and allele frequencies of MCP-1 and CCR2 polymorphism were not statistically different between patients and controls (p values >0.05 for both polymorphisms). In lung cancer patients, there was no significant association between smoking status and MCP-1 and CCR2 polymorphisms. Similarly, no significant association was found between distant organ metastasis and both gene polymorphisms. Our findings suggest that MCP- 1 -2518 A>G and CCR2 V64I polymorphisms are not associated with genetic susceptibility to lung cancer and lung cancer metastasis.
在本研究中,我们旨在探讨MCP-1 -2518 A>G和CC趋化因子受体2 (CCR2) V64I多态性在肺癌患者中的可能作用。65例肺癌患者(57例为非小细胞肺癌,8例为小细胞肺癌)和57例健康对照。采用聚合酶链反应限制性片段长度多态性(PCR-RFLP)方法。肺癌患者单核细胞趋化蛋白1 (MCP-1) -2518 A>G多态性的基因型分布为:AA型为30,AG型为30,GG型为5。轻微G等位基因在患者和对照组中的频率分别为30.8%和23.7%。在患者中,CCR2 V64I多态性基因型分布为:GG为47,GA为16,AA为2。小A等位基因在患者和对照组的发生率分别为15.4%和19.2%。MCP-1和CCR2多态性基因型分布及等位基因频率在两组间差异无统计学意义(两组多态性p值均>0.05)。在肺癌患者中,吸烟状况与MCP-1和CCR2多态性之间没有显著相关性。同样,在远端器官转移和两种基因多态性之间没有发现显著的关联。我们的研究结果表明,MCP- 1 -2518 A>G和CCR2 V64I多态性与肺癌和肺癌转移的遗传易感性无关。
{"title":"MCP-1-2518 A>G and CCR2 V64I polymorphisms in Turkish patients with lung cancer","authors":"Binnur Bagci, S. Arslan, Hande Küçük Kurtulgan, I. Sezgin, M. Yıldırım, G. Bagci","doi":"10.5835/JECM.OMU.33.02.006","DOIUrl":"https://doi.org/10.5835/JECM.OMU.33.02.006","url":null,"abstract":"In the current study, we aimed to investigate the possible role of MCP-1 -2518 A>G and CC chemokine receptor 2 (CCR2) V64I polymorphisms in patients with lung cancer. Sixty-five patients with lung cancer (57 with NSCLC and 8 with SCLC) and 57 healthy controls were enrolled. Polymerase chain reactionrestriction fragment length polymorphism (PCR-RFLP) method was used. Genotype distribution of monocyte chemoattractant protein 1 (MCP-1) -2518 A>G polymorphism in lung cancer patients was as follows: 30 for AA, 30 for AG and 5 for GG genotype. Frequency of minor G allele in patients and controls were found as 30.8% and 23.7%, respectively. In patients, genotype distribution of CCR2 V64I polymorphism was as follows: 47 for GG, 16 for GA, and 2 for AA. Frequency of minor A allele was found in patients and controls as 15.4% and 19.2%, respectively. Genotype distribution and allele frequencies of MCP-1 and CCR2 polymorphism were not statistically different between patients and controls (p values >0.05 for both polymorphisms). In lung cancer patients, there was no significant association between smoking status and MCP-1 and CCR2 polymorphisms. Similarly, no significant association was found between distant organ metastasis and both gene polymorphisms. Our findings suggest that MCP- 1 -2518 A>G and CCR2 V64I polymorphisms are not associated with genetic susceptibility to lung cancer and lung cancer metastasis.","PeriodicalId":15770,"journal":{"name":"Journal of Experimental & Clinical Medicine","volume":"33 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85814183","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}
引用次数: 2
Treatment of macrohematuria following nephrolitiazis operation with coil embolization 线圈栓塞治疗肾炎术后大量血尿
Pub Date : 2016-06-16 DOI: 10.5835/JECM.OMU.33.02.013
M. E. Erkuş, I. H. Altıparmak, Y. Sezen, R. Demirbağ, O. Gunebakmaz
Nephrolithiasis is a prevalent systemic disorder which is treated with percutaneous nephrolithotomy and surgery. Hematuria is one of complications which may appear after these procedures. Even though it is usually treated conservatively, it sometimes requires advanced approaches such as renal artery coil embolization, graft stenting, and open surgery. This paper reports treatment of macrohematuria occurred after percutaneous nephrolitotomy with coil embolization.
