Browsing by Author "Tanir, Gonul"

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Ebv Associated Acute Cholecystitis in a Child
(Gazi Univ, Fac Med, 2014) Bayhan, Gulsum Iclal; Bakkal, Muhammet Furkan; Uner, Cigdem; Tanir, Gonul
Acute acalculous cholecystitis (AAC) is a rare complication of Epstein Barr virus (EBV) infection, with only a few cases reported among pediatric population. This clinical condition is frequently associated with a favorable outcome and, usually, a surgical intervention is not required. We report a 16-year-old girl who presented with AAC following primary EBV infection. The diagnosis of AAC was documented by clinical and ultrasonographic examination, whereas EBV infection was confirmed serologically. A conservative treatment was performed, with a careful monitoring and serial ultrasonographic examinations, which led to the clinical improvement of the patient. Pediatricians should be aware of the possible association between EBV and AAC, in order to offer the patients an appropriate management strategy.
An Interesting Fistula Tract Presenting With Recurrent Gluteal Abscess: Instructive Case
(Hindawi Ltd, 2015) Bayhan, Gulsum Iclal; Metin, Ozge; Ardicli, Burak; Karaman, Ayse; Tanir, Gonul
A fistula extending fromthe gluteus to penis is an extremely rare entity. In this paper, we have highlighted novel variant of congenital penile to gluteal fistula complicated with gluteal and penoscrotal abscess in a previously healthy boy. A fistulous tract extending from the gluteus to penis has been shown by fistulogram. Bleomycin has been used in fistula tract with successful results in our patient.
Miliary Tuberculosis Disease Complicated by Pott's Abscess in an Infant: Seven Year Follow-Up
(Medknow Publications & Media Pvt Ltd, 2015) Bayhan, Gulsum Iclal; Tanir, Gonul; Aydin, Zeynep Gokce Gayretli; Yildiz, Yasemin Tasci
A 20-month-old boy presented with 1-year history of persistent fever, cough, and progressive abdominal distention. Abdominal ultrasonography showed hepatomegaly and multiple calcifications in the liver and spleen. Thoracic computed tomography showed multiple mediastinal lymph nodes and consolidation in both lungs. Additionally, there was a 2-cm thick retroperitoneal soft tissue mass destroying the T7-8 and L1-L2 vertebral bodies. The patient was preliminarily diagnosed with miliary tuberculosis (TB) and Pott's disease, and began administering anti-TB treatment consisting of isoniazid, rifampin, ethambutol, and pyrazinamide. Acid-resistant bacilli analysis and mycobacterial culture of the biopsy specimen of Pott's abscess were positive. Mycobacterial culture and PCR of gastric aspirate were also positive. The patient's condition progressively improved with anti-TB treatment and he received 12 months of antiTB therapy. At the end of the treatment all of the patient's symptoms were relieved and he was well except for kyphosis. Miliary TB complicated by Pott's abscess is a very rare presentation of childhood TB. The presented case shows that when Pott's abscess is diagnosed and surgically corrected without delay, patients can recover without squeal.
Pediatric Pleural Tuberculosis
(Wolters Kluwer Medknow Publications, 2018) Bayhan, Gulsum Iclal; Sayir, Fuat; Tanir, Gonul; Tuncer, Oguz
Background: Pleural tuberculosis (TB) diagnosis is sometimes controversial because the microbiologic confirmation ratio is very low in pleural fluid. There are few pediatric pleural TB case series in the literature. Methods: We retrospectively evaluated our TB cases below 18 years of age and extracted pleural TB cases. Results: Seven cases with pleural TB were identified. About 42.9% of the patients had isolated pleural TB whereas 57.10% of the patients had accompanying pulmonary TB. Lymphocytic pleural effusion and increased adenosine deaminase (ADA) (>40 U/L) level are found in 85.7% of the patients. Six patients had uncomplicated effusion (transudate) according to Light's criteria and one had complicated effusion (exudate). Lung decortication was needed in three patients. All patients were given 6 months anti-TB medication and recovered completely. Conclusion: In the lymphocyte-predominant pleural effusion, an increased ADA level highly supported TB disease. The complicated effusion (exudate) in pleural TB is not rule; uncomplicated effusion (transudate) could be seen.
Pediatric Tuberculosis in Turkey: a Review of 8-Years Period in a Tertiary Care Hospital
(Turkish J Pediatrics, 2015) Bayhan, Gulsum Iclal; Tanir, Gonul; Metin, Ozge; Simsek, Hulya; Aydin-Teke, Turkan; Oz, Fatma Nur; Aydin, Zeynep Gokce Gayretli
The purpose of this study was to evaluate the clinical, radiological, microbiological characteristics, side effects of anti-TB drugs and treatment outcome of childhood definite or probable TB. The medical records of all childhood TB patients were investigated in the department of pediatric infectious disease of a tertiary care hospital between January 2005 and December 2012. Patients who followed-up until the anti-TB treatment was completed were included in the study. One hundred forty four pediatric cases with active TB were included in the study (27 definite, 117 probable). Twenty-four (16.7 %) patients were asymptomatic at admission. Pulmonary TB was the most common type. The most common localizations for extrapulmonary TB were superficial lymphadenitis. An index case was detected in 39.6% of the patients. In conclusion, the absence of constitutional symptoms does not exclude TB. Household contact screening plays an important role in the diagnosis of childhood TB especially in asymptomatic patients.
Response To "miliary Tuberculosis Disease Complicated by Pott's Abscess in an Infant: Seven-Year Follow-Up
(Wolters Kluwer Medknow Publications, 2016) Bayhan, Gulsum Iclal; Tanir, Gonul