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Öcal Demir S, Bucak A, Üstün N, Duyu M, Arslanoğlu S, Ovalı F. Çocuk Hastalarda COVID-19 Şiddetini Öngörmede Tam Kan Sayımı Parametreleri. J Pediatr Inf 2022. [DOI: 10.5578/ced.20229816] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Ustun N, Hocaoğlu M, Turgut A, Arslanoğlu S, Ovalı F. Does antenatal corticosteroid therapy improve neonatal outcomes in late preterm birth? J Matern Fetal Neonatal Med 2021; 35:9105-9111. [PMID: 34895004 DOI: 10.1080/14767058.2021.2015576] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
BACKGROUND Infants who are born at 34°/7 to 366/7 weeks of gestation (late preterm) are at greater risk for respiratory and other neonatal morbidities. The objective of this study was to examine the effects of the administration of antenatal corticosteroids (ACS) to women at risk for late preterm delivery on the incidence of neonatal outcomes. METHOD This was a prospective cohort study of singleton gestations at risk of imminent delivery between 34°/7 and 366/7 weeks. Neonatal outcomes were compared between mothers who received ACS and those who did not. The primary outcome was the rate of composite respiratory morbidity defined as the need for treatment within 72 h of life (continuous positive airway pressure or high flow nasal cannula for least 2 h or supplemental oxygen with a fraction of inspired oxygen of at least 0.30 for at least four continuous hours or mechanical ventilation). RESULTS During the 3-year study period, 595 subjects were included in this study, comprising 234 subjects that received ACS and 361 that did not. Administration of ACS significantly reduced the rates of composite respiratory morbidity (aOR 0.63 95% CI 0.40-0.99), the use of CPAP or HFNC for at least 2 h (aOR 0.57 95% CI 0.35-0.94), and transient tachypnea of the newborn (aOR 0.48 95% CI 0.28-0.82). Neonatal hypoglycemia was more significantly increased in the ACS group compared with controls (aOR 1.64 95% CI 1.04-2.59). We found no significant between-group differences in the rate of respiratory distress syndrome, surfactant use, need for resuscitation, jaundice requiring phototherapy, admission to neonatal intensive care or special care nursery, and duration of hospitalization. CONCLUSION Administration of ACS during the late preterm period decreased neonatal respiratory complications, however, increased the rate of hypoglycemia.
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Affiliation(s)
- Nuran Ustun
- Division of Neonatology, Department of Paediatrics, Istanbul Medeniyet University, Göztepe Training and Research Hospital, Istanbul, Turkey
| | - Meryem Hocaoğlu
- Department of Obstetrics and Gynecology, Istanbul Medeniyet University, Göztepe Training and Research Hospital, Istanbul, Turkey
| | - Abdülkadir Turgut
- Department of Obstetrics and Gynecology, Istanbul Medeniyet University, Göztepe Training and Research Hospital, Istanbul, Turkey
| | - Sertaç Arslanoğlu
- Division of Neonatology, Department of Paediatrics, Istanbul Medeniyet University, Göztepe Training and Research Hospital, Istanbul, Turkey
| | - Fahri Ovalı
- Division of Neonatology, Department of Paediatrics, Istanbul Medeniyet University, Göztepe Training and Research Hospital, Istanbul, Turkey
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Oygar PD, Büyükçam A, Bal ZŞ, Dalgıç N, Bozdemir ŞE, Karbuz A, Çetin BŞ, Kara Y, Çetin C, Hatipoğlu N, Uygun H, Aygün FD, Törün SH, Okur DŞ, Çiftdoğan DY, Kara TT, Yahşi A, Özer A, Demir SÖ, Akkoç G, Turan C, Salı E, Şen S, Erdeniz EH, Kara SS, Emiroğlu M, Erat T, Aktürk H, Gürlevik SL, Sütçü M, Aydın ZGG, Atikan BY, Yeşil E, Güner G, Çelebi E, Efe K, İşançlı DK, Durmuş HS, Tekeli S, Karaaslan A, Bülbül L, Almış H, Kaba Ö, Keleş YE, Yazıcıoğlu B, Oğuz ŞB, Ovalı HF, Doğan HH, Çelebi S, Çakır D, Karasulu B, Alkan G, Yenidoğan İ, Gül D, Küçükalioğlu BP, Avcu G, Kukul MG, Bilen M, Yaşar B, Üstün T, Kılıç Ö, Akın Y, Cebeci SO, Bucak IH, Yanartaş MS, Şahin A, Arslanoğlu S, Elevli M, Çoban R, Öz ŞKT, Hatipoğlu H, Erkum İT, Turgut M, Demirbuğa A, Özçelik T, Çiftçi D, Sarı EE, Akkuş G, Hatipoğlu SS, Dinleyici EÇ, Hacımustafaoğlu M, Özkınay F, Kurugöl Z, Cengiz AB, Somer A, Tezer H, Kara A. SARS-CoV-2 seropositivity among pediatric health care personnel after the first peak of the pandemic: nationwide surveillance in Turkey. Int J Infect Dis 2021; 113:184-189. [PMID: 34592441 PMCID: PMC8474801 DOI: 10.1016/j.ijid.2021.09.054] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2021] [Revised: 08/31/2021] [Accepted: 09/22/2021] [Indexed: 11/19/2022] Open
Abstract
Background Understanding SARS-CoV-2 seroprevalence among health care personnel is important to explore risk factors for transmission, develop elimination strategies and form a view on the necessity and frequency of surveillance in the future. Methods We enrolled 4927 health care personnel working in pediatric units at 32 hospitals from 7 different regions of Turkey in a study to determine SARS Co-V-2 seroprevalence after the first peak of the COVID-19 pandemic. A point of care serologic lateral flow rapid test kit for immunoglobulin (Ig)M/IgG was used. Seroprevalence and its association with demographic characteristics and possible risk factors were analyzed. Results SARS-CoV-2 seropositivity prevalence in health care personnel tested was 6.1%. Seropositivity was more common among those who did not universally wear protective masks (10.6% vs 6.1%). Having a COVID-19-positive co-worker increased the likelihood of infection. The least and the most experienced personnel were more likely to be infected. Most of the seropositive health care personnel (68.0%) did not suspect that they had previously had COVID-19. Conclusions Health surveillance for health care personnel involving routine point-of-care nucleic acid testing and monitoring personal protective equipment adherence are suggested as important strategies to protect health care personnel from COVID-19 and reduce nosocomial SARS-CoV-2 transmission.