肾结石是一种普遍的全身性疾病,可通过经皮肾取石术和手术治疗。血尿是这些手术后可能出现的并发症之一。尽管它通常是保守治疗,但有时需要先进的方法,如肾动脉圈栓塞、移植物支架植入和开放手术。本文报道经皮肾石切开术并发线圈栓塞术后大量血尿的治疗。
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引用次数: 0
A vanishing right ventricular mass 右心室肿块消失
Pub Date : 2016-06-16 DOI: 10.5835/JECM.OMU.33.02.010
A. Karagöz, Ö. U. Elalmış, F. Başyiğit, A. K. Dolu
Vanishing intracardiac masses can emerge as a diagnostic and therapeutic dilemma. The most common causes of intracardiac masses are thrombi, vegetations and primary or metastatic tumors. A 73-year-old male patient was admitted to internal medicine clinic with the diagnosis of acute postrenal failure superimposed on chronic renal failure. He also had fever and urinary tract infection. Eosinophil count was 1975/mm³ (22.7%). Transthoracic echocardiography (TTE) revealed a 12x10 mm mobile mass attached to right ventricular (RV) lateral wall. The patient was on bicarbonate, sulbactam+cefoperazone 2x1 g, enoxaparine 1x4000 IU and silodosin 1x8 mg, when the patient discharged. One month after discharge, the patient came back for control examination. Surprisingly, control TTE revealed complete disappearance of the RV mass. Eosinophil count was 500/mm³ (4.9%). Intracardiac masses may emerge as a feature of hypereosinophilic state and may resolve in due course by recovery of hypereosinophilia and adjunct anticoagulation.
心内肿块消失是诊断和治疗的难题。心内肿块最常见的原因是血栓、植物和原发性或转移性肿瘤。患者男,73岁,以急性肾衰合并慢性肾功能衰竭入院内科门诊。他还发烧和尿路感染。嗜酸性粒细胞计数1975个/mm³(22.7%)。经胸超声心动图(TTE)显示右心室(RV)侧壁有一个12x10 mm的可移动肿块。患者出院时给予碳酸氢盐、舒巴坦+头孢哌酮2x1 g、依诺肝素1x4000 IU、西洛多辛1x8 mg。出院1个月后,患者复诊作对照检查。令人惊讶的是,对照TTE显示右心室质量完全消失。嗜酸性粒细胞500/mm³(4.9%)。心内肿块可作为嗜酸性细胞增多症的特征出现,并可在适当的时候通过嗜酸性细胞增多症的恢复和辅助抗凝来解决。
{"title":"A vanishing right ventricular mass","authors":"A. Karagöz, Ö. U. Elalmış, F. Başyiğit, A. K. Dolu","doi":"10.5835/JECM.OMU.33.02.010","DOIUrl":"https://doi.org/10.5835/JECM.OMU.33.02.010","url":null,"abstract":"Vanishing intracardiac masses can emerge as a diagnostic and therapeutic dilemma. The most common causes of intracardiac masses are thrombi, vegetations and primary or metastatic tumors. A 73-year-old male patient was admitted to internal medicine clinic with the diagnosis of acute postrenal failure superimposed on chronic renal failure. He also had fever and urinary tract infection. Eosinophil count was 1975/mm³ (22.7%). Transthoracic echocardiography (TTE) revealed a 12x10 mm mobile mass attached to right ventricular (RV) lateral wall. The patient was on bicarbonate, sulbactam+cefoperazone 2x1 g, enoxaparine 1x4000 IU and silodosin 1x8 mg, when the patient discharged. One month after discharge, the patient came back for control examination. Surprisingly, control TTE revealed complete disappearance of the RV mass. Eosinophil count was 500/mm³ (4.9%). Intracardiac masses may emerge as a feature of hypereosinophilic state and may resolve in due course by recovery of hypereosinophilia and adjunct anticoagulation.","PeriodicalId":15770,"journal":{"name":"Journal of Experimental & Clinical Medicine","volume":"32 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78603920","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}
引用次数: 0
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Journal of Experimental & Clinical Medicine
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