Pub Date : 2018-01-01DOI: 10.5336/caserep.2017-56798
Onur Derdiyok, D. Gürer, C. Ozturk, İ. Yalçınkaya
In adults, focal segmental glomerulosclerosis occurs in approximately 35% of nephrotic syndrome cases. Proteinuria can be reduced using steroids or immunosuppressive drugs in patients with focal segmental glomerulosclerosis (FSGS) with proteinuria at the nephrotic level. However, depending on the corticosteroid treatment, immunosuppression develops and opportunistic infections are predisposed. Actinomycosis, one of the opportunistic infections, is a rare bacterial lung infection. Clinically, it has seen most frequently in the cervicofacial region by 50-60%, then in the abdominal region by 25% and in the thoracic region by 15%. In our case of FSGS diagnosed with renal biopsy, after the steroid use, empyema and bronchopleural fistula (BPF) were developed. In this study, we report a case of successful management of actinomycosis and complications after tube thoracostomy and decortication with antibiotherapy treatment.
{"title":"Actinomycosis-Induced Lung Abscess and Empyema After the Treatment of Idiopathic Focal Segmental Glomerulosclerosis","authors":"Onur Derdiyok, D. Gürer, C. Ozturk, İ. Yalçınkaya","doi":"10.5336/caserep.2017-56798","DOIUrl":"https://doi.org/10.5336/caserep.2017-56798","url":null,"abstract":"In adults, focal segmental glomerulosclerosis occurs in approximately 35% of nephrotic syndrome cases. Proteinuria can be reduced using steroids or immunosuppressive drugs in patients with focal segmental glomerulosclerosis (FSGS) with proteinuria at the nephrotic level. However, depending on the corticosteroid treatment, immunosuppression develops and opportunistic infections are predisposed. Actinomycosis, one of the opportunistic infections, is a rare bacterial lung infection. Clinically, it has seen most frequently in the cervicofacial region by 50-60%, then in the abdominal region by 25% and in the thoracic region by 15%. In our case of FSGS diagnosed with renal biopsy, after the steroid use, empyema and bronchopleural fistula (BPF) were developed. In this study, we report a case of successful management of actinomycosis and complications after tube thoracostomy and decortication with antibiotherapy treatment.","PeriodicalId":23460,"journal":{"name":"Türkiye Klinikleri Journal of Case Reports","volume":"55 1","pages":"63-66"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74675996","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}
Pub Date : 2018-01-01DOI: 10.5336/caserep.2018-60064
Çiğdem Kunt Işgüder, M. Pektas, E. Gökçe, Nursah Basol
diagnosed by MRI findings. Conservative management with close monitorization of vital and clinical findings and administration of anti-hypertensive and anti-convulsant drugs would provide the reversibility of PRES related radiological changes in most cases. The clinicians dealing with preeclampsia should be aware of this clinical entity and they should appeal to MRI whenever there is a high index of suspicion.
{"title":"A Case Report of Posterior Reversible Encephalopathy Syndrome with a Review of Literature","authors":"Çiğdem Kunt Işgüder, M. Pektas, E. Gökçe, Nursah Basol","doi":"10.5336/caserep.2018-60064","DOIUrl":"https://doi.org/10.5336/caserep.2018-60064","url":null,"abstract":"diagnosed by MRI findings. Conservative management with close monitorization of vital and clinical findings and administration of anti-hypertensive and anti-convulsant drugs would provide the reversibility of PRES related radiological changes in most cases. The clinicians dealing with preeclampsia should be aware of this clinical entity and they should appeal to MRI whenever there is a high index of suspicion.","PeriodicalId":23460,"journal":{"name":"Türkiye Klinikleri Journal of Case Reports","volume":"82 1","pages":"196-200"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73196550","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}
Pub Date : 2018-01-01DOI: 10.5336/CASEREP.2017-56806
Y. Bayraktar, F. Çiçekçi, A. Duman, J. Celik
1980s’ in the postoperative setting, where its safety and efficacy could be evaluated under controlled clinical conditions and with intensive monitoring.1 Soon thereafter, clinical trials demonstrated that transdermal fentanyl was safe and efficacious for the outpatient treatment of chronic cancer pain.2 TFP releases 12, 25, 50, 75, 100 μg.h-1 doses. TFP, which provide steady-state fentanyl concentrations for 72 hours, are an attractive alternative treatment compared to multiple daily oral medications especially in malign and non malign cancer patients.3 But the dosage must be increased by titrating because it is 50-100 times more powerful than morphine and absorbed rapidly. Pharmacologically, fentanyl, like all μ agonists, acts on the central nervous system causing analgesia, sedation, severe respiratory depression, muscle rigidity, seizures, coma and hypotension. Intentional or unintentional misuse, as well as abuse, may lead to significant clinical consequences, including death.4