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Öcal Demir S, Tosun Ö, Öztürk K, Duyu M, Bucak A, Akkuş G, Bayraktar AC, Demirel HN, Arslanoğlu S, Ovali F. SARS-CoV-2 associated multisystem inflammatory syndrome in children (MIS-C). A single center's experience. Minerva Pediatr (Torino) 2021:S2724-5276.21.06327-8. [PMID: 33890746 DOI: 10.23736/s2724-5276.21.06327-8] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
BACKGROUND SARS-CoV-2 related multisystem inflammatory syndrome in children (MIS-C) is a newly defined clinical entity in pediatric ages resembles Kawasaki Disease or toxic shock syndrome. Here we aimed to raise awareness about this SARS-CoV-2 related syndrome. METHODS Children diagnosed with MIS-C and followed in Pediatric Clinic between November 2020 and January 2021, were included in study. Data about patients' demographic characteristics, clinical and laboratory findings, treatment and outcomes were collected from medical records. RESULTS The median age of 20 children with MIS-C was 80.5 months, 11 of them were male. The most common symptoms at admission were fever (100%), abdominal pain (70%), myalgia (50%), and rash (50%). Lymphopenia, elevated inflammatory markers and cardiac enzymes were their main laboratory findings. Cardiac involvement (90%) consisted of myopericarditis, valvulitis, left ventricular dysfunction, and coronary arteritis. Symptoms mimicking acute appendicitis and ileus were due to gastrointestinal involvement (50%). Macular rash on the trunk, erythema on upper eyelids were striking. Empiric antibiotics and intravenous immunoglobulin were used in all patients, glucocorticoids (90%), anti-thrombotic (65%) and vasoactive (45%) agents were used according to severity of disease. Response to IVIG treatment was poor, whereas glucocorticoids have dramatic affect. Seven patients (35%) were monitored in intensive care unit, none of them required intubation, mechanic ventilation or ECMO. The median recovery time, that is, the period when fever subside and inflammatory markers returned to normal was 9.5 days. CONCLUSIONS Glucocorticoids has critical role in treatment of MIS-C, early recognition and treatment may decrease need for intensive care by providing rapid recovery.
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Affiliation(s)
- Sevliya Öcal Demir
- Pediatric Infectious Diseases, Pediatric Department, SB Istanbul Medeniyet University Goztepe Prof Dr Suleyman Yalcın City Hospital, Istanbul, Turkey -
| | - Öykü Tosun
- Pediatric Cardiology, Pediatric Department, SB Istanbul Medeniyet University Goztepe Prof Dr Suleyman Yalcın City Hospital, Istanbul, Turkey
| | - Kübra Öztürk
- Pediatric Rheumatology, Pediatric Department, SB Istanbul Medeniyet University Goztepe Prof Dr Suleyman Yalcın City Hospital, Istanbul, Turkey
| | - Muhterem Duyu
- Pediatric Intensive Care, Pediatric Department, SB Istanbul Medeniyet University Goztepe Prof Dr Suleyman Yalcın City Hospital, Istanbul, Turkey
| | - Abdülmelik Bucak
- Pediatric Department, SB Istanbul Medeniyet University Goztepe Prof Dr Suleyman Yalcın City Hospital, Istanbul, Turkey
| | - Gökhan Akkuş
- Pediatric Department, SB Istanbul Medeniyet University Goztepe Prof Dr Suleyman Yalcın City Hospital, Istanbul, Turkey
| | - Ali C Bayraktar
- Pediatric Department, SB Istanbul Medeniyet University Goztepe Prof Dr Suleyman Yalcın City Hospital, Istanbul, Turkey
| | - Hande N Demirel
- Pediatric Department, SB Istanbul Medeniyet University Goztepe Prof Dr Suleyman Yalcın City Hospital, Istanbul, Turkey
| | - Sertaç Arslanoğlu
- Neonatology, Pediatric Department, SB Istanbul Medeniyet University Goztepe Prof Dr Suleyman Yalcın City Hospital, Istanbul, Turkey
| | - Fahri Ovali
- Neonatology, Pediatric Department, SB Istanbul Medeniyet University Goztepe Prof Dr Suleyman Yalcın City Hospital, Istanbul, Turkey
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Oygar PD, Büyükçam A, Şahbudak Bal Z, Dalgıç N, Bozdemir ŞE, Karbuz A, Çetin BŞ, Kara Y, Çetin C, Hatipoğlu N, Uygun H, Aygün FD, Hançerli Törün S, Şener Okur D, Yılmaz Çiftdoğan D, Tural Kara T, Yahşi A, Özer A, Öcal Demir S, Akkoç G, Turan C, Salı E, Şen S, Erdeniz EH, Kara SS, Emiroğlu M, Erat T, Aktürk H, Laçinel Gürlevik S, Sütçü M, Gayretli Aydın ZG, Atikan BY, Yeşil E, Güner G, Çelebi E, Efe K, Kızmaz İşançlı D, Durmuş HS, Tekeli S, Karaarslan A, Bülbül L, Almış H, Kaba Ö, Ekemen Keleş Y, Yazıcıoğlu B, Bahtiyar Oğuz Ş, Ovalı HF, Doğan HH, Çelebi S, Çakır D, Karasulu B, Alkan G, Yenidoğan İ, Gül D, Parıltan Küçükalioğlu