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    Evaluation of scorpion sting cases admitted to department of pediatric emergency for seven years
    (2013) Kaya, Sadik; Karakurt, Cemşit; Elkiran, Özlem; Kaya, Özlem Aycan; Karakuş, Ali; Koçak, Gülendam
    Aim: In this study, 32 cases of scorpion sting cases admitted to Inonu University School of Medicine Children's Emergency Department between 2001-2007 were evaluated retrospectively. Material and Method: The cases were evaluated for the clinical findings, laboratory results, treatment and prognosis. Results: The patients mean age were 7.35±4.79 years, 17 (53.1%) were female and 15 (46.9%) were male respectively. Most of the cases were in June (25.0%) and most of the bites were at upper extremities (53.1%). The most common findings were rash (eight patients-25.1%), and tachycardia (9.5%). All of case were vaccinated against to tetanus. The fluid therapy was initiated the patients that is required the intravenous therapy. Twenty eight (87.5%) case which scorpion not applied in the referred center were administered scorpion serum. Twenty one patients (65.6%) were followed up for a day. Thirty one cases (96.8%) were discharged without complications while and one case (3.1%) were died due to respiratory and circulatory collapse Conclusions: Our study have given important clinic and epidemical results about scorpion stings in Malatya religion.
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    Öğe
    Very high levels of C-reactive protein should alert the clinician to the development of acute chest syndrome in sickle cell patients
    (Medi+World Int, 2014) Acipayam, Can; Kaya, Sadik; Helvaci, Mehmet Rami; Ilhan, Gul; Oktay, Gonul
    Purpose: Acute chest syndrome (ACS) is associated with both inflammation and tissue ischemia. C-reactive protein (CRP) is a marker of systemic inflammation. The aim of this study was to determine if a relationship exists between CRP and severe ACS. Methods: Forty-three patients with painful crises (range: 4-18 years, mean: 11.4 years) hospitalized between 2012 and 2014, consisting of 23 patients with ACS and 20 patients without ACS (uncomplicated vaso-occlusive crisis) were recruited into this study. Retrospective data were obtained directly from inpatient medical records. ACS was defined as a new pulmonary infiltrate on chest radiograph after admission and before discharge. CRP was measured using a BN II Nephelometer. Results: Mean length of hospital stay of ACS patients was 9.9 days (range 7-18 days) while that of patients without ACS was 5.2 days (range 2-10 days), (p=0.001). In 91% of the ACS cases, ACS developed within the first 72 hours, while the remaining 9% cases were admitted for vaso-occlusive crises but subsequently developed ACS during their hospital stay on the 5th to 7th days. CRP levels on admission were significantly higher in patients with ACS than those without ACS (p=0.001). C onclusion: We investigated CRP in relation to ACS in children with sickle cell disease (SCD). Elevated CRP was determined in all ACS patients with SCD. CRP may be a superior diagnostic marker and herald severe ACS in individuals with SCD.