{"title":"Fatal Respiratory Arrest Due to Transdermal Fentanyl","authors":"Y. Bayraktar, F. Çiçekçi, A. Duman, J. Celik","doi":"10.5336/CASEREP.2017-56806","DOIUrl":"https://doi.org/10.5336/CASEREP.2017-56806","url":null,"abstract":"1980s’ in the postoperative setting, where its safety and efficacy could be evaluated under controlled clinical conditions and with intensive monitoring.1 Soon thereafter, clinical trials demonstrated that transdermal fentanyl was safe and efficacious for the outpatient treatment of chronic cancer pain.2 TFP releases 12, 25, 50, 75, 100 μg.h-1 doses. TFP, which provide steady-state fentanyl concentrations for 72 hours, are an attractive alternative treatment compared to multiple daily oral medications especially in malign and non malign cancer patients.3 But the dosage must be increased by titrating because it is 50-100 times more powerful than morphine and absorbed rapidly. Pharmacologically, fentanyl, like all μ agonists, acts on the central nervous system causing analgesia, sedation, severe respiratory depression, muscle rigidity, seizures, coma and hypotension. Intentional or unintentional misuse, as well as abuse, may lead to significant clinical consequences, including death.4","PeriodicalId":23460,"journal":{"name":"Türkiye Klinikleri Journal of Case Reports","volume":"17 1","pages":"67-70"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77280306","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}
Pub Date : 2018-01-01DOI: 10.5336/caserep.2018-60871
M. Inal, S. Ural
A forty-two-year-old male patient with a height of 173 cm and weight of 75 kg admitted to our hospital for preoperative evaluation. His leprosy was detected 5 years ago and has been treating regularly. Physical examination showed hyperpigmented lesion on the right cheek, nasal deformity and crusting, deformity of bilateral upper and lower extremity and sensorial loss. His mallampati score was grade 3. The patient who had no restricted neck movement was using dapson 100 mg (three times a day), rifampicin 300 mg (once a day), intranasal fluticasone propionate 50 mcg (twice a day). There was right bundle branch block in his electrocardiography (ECG). He was using one packet of cigarette per day. He consulted with the cardiologist, pulmonologist, dermatologist and otorhinolaryngologist. His complete blood General Anesthesia in a Patient with Leprosy: A Rare Case
{"title":"General Anesthesia in a Patient with Leprosy: A Rare Case","authors":"M. Inal, S. Ural","doi":"10.5336/caserep.2018-60871","DOIUrl":"https://doi.org/10.5336/caserep.2018-60871","url":null,"abstract":"A forty-two-year-old male patient with a height of 173 cm and weight of 75 kg admitted to our hospital for preoperative evaluation. His leprosy was detected 5 years ago and has been treating regularly. Physical examination showed hyperpigmented lesion on the right cheek, nasal deformity and crusting, deformity of bilateral upper and lower extremity and sensorial loss. His mallampati score was grade 3. The patient who had no restricted neck movement was using dapson 100 mg (three times a day), rifampicin 300 mg (once a day), intranasal fluticasone propionate 50 mcg (twice a day). There was right bundle branch block in his electrocardiography (ECG). He was using one packet of cigarette per day. He consulted with the cardiologist, pulmonologist, dermatologist and otorhinolaryngologist. His complete blood General Anesthesia in a Patient with Leprosy: A Rare Case","PeriodicalId":23460,"journal":{"name":"Türkiye Klinikleri Journal of Case Reports","volume":"49 1","pages":"174-177"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85651918","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}
Pub Date : 2018-01-01DOI: 10.5336/caserep.2018-59594
B. Kandemir, N. T. Günaydın, Burak Tanyıldız, Güzide Akçay, Eren Göktaş
A 60-year-old male patient was referred to our clinic with the diagnosis of corneal staphyloma secondary to keratitis in the left eye. Penetrating keratoplasty (PK) and pupilloplasty were performed and one month after the intervention, the patient was admitted to our clinic with decreased vision in his right eye. Based on clinical findings, Fundus Fluorescein Angiography (FFA), and optical coherence tomography (OCT) results, he was diagnosed with sympathetic ophthalmia (SO) secondary to combined keratoplasty and pupilloplasty. The patient was treated with topical and systemic corticosteroids with immunosuppressive drugs. To the best of our knowledge, this is the first case of SO, on the basis of combined PK and pupilloplasty performed in a patient with acquired anterior staphyloma secondary to keratitis.
