Browsing by Author "Arabaci, F"

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Cutaneous Anthrax in Eastern Turkey
(Excerpta Medica inc, 2001) Çaksen, H; Arabaci, F; Abuhandan, M; Tuncer, O; Cesur, Y
Anthrax, caused by the spore-forming bacterium Bacillus anthracis, is rarely seen in industrial nations but is common in developing countries. Cutaneous anthrax (CA), the most common form of the disease, accounts for 95% of cases and usually develops on exposed sites. This study reviews the clinical and laboratory findings of 21 patients diagnosed with CA during 2 separate epidemics in the Van region of Turkey. All patients had a history of direct contact with infected cattle. The patients, aged 1.5 to 64 years, included 13 females and 8 mates. Of the patients, 9 were 15 years or younger. Skin lesions were localized on the hands and fingers in 15 patients, on the face in 3 patients, on the face and finger in 1 patient, on the chest and-finger in 1 patient, and on the eyelid in 1 patient. Gram-positive bacillus were noted on Gram-stains of material obtained from skin lesions in 2 patients. All but one patient was successfully treated with penicillin; the unresponsive patient was treated with cefuroxime and required plastic reconstructive surgery because of a skin defect on the eyelid.
Renal Involvement in Brucellosis
(Oxford Univ Press, 2005) Sahin, I; Arabaci, F; Eminbeyli, L; Ilhan, M; Onbasi, K; Sahin, HA
Sociodemographic Factors in Organophosphate Poisonings: a Prospective Study
(Sage Publications Ltd, 2003) Sahin, HA; Sahin, I; Arabaci, F
The sociodemographic features of organophosphate poisonings (OPPs) in the east Anatolian region of Turkey were investigated in this study. All OPPs admitted to the Emergency Department of Yuzuncu Yil University Medical Faculty Hospital in Turkey from 1 April 1999 to 31 August 2001 were prospectively studied. Data collected included age, gender, education, employment and marital status, socioeconomic levels, time and route of exposure of the toxic agents, treatment before admission, duration of hospitalization and complications. The proportion of OPPs was 15.1% among 564 poisonings. Fifty-seven (67.1%) patients were female, 28 (32.9%) were male. Fifty-six (65.9%) cases were attempted suicides and 29 cases (34.1%) were due to accidental events. Mean age was 22.1 +/- 9.2 years in the suicidal cases and 43 (76.8%) of them were less than 24 years ( P = 0.001). Among the suicide attempts, 29 (51.8%) patients were unmarried and 43 ( 76.8%) patients were female. The attempted suicide proportion was 46.4% in men and 75.4% in women ( P = 0.008). Eighty per cent of cases had a primary education level or were illiterate and 78.8% of the patients were in the lower socioeconomic status. The patients' mean arrival time to the hospital after poisoning was 4.4 +/- 3.7 (1-15) hours and mean hospitalization duration was 4.9 +/- 4.1 (1-32) days. Exposure routes were gastrointestinal in 75 (88.2%), respiratory in five (5.9%), dermal in four (4.7%) and both dermal and respiratory in one case (1.2%). Seventeen patients (23.5%) were admitted to the ICU and four ( 4.7%) of them died. In conclusion, OPPs especially affected young unmarried females, and most of them were due to attempted suicide. As OPP is the important cause of morbidity and mortality in the region, therapy should be started as early as possible so undesirable consequences can be avoided.