B, Avcu G, Kukul MG, Bilen M, Yaşar B, Üstün T, Kılıç Ö, Akın Y, Oral Cebeci S, Turgut M, Sarı Yanartaş M, Şahin A, Arslanoğlu S, Elevli M, Tüter Öz ŞK, Hatipoğlu H, Erkum İT, Demirbuğa A, Özçelik T, Ergül Sarı E, Akkuş G, Hatipoğlu SS, Dinleyici EÇ, Hacımustafaoğlu M, Özkınay F, Kurugöl Z, Cengiz AB, Somer A, Tezer H, Kara A. Education of Healthcare Personnel Working with Pediatric Patients During COVID-19 Pandemic within the Framework of Infection Control. J Pediatr Inf 2020. [DOI: 10.5578/ced.202061] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Objective: In the early stages of any epidemic caused by new emerging pathogens healthcare personnel is subject to a great risk. Pandemic caused by SARS-CoV-2, proved to be no exception. Many healthcare workers died in the early stages of pandemic due to inadequate precautions and insufficient protection. It is essential to protect and maintain the safety of healthcare personnel for the confinement of pandemic as well as continuity of qualified healthcare services which is already under strain. Educating healthcare personnel on appropiate use of personal protective equipment (PPE) is as essential as procuring them. Material and Methods: A survey is conducted on 4927 healthcare personnel working solely with pediatric patients from 32 different centers. Education given on PPE usage were questioned and analyzed depending on age, sex, occupation and region. Results: Among four thousand nine hundred twelve healthcare personnel from 32 different centers 91% (n= 4457) received education on PPE usage. Of those who received education only 36% was given both theoretical and applied education. Although there was no differences among different occupation groups, receiving education depended on regions. Conclusion: It is essential to educate healthcare personnel appropiately nationwidely for the continuity of qualified healthcare services during the pandemic.
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Oygar PD, Büyükçam A, Şahbudak Bal Z, Dalgıç N, Bozdemir ŞE, Karbuz A, Çetin BŞ, Kara Y, Çetin C, Hatipoğlu N, Uygun H, Aygün FD, Hançerli Törün S, Şener Okur D, Yılmaz Çiftdoğan D, Tural Kara T, Yahşi A, Özer A, Öcal Demir S, Akkoç G, Turan C, Salı E, Şen S, Erdeniz EH, Kara SS, Emiroğlu M, Erat T, Aktürk H, Laçinel Gürlevik S, Sütçü M, Gayretli Aydın ZG, Atikan BY, Yeşil E, Güner G, Çelebi E, Efe K, Kızmaz İşançlı D, Durmuş HS, Tekeli S, Karaarslan A, Bülbül L, Almış H, Kaba Ö, Ekemen Keleş Y, Yazıcıoğlu B, Bahtiyar Oğuz Ş, Ovalı HF, Doğan HH, Çelebi S, Çakır D, Karasulu B, Alkan G, Yenidoğan İ, Gül D, Parıltan Küçükalioğlu B, Avcu G, Kukul MG, Bilen M, Yaşar B, Üstün T, Kılıç Ö, Akın Y, Oral Cebeci S, Bucak İH, Turgut M, Sarı Yanartaş M, Şahin A, Arslanoğlu S, Elevli M, Tüter Öz ŞK, Hatipoğlu H, Erkum İT, Demirbuğa A, Özçelik T, Ergül Sarı E, Akkuş G, Hatipoğlu SS, Dinleyici EÇ, Hacımustafaoğlu M, Özkınay F, Kurugöl Z, Cengiz AB, Somer A, Tezer H, Kara A. COVID-19 Pandemisinde Enfeksiyon Kontrol Çalışmaları Çerçevesinde Çocuk Hastalarla Çalışan Sağlık Personeli Eğitimi. J Pediatr Inf 2020. [DOI: 10.5578/ced.70235] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Objective: In the early stages of any epidemic caused by new emerging pathogens healthcare personnel is subject to a great risk. Pandemic caused by SARS-CoV-2, proved to be no exception. Many healthcare workers died in the early stages of pandemic due to inadequate precautions and insufficient protection. It is essential to protect and maintain the safety of healthcare personnel for the confinement of pandemic as well as continuity of qualified healthcare services which is already under strain. Educating healthcare personnel on appropiate use of personal protective equipment (PPE) is as essential as procuring them. Material and Methods: A survey is conducted on 4927 healthcare personnel working solely with pediatric patients from 32 different centers. Education given on PPE usage were questioned and analyzed depending on age, sex, occupation and region. Results: Among four thousand nine hundred twelve healthcare personnel from 32 different centers 91% (n= 4457) received education on PPE usage. Of those who received education only 36% was given both theoretical and applied education. Although there was no differences among different occupation groups, receiving education depended on regions. Conclusion: It is essential to educate healthcare personnel appropiately nationwidely for the continuity of qualified healthcare services during the pandemic.