{"title":"A Rare Cause of Sympathetic Ophthalmia: Combined Penetrating Keratoplasty and Pupilloplasty","authors":"B. Kandemir, N. T. Günaydın, Burak Tanyıldız, Güzide Akçay, Eren Göktaş","doi":"10.5336/caserep.2018-59594","DOIUrl":"https://doi.org/10.5336/caserep.2018-59594","url":null,"abstract":"A 60-year-old male patient was referred to our clinic with the diagnosis of corneal staphyloma secondary to keratitis in the left eye. Penetrating keratoplasty (PK) and pupilloplasty were performed and one month after the intervention, the patient was admitted to our clinic with decreased vision in his right eye. Based on clinical findings, Fundus Fluorescein Angiography (FFA), and optical coherence tomography (OCT) results, he was diagnosed with sympathetic ophthalmia (SO) secondary to combined keratoplasty and pupilloplasty. The patient was treated with topical and systemic corticosteroids with immunosuppressive drugs. To the best of our knowledge, this is the first case of SO, on the basis of combined PK and pupilloplasty performed in a patient with acquired anterior staphyloma secondary to keratitis.","PeriodicalId":23460,"journal":{"name":"Türkiye Klinikleri Journal of Case Reports","volume":"10 1","pages":"148-152"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78525088","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}
Pub Date : 2018-01-01DOI: 10.5336/CASEREP.2017-58570
S. Yılmaz, K. Gişi, B. Kantarçeken
122 yoderma gangrenosum (PG) is rarely seen; destructive, inflammatory skin disease characterized by painful nodules or pustules that progress to large and extended ulcerations.1 In 50% of the patients with PG, there is an underlying disease. These include inflammatory bowel disease, arthritis, leukemia, hepatitis, primary biliary cirrhosis, intestinal malignancies and monoclonal gammopathy. In the patients with ulcerative colitis (UC), the presence of PG is independent from the activity of the disease. However, rarely, activation of UC may lead to PG development. In this article, we present an UC case with arthritis and the lesions consistent with PG around ileostomy and on his right back, which have been developed approximately 7 months after total colectomy.
{"title":"Pyoderma Gangrenosum Developing After Total Colectomy Due to Ulcerative Colitis","authors":"S. Yılmaz, K. Gişi, B. Kantarçeken","doi":"10.5336/CASEREP.2017-58570","DOIUrl":"https://doi.org/10.5336/CASEREP.2017-58570","url":null,"abstract":"122 yoderma gangrenosum (PG) is rarely seen; destructive, inflammatory skin disease characterized by painful nodules or pustules that progress to large and extended ulcerations.1 In 50% of the patients with PG, there is an underlying disease. These include inflammatory bowel disease, arthritis, leukemia, hepatitis, primary biliary cirrhosis, intestinal malignancies and monoclonal gammopathy. In the patients with ulcerative colitis (UC), the presence of PG is independent from the activity of the disease. However, rarely, activation of UC may lead to PG development. In this article, we present an UC case with arthritis and the lesions consistent with PG around ileostomy and on his right back, which have been developed approximately 7 months after total colectomy.","PeriodicalId":23460,"journal":{"name":"Türkiye Klinikleri Journal of Case Reports","volume":"1 1","pages":"122-125"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83145596","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}
Pub Date : 2018-01-01DOI: 10.5336/CASEREP.2017-58560
Ilhan Ünlü, Derya Cebeci, N. Ilhan, F. Akcan, Ş. Öksüz
{"title":"Bilateral Human Otoacariosis","authors":"Ilhan Ünlü, Derya Cebeci, N. Ilhan, F. Akcan, Ş. Öksüz","doi":"10.5336/CASEREP.2017-58560","DOIUrl":"https://doi.org/10.5336/CASEREP.2017-58560","url":null,"abstract":"","PeriodicalId":23460,"journal":{"name":"Türkiye Klinikleri Journal of Case Reports","volume":"90 1","pages":"105-108"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74714798","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}
Pub Date : 2018-01-01DOI: 10.5336/CASEREP.2018-60674
Oğuz Kılıç, S. Yılmaz
ST-segment elevation myocardial infarction (STEMI) is usually the result of thrombosis in the single coronary artery. The incidence of multiple coronary artery thrombosis in acute phase is very low. The etiology of multivessel coronary thrombosis is still unclear. Observational studies have shown that plaque instability underlying thrombosis is not due to local vascular causes alone. These pathophysiological processes such as inflammation, sympathic activity and catecholamines discharge act across the entire coronary network and cause multiple plaque instability.1,2 We think that the pathogenesis of multiple coronary occlusive lesions may be explained by multiple atherosclerotic plaque rupture during the acute phase of myocardial infarction. In our case, the first percutaneous coronary intervention was performed on the left anterior descending artery due to anterior STEMI. At the second hour of follow-up, inferior STEMI developed and percutaneous coronary intervention was performed on optus marginalis.
