Salih Emre

Otuz beş yaşında kadın hasta, diz ağrısı ve tekrarlayan oral aftlar nedeniyle Romatoloji polikliniğine başvurdu. Hemogram tetkiklerinde lökopeni ve nötropeni saptanması üzerine yapılan ileri tetkiklerde HIV pozitifliği tespit edildi. Antiretroviral tedavi başlandıktan 10 gün sonra sol göz çevresinde veziküler döküntü gelişen hastaya herpes zoster oftalmikus tanısı konuldu. Bu olgu, zona tanısı alan hastalarda HIV taramasının önemini ve HIV ile yaşayan bireylerde zona sıklığının arttığını hatırlatmaktadır.

Bloodstream infections (BSI) in intensive care units (ICU) are associated with high mortality, requiring reliable prognostic tools. The systemic inflammato

This study aimed to evaluate systemic inflammation, oxidative stress and lipid profile in cats that had either naturally gained excess weight or had developed obesity. The following groups were examined in the study: ten obese cats with a body condition score of (BCS) >8 (the obesity group), ten overweight cats with a BCS score of >6 (the overweight group) and ten ideal weight cats with a BCS score of 4-5 (the control group). In the cats that had either gained too much weight or had become obese, the serum AST (P < .001), albumin (P = .002) and total protein (TP) (P < .001) levels were found to be significantly higher than the values determined in the control group cats. Furthermore, blood serum high-density lipoprotein (HDL) (P = .009) and triglyceride (TG) (P < .001) levels in cats that had developed obesity were found to be significantly higher than the values defined in the control group cats. In the obese cats, serum procalcitonin (PCT), paraoxonase-1 (PON-1), total thiol, native thiol and MDA levels were found to be significantly higher than in overweight cats (P < .001). As a result, it was concluded that it would be useful for veterinarians to consider significant changes in parameters related to liver function and lipid metabolism, as well as to emphasize systemic inflammation and oxidative stress in their clinical evaluations in cats that had either naturally gained excess weight or had developed obesity.

Introduction: Tuberculous lymphadenitis (TBLN) is the most common infectious etiology of peripheral lymphadenopathy in adults, in Turkiye. This study aimed to identify the demographic, clinical, and laboratory variables that differentiate TBLN from non-tuberculous lymphadenitis (NTBLN), as well as the etiology of lymphadenopathy in adults. Methodology: Patients who were over 18 years old and were referred to the infectious disease outpatient clinics with complaints of swollen peripheral lymph nodes, and who underwent lymph node biopsy between 1 January 2010 and 1 March 2021, were included in this multicenter, nested case-control study. Results: A total of 812 patients at 17 tertiary teaching and research hospitals in Turkiye were included in the study. TBLN was the most frequent diagnosis (53.69%). The proportion of patients diagnosed with TBLN was higher among females; and among those who had a higher erythrocyte sedimentation rate, positive purified protein derivative test, and positive interferon-gamma release test result (p < 0.05). However, TBLN was less frequent among patients with generalized lymphadenopathy, bilateral lymphadenopathy, axillary lymphadenopathy, inguinal lymphadenopathy, hepatomegaly, splenomegaly, leukocytosis, and moderately increased C reactive protein levels (p < 0.05). Conclusions: Identifying the variables that predict TBLN or discriminate TBLN from NTBLN will help clinicians establish optimal clinical strategies for the diagnosis of adult lymphadenopathy.