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Üstün N, Hocaoğlu M, Turgut A, Arslanoğlu S, Ovalı F. Does antenatal corticosteroid therapy improve neonatal outcomes in late preterm birth? J Matern Fetal Neonatal Med 2020; 35:11-17. [PMID: 32854549 DOI: 10.1080/14767058.2020.1808614] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
BACKGROUND Infants who are born at 340/7 to 366/7 weeks of gestation (late preterm) are at greater risk for respiratory and other neonatal morbidities. The objective of this study was to examine the effects of administration of antenatal corticosteroids (ACSs) to women at risk for late preterm delivery on the incidence of neonatal outcomes. METHODS This was a prospective cohort study of singleton gestations at risk of imminent delivery between 340/7 and 366/7 weeks. Neonatal outcomes were compared between mothers who received ACS and those who did not. Primary outcome was the rate of composite respiratory morbidity defined as the need for treatment within 72 h of life (continuous positive airway pressure or high flow nasal cannula for least 2 h or supplemental oxygen with a fraction of inspired oxygen of at least 0.30 for at least four continuous hours or mechanical ventilation). RESULTS During the 3-year study period, 595 subjects were included in this study, comprising 234 subjects that received ACS and 361 that did not. Administration of ACS significantly reduced the rates of composite respiratory morbidity (adjusted odds ratio (aOR) 0.63, 95% confidence interval (CI) 0.40-0.99), the use of CPAP or HFNC for at least 2 h (aOR 0.57, 95% CI 0.35-0.94) and transient tachypnea of newborn (aOR 0.48, 95% CI 0.28-0.82). Neonatal hypoglycemia was more significantly increased in the ACS group compared with controls (aOR 1.64, 95% CI 1.04-2.59). We found no significant between-group differences in the rate of respiratory distress syndrome, surfactant use, need for resuscitation, jaundice requiring phototherapy, admission to neonatal intensive care or special care nursery and duration of hospitalization. CONCLUSION Administration of ACS during the late preterm period decreased neonatal respiratory complications, however, increased the rate of hypoglycemia.
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Affiliation(s)
- Nuran Üstün
- Division of Neonatology, Department of Pediatrics, Göztepe Training and Research Hospital, Istanbul Medeniyet University, İstanbul, Turkey
| | - Meryem Hocaoğlu
- Department of Obstetrics and Gynecology, Göztepe Training and Research Hospital, Istanbul Medeniyet University, İstanbul, Turkey
| | - Abdülkadir Turgut
- Department of Obstetrics and Gynecology, Göztepe Training and Research Hospital, Istanbul Medeniyet University, İstanbul, Turkey
| | - Sertaç Arslanoğlu
- Division of Neonatology, Department of Pediatrics, Göztepe Training and Research Hospital, Istanbul Medeniyet University, İstanbul, Turkey
| | - Fahri Ovalı
- Division of Neonatology, Department of Pediatrics, Göztepe Training and Research Hospital, Istanbul Medeniyet University, İstanbul, Turkey
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Özdemir R, Olukman Ö, Karadeniz C, Çelik K, Katipoğlu N, Muhtar Yılmazer M, Çalkavur Ş, Meşe T, Arslanoğlu S. Effect of unconjugated hyperbilirubinemia on neonatal autonomic functions: evaluation by heart rate variability. J Matern Fetal Neonatal Med 2017; 31:2763-2769. [PMID: 28707558 DOI: 10.1080/14767058.2017.1355901] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
BACKGROUND Serum bilirubin levels beyond the physiological limits, may lead to alterations in autonomic regulation in a newborn infant. Heart rate variability (HRV), is a noninvasive and quantitative marker of the activity of the autonomic nervous system (ANS). To date, few studies have demonstrated the undesirable effects of severe unconjugated hyperbilirubinemia (UHB) on autonomic functions, and only one study has used HRV as a marker of the autonomic activity. However, the relationship between altered cardiac autonomic functions and UHB by using the HRV derived from 24-hour Holter electrocardiography (ECG) recording has not been investigated previously. OBJECTIVE We aimed to assess whether a relationship exists between severe UHB and cardiac autonomic dysfunction by evaluating HRV via 24-hour Holter ECG recording. METHODS This single-center, prospective, case-control study was conducted on 50 full-term newborn infants with severe UHB requiring phototherapy and 50 healthy infants as controls. HRV assessment was performed by using 24-hour Holter ECG recording. RESULTS There was no significant difference in terms of mean average heart rate, mean maximum heart rate and mean RR duration between the groups. However, mean minimum heart rate was significantly lower in the study group. When 24-hour time and frequency domain parameters were compared, time and frequency domain parameters rMSDD as well as high frequency (HF), which represent parasymphathetic activity, were significantly higher in the study group. Furthermore, low frequency to high frequency (LF/HF) ratio, that serves as an indicator of sympathovagal balance, was significantly lower in the study group. CONCLUSION Severe UHB may cause cardiac autonomic dysfunction in favor of parasympathetic predominance in jaundiced neonates.
