Browsing by Author "Aydin, Irfan"

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Contact Dermatitis Due To Alternative Treatment Methods: Four Case Reports
(Emergency Medicine Physicians Assoc Turkey, 2012) Karadas, Sevdegul; Gonullu, Hayriye; Aydin, Irfan; Oncu, Mehmet Resit
Herbal medicines are commonly used in the eastern regions of Turkey, especially in the treatment of rheumatic complaints. In addition, the use of various foods and drinks for cosmetic purposes is increasing among Turkish people. Despite this extensive use of alternative treatment methods for medical and cosmetic purposes, comprehensive research is still required due to the severe local and systemic adverse effects of these treatments. Here, cases of phyto contact dermatitis due to "Ranunculus kotchy boiss" and "Urtica" and irritant contact dermatitis associated with butter are presented.
Epidemiological Analysis of Poisoning Cases in Van, Turkey
(Pakistan Medical Assoc, 2014) Aydin, Irfan; Karadas, Sevdegul; Gonullu, Hayriye; Dulger, Ahmet Cumhur
Objective: To investigate the etiological and demographical characteristics of acute adult poisoning cases in eastern Turkey. Methods: The retrospective study was conducted at the Emergency Department of Yuzuncu Yil University, School of Medicine, and comprised data related to the period between 2007 and 2009. The data obtained included age, gender, referrals, manner of poisoning, manner of application, the department which followed up on the patients, duration of hospital stay. All data was noted on proforma. SPSS 15 was used for statistical analysis. Results: Of the total cases visiting the Emergency Department, 1207 (1.1%) related to poisoning. Of them, 880 (72.9%) had attempted suicide; 858 (71.1%) were female; 349 (29%) were male. The average age of the females was 25.4 +/- 8.5 years, and that of the males 28.3 +/- 14.3 years. Single-medicine was noted in poisoning 544(45.1%) patients. Other poisoning types were multidrugs 373 (30.9%); rat poisoning, insecticide and pesticides, 145 (12%); corrosives 38 (3.1%); and weed, mushroomang; food 47 (3.8%). Oral poisoning was noted in 1141(94.5%) cases. A total of 1019 (84.4%) patients received treatment and were followed up in the Emergency Department. Six (0.6%) patients died. Conclusion: There is a need to generate more awareness about the hazards of domestic cleaning products and to keep it away at some distinct place to minimised chances of confusion.
Fixed Dose Combined Antihypertensive Agents Poisoning: Case Report
(Aves, 2011) Karadas, Sevdegul; Aydin, Irfan; Tuncer, Mustafa; Ceylan, Yemlihan
Poisonings are constituted a substantial part of the emergency department. Combined use of antihypertensive drugs in the treatment of essential hypertension is common. Using of these drugs for suicide does not seen so common. One of these combined drugs which are used in clinic is Angiotension Converting Enzyme inhibitors and calcium channel blockers. Sinus bradycardia, severe hypotension an AV blocks can be seen due to excessive using of these drugs. More serious outcome may occur if these conditions do not treated immediately. In this study, we aim at discussing the case of 17-year-old patient in the light literature, who took 13 units of Tarka (R) forte tablets (240 mg + 4 mg Verapamil Trandolapril) in order to commit suicide and applied to our emergency department with AV complete block development of the syncope.
Gastrobronchial Fistula After Esophageal Surgery: Review of Two Cases
(Istanbul Univ, Faculty Medicine, Publishing office, 2010) Cobanoglu, Ufuk; Dulger, Ahmet Cumhur; Aydin, Irfan; Hemidli, Sulhettin
Gastrobronchial fistula (GBF) is an extremely rare complication developing usually after esophagogastric surgery, particularly after Nissen fundoplication. Patients with this complication are prone to aspirate gastric content resulting in pulmonary infections with recurrent fever, hemoptysis, bronchitis, lung abscess and bronchiectasis. Mortality rates of pulmonary sepsis due to GBF are quite high. Gastrobronchial fistula should be suspected in patients developing pneumonia after esophagogastric surgery because early diagnosis and treatment are life saving. In this article, gastroesophageal fistulas detected after esophageal surgery in two patients were discussed with review of the literature.
