Browsing by Author "Bektas, Selcuk"

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Methemoglobinemia Due To Local Anesthesia With Prilocaine for Circumcision
(Wiley-blackwell, 2010) Peker, Erdal; Cagan, Eren; Dogan, Murat; Aktar, Fesih; Bektas, Selcuk; Kirimi, Ercan; Ceylan, Abdullah
Pulmonary Tuberculosis With Nonspecific Psoas Abscess
(Nobel Ilac, 2009) Kaya, Avni; Kizilyildiz, Baran Serdar; Karaman, Kamuran; Bektas, Selcuk; Aktar, Fesih; Caksen, Hueseyin
Psoas abscess is a rare disease in childhood. Usually its diagnosis is diffucult and so delayed. A five-year-old girl was admitted with high fever, sweating, swelling and pain on tight thigh and abdominal pain for one week. On family history there was no contact with any known tuberculosis case. She had two siblings who had died clue to diarrhea and pneumonia. At physical examination, the right leg was tender with movements and in flexion posture. There was also defence and rebaund on abdomen. Ultrasonography revealed a mass lesion at 39x17 mm diameters with heterogenous echo next to the psoas muscle. In laparotomy, the abcess has been drained and Staphylococcus aureus isolated in routine culture. Acid-fast staining and culture for mycobacterium was negative. Despite of appropriate antibiotic treatment, she had fever on the tenth hospital day so we presumed a tuberculosis infection. Serum adenozine deaminase level was high (45 IU/L) and thorax high resolution computed tomography demonstrated multiple changes consisted with pulmonary tuberculosis. Antituberculosis treatment was started. We conclude that psoas abcess was secondary to pulmonary tuberculosis. The patient has been well on follow-up after four months of treatment.
Vitamin D-Dependent Rickets: Eight Cases
(Modestum Ltd, 2016) Cesur, Yasar; Yuca, Sevil Ari; Bektas, Selcuk; Yilmaz, Cahide; Dulger, Haluk; Temel, Hayrettin
Objective: Vitamin D is essential for bone development and health, and deficiency resulting in rickets and skeletal deformities is seen mainly during rapid growth. Hereditary vitamin D dependent rickets type I and type II rickets is a very rare form of rickets, characterized by 1-alpha-hydroxylase deficiency or end-organ resistance to vitamin D. We aimed to investigate, clinical and laboratory characteristics of eight cases with Vitamin D-dependent rickets (VDRR). Method: The mean age of patients during diagnosis was 2.6 years. Excluding one patient, others were males (87.5%). Results: Mean laboratory values during referral was calcium 7.5 +/- 1,5 mg/dl, phosphorus 4 +/- 1.2 mg/dl, alkaline phosphatase (ALP) 1679 +/- 641 U/L and parathyroid hormone (PTH) 524 +/- 498 pg/ml. Patients received 1.2 mu g/kg/day calcitriol. During follow-ups serum ALP and PTH values of patients turned to normal levels. Conclusion: In rickets, cases with persistent increased serum ALP and PTH levels it will be appropriate to investigate serum 25 (OH) D levels in cases diagnosed with vitamin D-dependent rickets even though hypocalcaemia is absent. Administration of adequate doses of calcitriol in some cases is able to clinical and laboratory values return to normal.