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Affiliation(s)
- Rahmi Özdemir
- a Division of Pediatric Cardiology , Izmir Dr. Behcet Uz Children's Hospital , Izmir , Turkey
| | - Özgür Olukman
- b Division of Neonatology , Izmir Dr. Behcet Uz Children's Hospital , Izmir , Turkey
| | - Cem Karadeniz
- a Division of Pediatric Cardiology , Izmir Dr. Behcet Uz Children's Hospital , Izmir , Turkey
| | - Kıymet Çelik
- b Division of Neonatology , Izmir Dr. Behcet Uz Children's Hospital , Izmir , Turkey
| | - Nagehan Katipoğlu
- c Department of Pediatrics , Izmir Dr. Behcet Uz Children's Hospital , Izmir , Turkey
| | - Murat Muhtar Yılmazer
- a Division of Pediatric Cardiology , Izmir Dr. Behcet Uz Children's Hospital , Izmir , Turkey
| | - Şebnem Çalkavur
- b Division of Neonatology , Izmir Dr. Behcet Uz Children's Hospital , Izmir , Turkey
| | - Timur Meşe
- a Division of Pediatric Cardiology , Izmir Dr. Behcet Uz Children's Hospital , Izmir , Turkey
| | - Sertaç Arslanoğlu
- b Division of Neonatology , Izmir Dr. Behcet Uz Children's Hospital , Izmir , Turkey
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Çelik K, Terek D, Olukman Ö, Kağnıcı M, Keskin Gözmen Ş, Serdaroğlu E, Çalkavur Ş, Arslanoğlu S. Urea Cycle Disorders in Neonates: Six Case Reports. jpr 2017. [DOI: 10.4274/jpr.52724] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Abstract
OBJECTIVES Clinical application of gentamicin may cause nephrotoxicity and ototoxicity. Our study is the first study to investigate the protective effects of edaravone against the gentamicin-induced ototoxicity. We investigated the protective effect of intraperitoneal (i.p.) edaravone application against gentamicin-induced ototoxicity in guinea pigs. METHODS Fourteen guinea pigs were divided into two equal groups consisting of a control group and a study group. One-hundred sixty milligrams per kilogram subcutaneous gentamicin and 0.3 mL i.p. saline were applied simultaneously once daily to seven guinea pigs in the control group (group 1). One-hundred sixty milligrams per kilogram gentamicin was applied subcutaneously and 3 mg/kg edaravone was applied intraperitoneally once daily for 7 days simultaneously to seven guinea pigs in the study group (group 2). Following the drug application, auditory brainstem response measurements were performed for the left ear on the 3rd and 7th days. RESULTS Hearing threshold values of the group 1 and group 2 measured in the 3rd day of the study were detected as 57.14 ± 4.88 and 82.86 ± 7.56, respectively. This difference was statistically significant ( p < 0.05). Hearing threshold values of the group 1 and group 2 measured in the 7th day of the study were detected as 87.14 ± 4.88 and 62.86 ± 4.88, respectively. This difference was statistically significant ( p < 0.05). CONCLUSION A statistically significant difference between the average threshold values of edaravone-administered group 2 and that of group 1 without edaravone was found. These differences show that systemic edaravone administration could diminish ototoxic effects of gentamicin and the severity of the hearing loss.
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Affiliation(s)
- M Turan
- 1 Department of Otolaryngology-Head and Neck Surgery, Faculty of Medicine, Yüzüncü Yıl University, Van, Turkey
| | - E Ciğer
- 2 Department of Otolaryngology-Head and Neck Surgery, Ataturk Training and Research Hospital, Katip Celebi University, Izmir, Turkey
| | - S Arslanoğlu
- 2 Department of Otolaryngology-Head and Neck Surgery, Ataturk Training and Research Hospital, Katip Celebi University, Izmir, Turkey
| | - H Börekci
- 3 Department of General Surgery, Faculty of Medicine, Bozok University, Yozgat, Turkey
| | - K Önal
- 2 Department of Otolaryngology-Head and Neck Surgery, Ataturk Training and Research Hospital, Katip Celebi University, Izmir, Turkey
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Doksöz Ö, Terek DT, Karaçelik M, Yıldırım HT, Demirağ B, Meşe T, Sarıosmanoğlu ON, Arslanoğlu S. Massive pericardial effusion due to intrapericardial mixed germ cell tumor in a premature baby. Pediatr Int 2015; 57:968-70. [PMID: 26147709 DOI: 10.1111/ped.12655] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/25/2013] [Revised: 05/26/2014] [Accepted: 01/15/2015] [Indexed: 11/30/2022]
Abstract
Primary cardiac tumor is uncommon in childhood, with an incidence of 0.06-0.32%, and intrapericardial teratoma represents an exceptional rarity among these entities. Germ cell tumors (GCT) are rare, representing only 1-3% of childhood tumors. Twenty per cent of GCT are malignant and are associated with age and location. Extragonadal involvement accounts for nearly half of the cases. Anterior mediastinum is a common location of malignant germ cell tumors, yet pericardial and aortic adventitia involvement have been rarely reported. Here we report the case of a preterm twin baby boy with intrapericardial mixed germ cell tumor who presented with hydrops fetalis and pericardial effusion.