A Rare Cause of Acute Abdomen in Pregnancy: Pyogenic Liver Abscess
(Emergency Medicine Physicians Assoc Turkey, 2010) Selvi, Fatih; Karadas, Sevdegul; Aydin, Irfan
Pyogenic liver abscess is one of the causes we rarely encounter in acute abdomen tables during pregnancy. While it is difficult to diagnose pyogenic liver abscess under normal conditions, pregnancy makes the diagnostic process even more difficult. Therefore pyogenic liver abscess should be included in the list of differantial diagnosis in a pregnant woman presenting with abominal pain.
A Rare Cause of Dyspnea in Elderly Patient: Foreign Body Aspiration
(derman Medical Publ, 2012) Karadas, Seydegul; Gonullu, Hayriye; Sayir, Fuat; Aydin, Irfan
Foreign body aspiration is frequently seen at childhood age group whereas various facilitator factors can be observed in adults particularly in the elderly group. In this study a 78-year-old male case who swallowed his dental prothesis and had a foreign substance detected in his chest X-ray was presented. In the cases that have nonspesific complaints such as incipient chest pain and difficulty in breathing and have no known underlying lung disease, foreign body aspiration must be suspected.
A Rare Suicidal Method: Succinylcholine Chloride Injection
(derman Medical Publ, 2015) Karadas, Sevdegul; Aydin, Irfan; Selvi, Fatih; Selvi, Yavuz; Gonullu, Hayriye
Succinylcholine is a depolarizing neuromuscular blocking drug which is used for intubating the patient in dosage of 1-1.5 mgr/kgr. Nowadays, it is also sold for rifles as an injector form to capture the stray dogs. The introduction of the field of veterinary medicine has increased the availability of succinilcolin. In this study, a case was introduced who injected to his left arm a 3 ml (60 mg) pharmaceutical product whose active substance was succinylcholine and applied to the emergency service one hour later with non-specific complaints such as fatigue and abdominal pain. The significance of having knowledge of succinylcholine by emergency doctors owing to severe systemic effects, particularly respiratory depression is emphasized.
A Retrospective Analysis of Acute Poisoning During Pregnancy
(Galenos Yayincilik, 2011) Karads, Sevdegul; Guler, Ayse; Aydin, Irfan
Objective: The aim of this study is to investigate and analyse pregnant women who were admitted to our emergency service due to acute poisoning. Material and Methods: All cases were retrospectively collected from our computer records and emergency record book between 01.01.2006 and 01.01.2010; the registration data on age, gravidity, gestational week, whether the poisoning was deliberate or accidental, causative agent, admission time, treatment results and mortality outcome were collected and analyzed. Results: Eighty eight women admitted with acute poisoning were known to be pregnant and the poisoning was accidental in 23% of the cases, while 77% were suicidal intoxications. 74% of patients were in the 21-34 age group. Accidental intoxications were due to carbon monoxide, foods and cleaning products. 75.4% of the suicidal poisonings were caused by medical drugs, with analgesics, multiple drugs and psychiatric drugs being the top culprits and accounted for 53%, 31% and 16% of drug poisonings respectively. In terms of gestational week, 47.4% of suicidal poisonings were within the first trimester and the relationship between suicidal attempt and gestational week was found to be statistically significant (p<0.015). However, the relationship between gravidity and the rate of suicidal attempts was not statistically significant (p=0.214). All patients were followed up and treated in the emergency service and no mortality was observed in the study. Conclusion: Most cases of acute poisonings during pregnancy were suicidal. Pregnant women attempted suicide mostly within the first trimester of gestation. The most common agents used for suicidal attempt were medical drugs.
