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Öğe A Case of Brucellosis Misdiagnosed as Crimean-Congo Hemorrhagic Fever(Ankara Microbiology Soc, 2012) Almis, Habip; Yakinci, CengizBrucellosis which is a zoonotic infection, is an important public health problem in Turkey and all over the world. The disease may involve many organs and systems. Since the symptoms of brucellosis are non-specific, difficulties in differential diagnosis and misdiagnosis are frequent. In this case report we present a case of brucellosis, misdiagnosed as Crimean-Congo hemorrhagic fever (CCHF). A 13-year-old boy was referred from another medical center with preliminary diagnosis of CCHF and admitted to our clinic with fever and a history of presence of a tick on his back. His physical observation only included splenomegaly. The laboratory results on admission were anemia, thrombocytopenia, elevation of acute phase reactants and liver transaminase levels. Abdominal ultrasonography revealed splenomegaly. Since the patient had anemia, epistaxis, fever and thrombocytopenia, he was initially diagnosed as CCHF. Meantime serum sample of the patient had been sent to Refik Saydam National Public Health Agency for CC-IF PCR test. The fever of the patient could not be controlled. His detailed medical history revealed stockbreeding and consumption of raw milk products. Patient's signs and symptoms were also compatible with brucellosis and standard tube agglutination test for brucellosis was positive at 1/1280 titer in serum. The patient was diagnosed as brucellosis and the treatment was started with combination of rifampicin (1 x 600 mg/day) and doxycycline (2 x 100 mg/day). Blood cultures yielded negative result. The PCR tests for CCHF was found also negative. His fever and other complaints improved with treatment which was completed in six weeks and the follow-up was without complications. Turkey is endemic both for brucellosis and CCHF. This case was reported to emphasize that the cases of brucellosis could mimic other diseases and brucellosis should also be considered in the differential diagnosis of CCHF.Öğe Determination of the Frequency of Growth Retardation in Pediatric Out Patients with Growth Retardation Complaints(2017) Bucak, Ibrahim Hakan; Almis, Habip; Benli, Samet; Oztekin, Mehmet; Turgut, MehmetAim: Having a healthy child is the most basic concern for parents, and their children being ill or showing signs of illness therefore causes them anxiety. Parents cannot generally be objective in assessing the growth of their own children. Children’s growth must be evaluated solely with appropriate measurements and assessment criteria. The purpose of this study is to investigate the growth of patients with suspected retarded growth presenting to the children’s health and diseases clinic.Öğe The evaluation of chickenpox in the post-vaccination period in Turkey(2019) Bucak, Ibrahim Hakan; Almis, Habip; Kayak, Davut; Kilic, Fedli Emre; Geyik, Mehmet; Tekin, Mehmet; Konca, Capan; Turgut, MehmetKeywords: key.br /Mateial and Methods: Patients aged 0-17 years presented to Adiyaman University Training and Research Hospital Pediatrics clinics and diagnosed with chickenpox between January 2013 and December 2016 were included in the study. Data were analyzed on Statistical Package for the Social Sciences (SPSS, version 22.0, Chicago, IL, USA) software. p0.05 was regarded as statistically significant.br /Results: 314 patients diagnosed with chickenpox were included in the study. Mean age of the subjects included was 84.76 ± 41.67 months, and 54.1% were males and 46.9% females. A significant difference was observed between the groups in terms of age (p=0.001). Cases’ ages decreased on a year-by-year basis. Fifty (15.9%) cases of chickenpox were identified as having been infected despite vaccine. A significant difference was determined between the mean ages of vaccinated and non-vaccinated patients with chickenpox.br /Conclusion: Although the addition of a single dose chickenpox vaccine to the national immunization schedule in Turkey reduces both severe complication and the incidence of the disease. In the light of our study we think that the addition of a second dose of chickenpox vaccination to our routine vaccine schedule will further reduce hospitalization numbers resulting from chickenpox-related complications. More comprehensive studies on the subject are now needed.br / Chickenpox, Child, Varicella, Vaccine.