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Affiliation(s)
| | | | | | | | - Bengü Demirağ
- Pediatric Oncology, Izmir Dr. Behcet Uz Children's Hospital, Izmir, Turkey
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Eren E, Kalkan T, Arslanoğlu S, Özmen M, Önal K, Tarhan E, Akar S. AB1087 Sherlock Holmes of Rhinology: Clues for Diagnosing Granulomatosis with Polyangiitis. Ann Rheum Dis 2015. [DOI: 10.1136/annrheumdis-2015-eular.3526] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Terzi S, Arslanoğlu S, Demiray U, Eren E, Cancuri O. Carotid Doppler ultrasound evaluation in patients with pulsatile tinnitus. Indian J Otolaryngol Head Neck Surg 2015; 67:43-7. [PMID: 25621231 DOI: 10.1007/s12070-014-0756-9] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2014] [Accepted: 07/28/2014] [Indexed: 10/24/2022] Open
Abstract
A wide range of conditions, including atherosclerosis, may lead to pulsatile tinnitus. The objective of this study was to evaluate the patients with pulsatile tinnitus by means of carotid Doppler ultrasound parameters. Thirty-four patients with pulsatile tinnitus were enrolled in the study. Internal carotid artery intima-media thickness (IMT), blood flow velocities and arterial lumen diameters (LD) were measured and compared with the control group. Mean end diastolic velocity (EDV) (32.29 ± 17.22) and IMT (1.06 ± 0.36) values were significantly higher and mean LD (6.69 ± 1.20) was significantly lower compared to the control group. Peak systolic velocity and EDV values were significantly higher in patients whose IMT were greater than 1 mm. Pulsatile tinnitus may be the first symptom of a severe, life threatening disease. Doppler sonography is a noninvasive, safe and easily applicable diagnostic tool for the evaluation of the vascular structures, in patients with pulsatile tinnitus.
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Affiliation(s)
- S Terzi
- Department of Otolaryngology Head and Neck Surgery, Faculty of Medicine, Recep Tayyip Erdoğan University, Rize, Turkey
| | - S Arslanoğlu
- Department of Otolaryngology Head and Neck Surgery, Atatürk Research and Training Hospital, İzmir, Turkey
| | - U Demiray
- Department of Otolaryngology Head and Neck Surgery, State Hospital, Tatvan, Turkey
| | - E Eren
- Department of Otolaryngology Head and Neck Surgery, Atatürk Research and Training Hospital, İzmir, Turkey
| | - O Cancuri
- Department of Radiology, State Hospital, Gazimagusa, Famagusta, Turkish Republic of Northern Cyprus
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Demirpençe S, Demirpençe Bİ, Meşe T, Arslanoğlu S, Tavlı V, Çalkavur Ş, Olukman Ö, Firuzan AR. Predictors of postnatal complications and congenital cardiac diseases in infants of mothers with pregestational and gestational diabetes. Turk Arch Pediatr 2014; 49:299-306. [PMID: 26078681 DOI: 10.5152/tpa.2014.1017] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2013] [Accepted: 02/27/2014] [Indexed: 12/25/2022]
Abstract
AIM In this study, we aimed to evaluate the postnatal problems of infants of mothers with pregestational and gestational diabetes and the clinical properties of infants who were found to have congenital cardiac disease. MATERIAL AND METHODS We retrospectively examined the records of 337 newborns who were followed up with a diagnosis of infant of diabetic mother between January 2010 and January 2012 in our Neonatology Unit. The demographic data of the diabetic mothers and their babies, the postnatal problems of the babies of diabetic mothers and congenital heart diseases found on transthoracic echocardiography were examined. RESULTS The patients were classified as group A, B and C in accordance with the recommendations of The American Congress of Obstetricians and Gynecologists (ACOG) according to the type of diabetes. The most common postnatal problems included hyperbilirubinemia, respiratory distress, hypoglycemia and hypocalcemia. The rate of congenital heart disease was found be 17.3% in group A, 50% in group B and 9% in group C. No correlation was found between congenital heart disease and gender, multiple pregnancy, diabetes type, diet treatment, use of oral antidiabetic drugs and drug usage. A positive significant correlation was found between congenital heart disease and genetic disease, murmur, cyanosis and presence of gestational hypertension. It was shown that use of insulin, genetic disease and presence of gestational diabetes increased the risk of congenital heart disease. CONCLUSIONS In our study, the overall incidence of congenital heart disease was found to be 24% in infants of diabetic mothers. It should be kept in mind that it is important to investigate the infants of mothers with pregestational and gestational diabetes in terms of the risk of congenital heart disease.
