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    Analysis of toxic plant and mushroom poisoning in children
    (2020) Gul, Evrim; Sari, Mehmet Yusuf
    Aim: The aim is to evaluate geographical, sociodemographic, laboratory, clinical features and follow-up and treatment outcomes of children with toxic plant and mushroom poisoning.Material and Methods: From 2015 to 2017, cases aged between 1 month and 18 years and diagnosed with toxic plant and mushroom poisoning were retrospectively evaluated.Results: The mean age of the patients was 6.0±3.2 and the male/female ratio was 2.8. Mushrooms were the most common factors for poisoning (36.8%). The average time for application to the health facility was 2.4±1.9 hours. Poisoning was most commonly seen in summer (42.1%) and the most common complaint was vomiting. Most of the family members were primary school graduates. Treatment methods were activated charcoal (53%), activated charcoal and gastric lavage (26%), gastric lavage, activated charcoal and acetyl cysteine (11%) and acetyl cysteine (5%). One patient (5%) was applied followed up. Extracorporeal treatment was applied to two patients who developed liver and renal failure during treatment and follow-up. During the laboratory comparisons before and after hospitalization, white blood cell, creatinine kinase, aspartate aminotransferase and alanine aminotransferase levels were found to be significant (p 0,05).Conclusion: In childhood age group, more informative, symptomatic and supportive treatments can lead to positive results in toxic plant and mushroom poisonings. Sometimes more aggressive treatment methods such as extracorporeal treatment may be needed. Close monitoring of laboratory parameters in mushroom and plant intoxication cases due to late manifestations has an important role in patient follow-up and treatment.
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    Foreign body aspiration in children
    (2020) Gul, Evrim; Cakmak, Muharrem; Gul, Yeliz; Gurger, Mehtap; Sari, Mehmet Yusuf; Atescelik, Metin
    Aim: Foreign body aspiration (FBA) is a life-threatening conditional. We aimed to share the results of FBA in children.Material and Methods: We evaluated retrospectively files of 61 patients between the ages 1-10 underwent rigid broncoscopy. It were evaluated the types and anatomic localization of aspirated foreign bodies, the age distribution of children, treatment procedures. The results was assessed by Chi-square test or Fisher's exact test. P0.05 was considered significant.Results: The mean ages were 3.29±1.91. 62% of the patients were male, and 38% were female (p0.05). Aspirated foreign body localized right in 38 patients, left in 13 patients, tracheal in 6 patients. Foreign body was observed in the right main bronch in 18 patients, in the right lower lobe bronch in 19 patients, in the medium lobe bronch in 1 patients, in the left main bronch in 9 patients, in the left lower bronchus in 4 patients. Bronchoscopies were negative in four patients, although foreign body aspiration is considered.Conclusion: FBAs are common in children. In children younger than 3 years are more common. The gold standard in treatment is rigid bronchoscopy. The incidence and severity of airway FBA can be reduced by parental education and public awareness.