Öğe Evaluation of perspectives and approaches of primary health care physicians to the rotavirus vaccine(2017) Almis, Habip; Bucak, Ibrahim HakanAim: Rotavirus is the most common cause of severe gastroenteritis in children. Rotavirus diarrhea can lead to complications of rotavirus-induced severe diarrhea death resulting in electrolyte imbalance and dehydration. Rotavirus vaccination is the most effective method of preventing severe rotavirus infection. The purpose of this study was to evaluate the knowledge levels and attitudes of primary health care providers physicians related to rotavirus vaccine, which is one of the vaccines not yet added to the vaccination schedule in Turkey. Materials and Methods: Physicians working in primary health care institutions in the province of Adıyaman in 2016 agreed to participate and were included in the study. The participants’ demographic characteristics and data obtained from the questionnaire were analyzed using statistical methods on SPSS 22 software. Results: 38 participants, 24 (63.2%) male and 14 (36.8%) female were included in the study. The number of primary health care physicians who thought that rotavirus vaccine was effective 24 (63.2%), while 10 (26.3%) stated that it was not effective and 4 (10.5) had no opinion. Fifteen (39.5%) primary physicians thought that the rotavirus vaccine should be added to the routine vaccination schedule, 10 (26.3%) thought that it need not be added and 13 (34.2%) had no opinion. Conclusion: Rotavirus vaccine is not a well-known that vaccine recommended among primary care physicians. This derives from lack of knowledge of the protective nature of the vaccine and inadequate awareness of it. We think that increasing physicians’ knowledge of vaccines through in-service training will reduce negative attitudes againts it concerning them.Öğe A preventable problem: Isotretinoin embryopathy(Galenos Yayincilik, 2012) Almis, Habip; Kum, Yunus Emre; Onal, Yesim; Yakinci, Cengiz[Abstract Not Available]Öğe A retrospective evaluation of 44 patients followed-up with a diagnosis of deep neck infection(2018) Bucak, Hakan Ibrahim; Almis, Habip; Geyik, Mehmet; Tekin, Mehmet; Ozen, Seval; Sirik, Mehmet; Turgut, MehmetAim: he purpose of this study was to evaluate the demographic data and clinical features of patients diagnosed with deep neck infection over a one-year period and hospitalized for treatment in a tertiary training and research hospital. Material and methods: Files for cases treated and followed-up for deep neck infection in our pediatric department during 2017 were evaluated retrospectively. Age, sex, month of presentation, presentation symptoms, physical examination findings, laboratory results, radiological imaging, consultations requested from other departments, treatments administered, number of days of hospitalization, and complications developing were assessed from these case files. Results: Twenty-eight (63.6%) of the 44 patients hospitalized for treatment for deep neck infection in the pediatric department were boys, and 16 (36.4%) were girls. Patients’ mean age was 57.45 ± 44.35 (5-191) months. Mean duration of hospitalization and treatment was 8.2 ± 2.8 (4-14) days. The most common presentation symptom was swelling in the neck (65.9%), and the most common physical examination finding was cervical lymphadenopathy (81.8%). Tooth decay was present in 27.3% of patients. Consultations were most commonly requested with the ear, nose and throat department, while consultations were requested with the external diseases department for five patients (11.3%). Conclusion: The prevalence of deep neck infection has increased in recent years.Further studies are needed on the subject of deep neck infection, which may involve life-threatening complications. Physicians should pay closeattention to the relation between tooth decay and deep neck infection in all patients followed-up with a diagnosis of such infection.Öğe An Unusual Cause of Chronic Abdominal Pain: Gallbladder Ascariasis(Galenos Yayincilik, 2014) Almis, Habip; Catal, Ferhat; Karadag, AhmetAscariasis which is created by Ascaris lumbricoides is one of the most common helminthic infections. Ascariasis is more frequently seen in children than adults, developing more serious complications. Gallbladder ascariasis is one of the rare clinical type of ascariasis. In this paper we present a 9-year-old male patient which was diagnosed with gallbladder ascariasis while he was being examined due to his chronic abdominal pain and we aimed to highlight this rare type of ascariasis.Öğe An Unusual Cause of Chronic Abdominal Pain: Gallbladder Ascariasis (vol 1, pg 226, 2014)(Galenos Yayincilik, 2015) Almis, Habip; Catal, Ferhat; Karadag, Ahmet; Sigirci, Ahmet[Abstract Not Available]Öğe Xanthium strumarium Poisoning Requiring Liver Transplantation(Lippincott Williams & Wilkins, 2014) Karabiber, Hamza; Almis, Habip; Selimoglu, M. Ayse; Yakinci, Cengiz; Yilmaz, Sezai[Abstract Not Available]