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Affiliation(s)
- Savaş Demirpençe
- Department of Pediatric Cardiology, Buca Women's and Children's Diseases Hospital, İzmir, Turkey
| | - Banu İnce Demirpençe
- Department of Pediatrics, Dr. Behçet Uz Pediatric Diseases and Surgery Education and Research Hospital, İzmir, Turkey
| | - Timur Meşe
- Department of Pediatrics, Clinic of Pediatric Cardiology, Dr. Behçet Uz Pediatric Diseases and Surgery Education and Research Hospital, İzmir, Turkey
| | - Sertaç Arslanoğlu
- Department of Pediatrics, Clinic of Neonatology, Dr. Behçet Uz Pediatric Diseases and Surgery Education and Research Hospital, İzmir, Turkey
| | - Vedide Tavlı
- Department of Pediatrics, Clinic of Pediatric Cardiology, Şifa University Faculty of Medicine, İzmir, Turkey
| | - Şebnem Çalkavur
- Department of Pediatrics, Clinic of Neonatology, Dr. Behçet Uz Pediatric Diseases and Surgery Education and Research Hospital, İzmir, Turkey
| | - Özgür Olukman
- Department of Pediatrics, Clinic of Neonatology, Dr. Behçet Uz Pediatric Diseases and Surgery Education and Research Hospital, İzmir, Turkey
| | - Ali Rıza Firuzan
- Division of Statistics, İzmir Dokuz Eylül University, Faculty of Sicence and Literature, İzmir, Turkey
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Korkmaz HA, Demir K, Kılıç FK, Terek D, Arslanoğlu S, Dizdarer C, Ozkan B. Management of central diabetes insipidus with oral desmopressin lyophilisate in infants. J Pediatr Endocrinol Metab 2014; 27:923-7. [PMID: 24854529 DOI: 10.1515/jpem-2013-0368] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/12/2013] [Accepted: 04/17/2014] [Indexed: 11/15/2022]
Abstract
AIM To assess the efficiency of oral desmopressin lyophilisate (ODL) in neonatal central diabetes insipidus (CDI). METHODS The characteristics of four newborns with CDI treated with ODL were evaluated. RESULTS Four newborns with polyuria and hypernatremia were included [male, 2 (50%); mean postnatal age, 19±17 days]. At the time of hypernatremia, the mean serum and urine osmolality values were 310±16 and 179±48 mOsm/kg, respectively. Antidiuretic hormone levels were undetectable (<0.5 pmol/L) in all cases. Magnetic resonance imaging revealed anatomical malformations in all cases. ODL (60 μg/tablet) dissolved in water (3-5 mL) was initiated with a dose of 5 μg/kg/day in two equal doses, together with limitation of water intake to avoid hyponatremia. Serum sodium levels returned to normal in a mean duration of 58±9.9 h with a mean decline rate of 0.37±0.1 mEq/L/h after desmopressin administration. Rehospitalization was required for one of the infants because of hypernatremia due to non-compliance. No episode of hyponatremia was encountered. Weight gain and growth of the infants were normal during the mean follow-up duration of 8.5±1 months. CONCLUSIONS ODL appears to be practical and safe in the treatment of CDI during the first year of life.
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Doksöz Ö, Terek D, Karaçelik M, Yıldırım H, Küçük M, Gönülal D, Olukman Ö, Arslanoğlu S, Meşe T, Sarıosmanoğlu O, Ünal N. PP-314 Massive Pericardial Effusion due to Intrapericardial Mixed GermCell Tumor in a Premature Baby: A Case Report. Am J Cardiol 2014. [DOI: 10.1016/j.amjcard.2014.01.344] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Eren E, Aktaş A, Arslanoğlu S, Kopar A, Ciğer E, Özkul Y, Önal K, Katılmiş H. Diagnosis of allergic rhinitis: inter-rater reliability and predictive value of nasal endoscopic examination: a prospective observational study. Clin Otolaryngol 2013; 38:481-6. [DOI: 10.1111/coa.12171] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/23/2013] [Indexed: 11/29/2022]
Affiliation(s)
- E. Eren
- Division of Allergy and Immunology; Department of Internal Medicine, Celal Bayar University School of Medicine; Manisa Turkey
| | - A. Aktaş
- Department of Chest Disease; Faculty of Medicine; Celal Bayar University; Manisa Turkey
| | - S. Arslanoğlu
- Division of Allergy and Immunology; Department of Internal Medicine, Celal Bayar University School of Medicine; Manisa Turkey
| | - A. Kopar
- Division of Allergy and Immunology; Department of Internal Medicine, Celal Bayar University School of Medicine; Manisa Turkey
| | - E. Ciğer
- Division of Allergy and Immunology; Department of Internal Medicine, Celal Bayar University School of Medicine; Manisa Turkey
| | - Y. Özkul
- Division of Allergy and Immunology; Department of Internal Medicine, Celal Bayar University School of Medicine; Manisa Turkey
| | - K. Önal
- Division of Allergy and Immunology; Department of Internal Medicine, Celal Bayar University School of Medicine; Manisa Turkey
| | - H. Katılmiş
- Division of Allergy and Immunology; Department of Internal Medicine, Celal Bayar University School of Medicine; Manisa Turkey
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Apa H, Kaya Kılıç F, Tok D, Bayram N, Gülfidan G, Günay İ, Arslanoğlu S, Ünal N, Devrim İ. Cerebral Abscess in a Neonate: The Value of Cranial Ultrasonography in the Diagnosis. J Pediatr Inf 2013. [DOI: 10.5152/ced.2013.42] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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Abstract
Maternal hypercalcemia suppresses parathyroid activity in the fetus resulting in impaired parathyroid responsiveness to hypocalcemia after birth. Resultant hypocalcemia may be severe and prolonged and rarely may lead to convulsions. Here, we present a newborn infant admitted to the pediatric emergency department at age two weeks with recurrent tonic convulsions due to asymptomatic maternal hyperparathyroidism and vitamin D deficiency. Physicians should be aware that undiagnosed maternal hyperparathyroidism can cause severe hypocalcemia in the newborn.
