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Öğe Evaluation of Vitamin D Level and Iron Deficiency in Six-twenty Four Months Children with Lower Respiratory Tract Infection(Galenos Publ House, 2023) Yilmaz, Busra Zeynep; Energin, Vesile Meltem; Pekcan, SevgiIntroduction: Lower respiratory tract infections (LRTIs) are defined by the World Health Organization as one of the most important causes of morbidity and mortality in childhood worldwide. This study was conducted to determine the importance of vitamin D level and iron deficiency in the clinical course of the disease in patients aged 6-24 months with LRTI. Materials and Methods: In this study, we included patients who were hospitalized in the pediatric unit due to LRTI at Necmettin Erbakan University Meram Medical Faculty from 6-24 months old. Patients with vitamin D and/or hemogram levels were selected between September 2019 and December 2021. In control group, we choose who applied to our hospital for any reason without LRTI and have vitamin D and or hemogram level in our record. When retrospectively scanned, 82 patients with LRTI s and 84 people in the control group were included. Clinical findings, laboratory values and demographic values of both groups were collected retrospectively. SPSS 22.0 program was used for statistical analysis. A p<0.05 was considered significant. Results: In patient group; 27 (32.9%) were female and 55 (67.1%) were male, in the control group; 46 (54.8%) were female and 38 (45.2%) were male. There was no statistically significant difference between the patients with LRTI and the healthy control group in regard of gender and age. Mean Vitamin D level and Vitamin D level were determined to be significantly lower in the patient group respectively; p=0.01, p=0.037. We evaluated by Vitamin D and hemoglobin level, there was no statistically significant result between the two groups in terms of hospitalization, treatments and clinical severity of LRTI. Vitamin D levels were found to be statistically significantly higher in patients who received vitamin D prophylaxis compared to those who did not (p=0.043). Conclusion: We think that it would be appropriate to evaluate the patients for vitamin D value who followed up with LRTI. Therefore, think that vitamin D supplementation will also prevent recurrence of LRTIs in these patients, should be kept in mind.Öğe A Rare Pediatric Case of Neurobrucellosis With Cerebral Salt Wasting(Lippincott Williams & Wilkins, 2024) Yilmaz, Busra Zeynep; Metin Akcan, Ozge; Genceli, Mustafa; Oltulu, RefikThe central nervous system involvement is a serious complication of brucellosis, which is known as neurobrucellosis, although rare. Here we report a 14-year-old case who developed neurobrucellosis and presented with cerebral salt wasting. As far as we know, our case is the first pediatric case of cerebral salt wasting caused by neurobrucellosis. Clinical manifestations of our patient have completely improved with treatment for Brucella.Öğe A Rare Presentation of Sphingomonas paucimobilis in a Healthy Child: Acute Ischemic Stroke(Georg Thieme Verlag Kg, 2023) Yilmaz, Busra Zeynep; Akcan, Ozge Metin; Pekcan, Sevgi; Parlatan, Havva; Emlik, Ganime Dilek; Dogan, MetinSphingomonas paucimobilis is a rarely pathogenic organism that usually infects immunocompromised patients and causes nosocomial infections, but a few community-acquired infections have been identified in relatively healthy adult patients. Herein we report a 5-year-old child who presented with acute ischemic stroke caused by S. paucimobilis that was treated successfully with antibiotics and antithrombotic agents. According to our knowledge, this is the first case of acute ischemic infarction with S. paucimobilis in a previously healthy child.