Simultaneus Bilateral Spontaneus Pneumothoraces: a Retrospective Analysis of 11 Cases
(derman Medical Publ, 2011) Cobanoglu, Ufuk; Sayir, Fuat; Sertogullarindan, Bunyamin; Mergan, Duygu; Aydin, Irfan
Aim Spontaneous pneumothorax (SP) is relatively common in clinical practice and occurs more frequently in young, tall thin men, and in smokers. However, simultaneous bilateral spontaneous pneumothorax (SBSP) is a rare clinical condition that often presents with significant respiratory distress. It is often dangerous; therefore, the chest drain should be inserted immediately. In this study, simultaneus bilateral spontaneus pneumothoraces cases were divided into two groups and retrospectively evaluated according to age, sex, diagnostic methods, treatments, and results. Material and Methods Between January 2006 and May 2009, 11 patients with SBSP were enrolled into our study. Age, gender, underlying lung disease, smoking history, symptoms, diagnosis, treatment type, surgical indication, morbidity, recurrence, mortality, duration of chest tube and postoperative hospital stay of the patients were reviewed. Arterial blood gas values (before and after intervention) in patiens with primary and secondary spontaneous pneumothorax were evaluated. Results 7 patients (63.63 %) were male and 4 patients (36.37 %) were female and their mean age was 34,5 +/- 6.81 years. There were 4 (36.37%) primary SP and 4 (36.37%) secondary SP patients. Chronic obstructive pulmonary disease (COPD) was the most common cause in secondary SP patients. In two (18.18%) patients recurrency were observed. Eight (72.72%) patients had smoking history. The most common symptom in both groups was dyspnea. All patients had immediate bilateral chest tubes on admission. We treated these patients with chest drain insertion, VATS (Video-Assisted Thoracoscopic Surgery), axillary thoracotomy, and chemical pleurodesis. Postoperative morbidity was detected in 3 (27.27%) patients (prolonged air leak in 1 case, empyema in 1 case and pneumonia in 1 case). No mortality was observed in alll cases. Recurrence developed in 3 (27.27%) patients in this series. Conclusions An urgent and effective treatment requires in the patients with SBSP. We think that tube drainage can be appropriate and effective for most cases of SBSP. Surgical procedures can be applied safely, with low recurrence rate, when the tube thoracostomy remains unsuccessful and/or SP recurs.
Spontaneous Hemopneumothorax: Analysis of 8 Cases
(derman Medical Publ, 2012) Cobanoglu, Ufuk; Sayir, Fuat; Sertogullarindan, Bunyamin; Mergan, Duygu; Aydin, Irfan
Aim: Spontaneous hemopneumothorax is a rare disorder that results from a torn of small vessels located in adhesions between the visceral and parietal pleura resulting from the progress of lung collapse. A large spontaneous hemopneumothorax is often life threatening, and the late diagnosis and treatment can increase mortality rate. In this study; we present eight patients who presented to us with nontraumatic spontaneous hemopneumothorax and the clinical features of these patients and the results of conservative and surgical management were discussed. Material and Method: From January 2005 and September 2010, a total of 97 patients were treated with spontaneous pneumothorax. Eight (8.23%) developed spontaneous hemopneumothorax. We analyzed many factors such as sex and age distribution, affected site, the degree of lung kollaps, clinical symptoms, bleeding volume, etiology, treatments, complications. Result: Six patients (75 %) were male and 2 patients (25 %) were female and their mean age was 30.25 +/- 15.75 years. Hemopneumothorax is detected at the right side in 5 patients (62.5%), and at the left side in 3 patients (37.5%). The most common symptoms (62.5%) in all patients were chest pain and dyspnea. All patients were treated with the tube thoracostomy; five (62.5%) were treated with only the tube thoracostomy, and the other 3 (37.5%) were treated by the thoracostomy combined with video-assisted thoracic surgery. The amount of bleeding in patients who underwent video-assisted thoracic surgery ranged 1083.33 +/- 304.972 ml. The amount of bleeding in patients who underwent tube thoracostomy ranged 448.2 +/- 242.572 ml. Discussion: Closed-tube thoracostomy is the first choice in the cases of spontaneous hemothorax. Regular hemodynamic monitoring is needed in the cases with tube thoracostomy. When tube thoracostomy is not sufficient, VATS can be the first surgical treatment choice and thoracotomy may not be needed. Complete recovery may be expected with early diagnosis and proper treatment.
St Elevation Myocardial Infarction Due To Carbon Monoxide Poisoning
(Aves, 2011) Gonullu, Hayriye; Karadas, Sevdegul; Aydin, Irfan; Vuruskan, Ertan
Carbon monoxide is formed as a result of combustion of any carbon compound and can lead to hypoxia in many organs including the brain and the heart. Carbon monoxide poisoning in the United States is the leading cause of the fatal poisonings. In this study we present a case with no-known accompanying disease in the light of literature where myocardial infarction was developed as a result of carbon monoxide poisoning.
Uvular Edema Due To Ecbalium Elaterium: a Case Report
(Emergency Medicine Physicians Assoc Turkey, 2012) Aydin, Irfan; Karadas, Sevdegul; Gonullu, Hayriye; Selvi, Fatih
In recent years, herbal medicine use has become frequent among the public as alternative medical treatment. People use many plants and herbs to treat the symptoms of diseases. However, many cases of life-threatening side effects of such drugs have been reported in the literature. In this study, a patient who administered drops of Ecbalium elaterium juice into his nose for the treatment of sinusitis and developed uvular edema is presented with a review of the literature.