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Affiliation(s)
- Hüseyin Anıl Korkmaz
- Dr. Behçet Uz Children Disease and Surgery Training and Research Hospital, Department of Pediatric Endocrinology, İzmir, Turkey. E-mail:
| | - Behzat Özkan
- Dr. Behçet Uz Children Disease and Surgery Training and Research Hospital, Department of Pediatric Endocrinology, İzmir, Turkey
| | - Demet Terek
- Dr. Behçet Uz Children Disease and Surgery Training and Research Hospital, Neonatal Intensive Care Unit, İzmir, Turkey
| | - Ceyhun Dizdarer
- Dr. Behçet Uz Children Disease and Surgery Training and Research Hospital, Department of Pediatric Endocrinology, İzmir, Turkey
| | - Sertaç Arslanoğlu
- Dr. Behçet Uz Children Disease and Surgery Training and Research Hospital, Neonatal Intensive Care Unit, İzmir, Turkey
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Abstract
A choristoma is the presence of histologically normal tissue in an area where it is not normally located. The most frequently reported choristoma of the middle ear is salivary choristoma. Heterotopic brain tissue is very uncommon in the middle ear and mastoid. We present a rare case of glial choristoma of the middle ear, together with a review of the literature.
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Affiliation(s)
- M Z Uğuz
- Department of Otorhinolaryngology, Izmir Atatürk Training and Research Hospital, Izmir, Turkey
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21
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Genel F, Arslanoğlu S, Uran N, Doğan M, Atlihan F. Late-onset distal polyneuropathy due to acute organophosphate intoxication case report. Turk J Pediatr 2003; 45:67-70. [PMID: 12718377] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/02/2023]
Abstract
Intoxications due to organophosphate insecticides are common in our country, since agriculture has an important place. Besides the well known acute cholinergic toxicity, these compounds may cause late-onset distal polyneuropathy occurring two to three weeks after the acute exposure. An eight-year-old boy and a 13-year-old girl admitted to the hospital with gait disturbances. Beginning 15 and 20 days, respectively, after organophosphate ingestion. Neurologic examination revealed bilateral dropped foot, absent Achilles tendon reflexes and peripheral sensory loss. Electromyography demonstrated motor weighed sensory-motor polyneuropathy with axonal degeneration significant in the distal parts of bilateral lower extremities. Biochemical, radiological findings and magnetic resonance imagings were normal. The two cases were taken under a physiotherapy program. The two cases are presented here since organophosphate poisonings are common in our country, and since late-onset polyneuropathy is not a well known clinical presentation as acute toxicity.
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Affiliation(s)
- Ferah Genel
- Dr. Behçet Uz Children's Hospital, Izmir, Turkey
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Genel F, Arslanoğlu S, Durmaz B, Bak M. Primary IgA nephropathy in children: association of clinical and pathological findings with prognosis. Indian J Pediatr 2001; 68:409-12. [PMID: 11407154 DOI: 10.1007/bf02723015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
Primary IgA nephropathy is a disease characterized by recurrent macroscopic or microscopic hematuria and diffuse mesangial IgA deposition. Although IgA nephropathy had previously been suggested to have a benign prognosis, long term follow-up of the patients revealed that it might lead to chronic renal failure. In this study, the association of the initial clinical and laboratory findings with the renal histological changes was evaluated in 14 cases with primary IgA nephropathy who were at follow-up with a mean duration of 43.07 +/- 16.88 months. Finally the correlation between the clinicopathological findings and prognosis was investigated. In 92.8% of the patients, macroscopic hematuria was the presenting complaint. Proteinuria was detected in 42.9% of the cases mild proteinuria in 14.3% and moderate in 28.6%. Renal biopsy specimens, evaluated according to Churg-Sobin's classification, showed grade 1 changes in 35.7% cases, grade 2 in 35.7%, grade 3 in 14.3% and grade 4 in 14.3%. Both the patients with grade 4 histology had moderate proteinuria, and developed chronic renal failure requiring hemodialysis. Prognosis was found to be associated with the degree of proteinuria and the severity of the histopathological findings.
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Affiliation(s)
- F Genel
- Department of Pediatrics, Dr Behçet Uz Children's Hospital, Izmir, Turkey
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Oncel S, Doğanay M, Ozer A, Arslanoğlu S, Ermete M, Erdoğan N. Leiomyosarcoma of the parotid gland. J Laryngol Otol 1996; 110:401-3. [PMID: 8733473] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
A 36-year-old patient with a primary leiomyosarcoma of the left parotid gland is presented. To our knowledge this is only the second case of a parotid leiomyosarcoma in the world according to the literature review.
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Affiliation(s)
- S Oncel
- 1st Department of Otorhinolaryngology, State Hospital, Yeşilyurt, Izmir, Turkey
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Affiliation(s)
- S Oncel
- First Department of Otorhinolaryngology, State Hospital, Izmir, Turkey
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