{"title":"Immediate Rupture of Another Coronary Plaque After PCI of the Culprit Lesion in ST Segment Elevation Myocardial Infarction","authors":"Oğuz Kılıç, S. Yılmaz","doi":"10.5336/CASEREP.2018-60674","DOIUrl":"https://doi.org/10.5336/CASEREP.2018-60674","url":null,"abstract":"ST-segment elevation myocardial infarction (STEMI) is usually the result of thrombosis in the single coronary artery. The incidence of multiple coronary artery thrombosis in acute phase is very low. The etiology of multivessel coronary thrombosis is still unclear. Observational studies have shown that plaque instability underlying thrombosis is not due to local vascular causes alone. These pathophysiological processes such as inflammation, sympathic activity and catecholamines discharge act across the entire coronary network and cause multiple plaque instability.1,2 We think that the pathogenesis of multiple coronary occlusive lesions may be explained by multiple atherosclerotic plaque rupture during the acute phase of myocardial infarction. In our case, the first percutaneous coronary intervention was performed on the left anterior descending artery due to anterior STEMI. At the second hour of follow-up, inferior STEMI developed and percutaneous coronary intervention was performed on optus marginalis.","PeriodicalId":23460,"journal":{"name":"Türkiye Klinikleri Journal of Case Reports","volume":"16 1","pages":"201-204"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82020548","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}
Pub Date : 2018-01-01DOI: 10.5336/caserep.2017-58558
Aishath Azna Ali, F. Hayati, N. Azizan, Che Ismail Che Noh, Marjmin Osman
Cystic biliary atresia is an uncommon variant of biliary atresia. It is the most usual cause of neonatal jaundice which requires surgical intervention and liver transplantation in children. Herein, we present a case of a 2-month-old baby with persistent obstructive jaundice, who was not properly investigated prior to this. After the diagnosis has been established, we proceeded with the Kasai-type portoenterostomy. Even slightly delayed, the patient recovered well postoperatively and subsequently jaundice resolved.
{"title":"Cystic Biliary Atresia: A Delayed Diagnosis of Obstructive Jaundice","authors":"Aishath Azna Ali, F. Hayati, N. Azizan, Che Ismail Che Noh, Marjmin Osman","doi":"10.5336/caserep.2017-58558","DOIUrl":"https://doi.org/10.5336/caserep.2017-58558","url":null,"abstract":"Cystic biliary atresia is an uncommon variant of biliary atresia. It is the most usual cause of neonatal jaundice which requires surgical intervention and liver transplantation in children. Herein, we present a case of a 2-month-old baby with persistent obstructive jaundice, who was not properly investigated prior to this. After the diagnosis has been established, we proceeded with the Kasai-type portoenterostomy. Even slightly delayed, the patient recovered well postoperatively and subsequently jaundice resolved.","PeriodicalId":23460,"journal":{"name":"Türkiye Klinikleri Journal of Case Reports","volume":"41 1","pages":"102-104"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90763616","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}
Pub Date : 2018-01-01DOI: 10.5336/caserep.2018-61361
R. Sönmez, A. Gök, A. Abbasov, M. Ilhan, C. Ertekin
A 47-year-old male patient was brought to our Trauma and Emergency Surgery Department by an in-vehicle traffic accident statement. His blood pressure was 140/80 mmHg and had an average pulse rate of 90 bpm. He had no history of a known disease nor previous surgery. The patient who had GCS (Glascow Coma Score) 15/15 was conscious, cooperative and orientated. Conservative Approach in a 47-Year-Old Male Patient with Incidental Extensive Splenic Arteriovenous Fistula
{"title":"Conservative Approach in a 47-Year-Old Male Patient with Incidental Extensive Splenic Arteriovenous Fistula","authors":"R. Sönmez, A. Gök, A. Abbasov, M. Ilhan, C. Ertekin","doi":"10.5336/caserep.2018-61361","DOIUrl":"https://doi.org/10.5336/caserep.2018-61361","url":null,"abstract":"A 47-year-old male patient was brought to our Trauma and Emergency Surgery Department by an in-vehicle traffic accident statement. His blood pressure was 140/80 mmHg and had an average pulse rate of 90 bpm. He had no history of a known disease nor previous surgery. The patient who had GCS (Glascow Coma Score) 15/15 was conscious, cooperative and orientated. Conservative Approach in a 47-Year-Old Male Patient with Incidental Extensive Splenic Arteriovenous Fistula","PeriodicalId":23460,"journal":{"name":"Türkiye Klinikleri Journal of Case Reports","volume":"267 1","pages":"192-195"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89740441","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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