Tıp Fakültesi / Faculty of Medicine

Permanent URI for this collectionhttps://hdl.handle.net/11727/1403

Browse

Filters

20142

Settings

Author: search.filters.author.Kursun, Ebrusearch.filters.applied.f.publicationcategory: search.filters.publicationcategory.Makale - Ulusal Hakemli Dergi

Search Results

Now showing 1 - 2 of 2
  • No Thumbnail Available
    Item
    Involvement and Complications Associated with Brucellosis Connected Rare Evaluation of 46 Cases
    (2014) Turunc, Tuba; Kursun, Ebru; Demiroglu, Y. Ziya; Aliskan, Eda; 0000-0001-7956-7306; 0000-0001-9060-3195; 0000-0002-9866-2197; GVT-0626-2022; AAG-5020-2020; AAE-2282-2021; AAZ-9711-2021
    Purpose: The present study of us assesses brucellosis with atypical involvement and its complications aimed to draw attention to the infection that may interfere with many diseases related to infection or not. Material and Method: In our clinic, a total of 447 cases of brucellosis between March 2004 - March 2011 were followed retrospectively. 46 of these cases included in this study which have not specific terms of brucellosis symptoms, signs and / or laboratory data as well as non expected involvement during the course of the disease and / or complications. Results: A total of 46 patients in terms of disease and / or complications evaluated atypical Brucellosis, 17 (39.9%) female and 29 (63.04%) were male. Mean age was 40.8 +/- 10.2. 19 patients (41.3%) blood, 2 cases (4.3%) urine, 4 patients (8.6%), abscess, 1 patient pleural fluid, 1 case (2.1%) mitral valve, 1 patient joint fluid aspiration while 1 patient (2.1%) both peritoneal and pleural fluid samples of Brucella spp. were isolated. Brucellosis related atypical involvement and / or complication was observed in particularly the musculoskeletal system, the central nervous system, cardiovascular system, genitourinary system, and hematologic system, as well as in the skin and mucous membrane of the serous tissues. However, it is found that 37 cases (80.4%) applied for the different sections outside the Department of Infectious Diseases and evaluated respectively. Conclusion: In this study, it is determined that cases were followed with brucellosis (10.2%) atypical disease and / or complications, and the first assesses made by outside the Department of Infectious Diseases. For this reason, we think not only experts in Infectious Diseases, all other branches of physicians should keep in mind in the differential diagnosis of brucellosis.
  • No Thumbnail Available
    Item
    Evaluation of 31 Cases with Urogenital Tuberculosis
    (2014) Kursun, Ebru; Turunc, Tahsin; Demiroglu, Yusuf Ziya; 0000-0002-7936-2172; 0000-0001-7956-7306; 0000-0002-9866-2197; ABD-4332-2020; AAG-5020-2020; GVT-0626-2022; AAZ-9711-2021
    Introduction: The present study evaluated the cases followed up and treated for urogenital tuberculosis in our hospital. Materials and Methods: Demographic and clinical characteristics, as well as laboratory data and treatment outcomes of 31 cases diagnosed as urogenital tuberculosis between January 2005 and January 2014 were retrospectively evaluated. Results: Of the 31 cases diagnosed with urogenital tuberculosis, nine (29%) had kidney, seven (22.5%) had bladder, nine (29%) had prostate, four (13%) had epididymis, and two (6.5%) had testicular involvement. History of contact with tuberculosis bacillus was present in five (16%) cases. Diabetes mellitus accompanied five (16%) and malignancy accompanied three (10%) cases. The most common complaints were dysuria (68%) and high fever (55%). Histopathological examination demonstrated tuberculosis bacillus in twenty cases (64.5%); whereas, Mycobacterium tuberculosis was isolated in the urine cultures of fifteen cases (48.4%) and acid-fast bacilli were detected in the urine samples of ten cases (32.3). It was determined that all cases had received quadruple anti-tuberculosis therapy for the first two months followed by dualanti-tuberculosis therapy for 4 to 10 months based on the site of involvement. One of the cases had undergone prostatectomy, one had undergone nephrectomy, one had undergone nephrectomy with ileocystoplasty in the same session, and one had undergone orchiectomy over the course of treatment with anti-tuberculosis drugs. It was determined that eight of the cases were lost on follow upafter anti-tuberculosis therapy was started and remaining cases recovered without complication. Conclusion: Tuberculosis is a chronic infectious disease that is difficult to diagnose and able to involve all systems and organs, and it remains important in developing countries like Turkey. We conclude that urogenital tuberculosis should be considered in patients with urogenital complaints that continuing for a long time period and do not respond to classical medical therapy.