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  1. Article ; Online: Focal Seizure After Status Epilepticus in a Bupropion Intoxication

    Nihal Akçay / Hasan Serdar Kıhtır / Mey Talip Petmezci / Ülkem Koçoğlu Barlas / Esra Şevketoğlu

    Bagcilar Medical Bulletin, Vol 7, Iss 1, Pp 77-

    Case Report

    2022  Volume 79

    Abstract: A 13-month-old boy presented with a tonic-clonic seizure after bupropion intake. Physical examination revealed tachycardia, tachypnea, dry oral mucosa, and dilated pupils. The patient with status epilepticus and cardiac involvement was treated with ... ...

    Abstract A 13-month-old boy presented with a tonic-clonic seizure after bupropion intake. Physical examination revealed tachycardia, tachypnea, dry oral mucosa, and dilated pupils. The patient with status epilepticus and cardiac involvement was treated with intravenous thiopental infusion and lipid emulsion therapy. We observed focal seizures in the form of licking and perioral clonic contractions showing bilateral temporal epileptic activity in electrocardiography. As known, there are many reported cases of status epilepticus associated with bupropion poisoning; however, none of them had late focal seizures and our case is the youngest patient in the literature.
    Keywords bupropion poisoning ; focal seizure ; lipid emulsion therapy ; long qtc ; status epilepticus ; Medicine ; R
    Language English
    Publishing date 2022-03-01T00:00:00Z
    Publisher Galenos Yayinevi
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: A Rare Cause of Stroke, İnternal Carotid Artery Dissection

    Nihal Akçay / Ülkem Koçoğlu Barlas / Mey Talip Petmezci / Esra Şevketoğlu

    Türk Yoğun Bakım Dergisi, Vol 18, Iss 3, Pp 168-

    2020  Volume 170

    Keywords child ; stroke ; internal carotid artery dissection ; Medicine ; R ; Medical emergencies. Critical care. Intensive care. First aid ; RC86-88.9
    Language Turkish
    Publishing date 2020-09-01T00:00:00Z
    Publisher Galenos Yayinevi
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: A Case of Severe Spontaneous Pneumomediastinum in Acquired Immunosuppressed Child with Respiratory Syncytial Virus and Human Bocavirus Co-infection

    Ülkem Koçoğlu Barlas / Nurhan Kasap / Nihal Akçay / Mey Talip Petmezci / Ömer Devecioğlu / Esra Şevketoğlu

    Bagcilar Medical Bulletin, Vol 6, Iss 1, Pp 88-

    2021  Volume 91

    Abstract: Spontaneous pneumomediastinum is an uncommon, benign, and self-limiting disease based on the presence of free air in the mediastinal cavity. It can occur after a forced Valsalva’s maneuver due to a cough, emesis or during an asthma exacerbation. We ... ...

    Abstract Spontaneous pneumomediastinum is an uncommon, benign, and self-limiting disease based on the presence of free air in the mediastinal cavity. It can occur after a forced Valsalva’s maneuver due to a cough, emesis or during an asthma exacerbation. We present a 4-month-old girl infant with an autoimmune hemolytic anemia and lymphopenia, who was admitted to the pediatric intensive care unit due to respiratory distress. A suspected pneumomediastinum image on chest X-ray was documented by the chest tomography. A polymerase chain reaction of the nasopharyngeal secretions was positive for a respiratory syncytial virus and human bocavirus. Additionally, she was examined for an immune deficiency due to her lymphopenia. The patient required mechanical ventilatory support for 26 days. She was treated with antibiotics, antiviral, and antifungal agents and corticosteroids. Intravenous immunoglobulin, trimethoprim sulfamethoxazole, and fluconazole prophylaxis were continued because of the ongoing lymphopenia. At the end of five weeks, the patient was discharged with a normal lymphocyte count and without any respiratory distress. In immunosuppressed patients, respiratory diseases may be severe and long. Therefore, complications including pneumomediastinum can be seen more frequently in this group of patients.
    Keywords human bocavirus ; immunodeficiency ; respiratory syncytial virus ; rituximab ; spontaneous pneumomediastinum ; Medicine ; R
    Subject code 572
    Language English
    Publishing date 2021-03-01T00:00:00Z
    Publisher Galenos Yayinevi
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: Giant Pulmonary Abscess After COVID-19 Pneumonia

    Nihal Akçay / Mehmet Emin Menentoğlu / Ayşe İrem Sofuoğlu / Mustafa Oğur / Figen Bakırtaş Palabıyık / Esra Şevketoğlu

    Bagcilar Medical Bulletin, Vol 7, Iss 4, Pp 371-

    A Case Report

    2022  Volume 373

    Abstract: The Coronavirus disease-2019 (COVID-19) in children is more likely to be asymptomatic or to have mild-to-moderate symptoms; however, severe cases have also been reported. A 10-year-old boy previously diagnosed with pontocerebellar hypoplasia presented ... ...

    Abstract The Coronavirus disease-2019 (COVID-19) in children is more likely to be asymptomatic or to have mild-to-moderate symptoms; however, severe cases have also been reported. A 10-year-old boy previously diagnosed with pontocerebellar hypoplasia presented with respiratory distress after 2 days of fever. He underwent tracheal intubation. He was COVID-19 positive. On day 10, a cystic area was observed in his chest radiography and thorax computer tomography also showed a thick-walled pulmonary abscess. Percutaneous empyema drainage was performed. On day 20, an open surgical tracheotomy was performed. On day 25, the percutaneous drainage catheter was removed. On day 55, he was discharged on the home ventilator and his chest radiography was normal. Children with COVID-19 may develop a pulmonary abscess secondary to superinfections during intensive care follow-up.
    Keywords child ; covid-19 ; pulmonary abscess ; superinfections ; Medicine ; R
    Language English
    Publishing date 2022-12-01T00:00:00Z
    Publisher Galenos Yayinevi
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: Tracheostomy on COVID‑19 Pediatric Patients

    Nihal Akçay / Zahide Mine Yazıcı / Mehmet Emin Menentoğlu / Ayşe İrem Sofuoğlu / İbrahim Sayın / Esra Şevketoğlu

    Bagcilar Medical Bulletin, Vol 7, Iss 1, Pp 80-

    2022  Volume 84

    Abstract: This article reports four cases of pediatric patients who underwent tracheostomy after Coronavirus disease-2019 (COVID-19) infection. The common feature of these patients was not only prolonged intubation but also the presence of significant ... ...

    Abstract This article reports four cases of pediatric patients who underwent tracheostomy after Coronavirus disease-2019 (COVID-19) infection. The common feature of these patients was not only prolonged intubation but also the presence of significant comorbidities. Tracheostomy was well tolerated by all patients and resulted in improved outcomes. Although tracheostomy is an old surgical procedure, there is not enough experience on COVID-19 patients in terms of indications, technique, and actual timing. We presented a single-center experience and discussed the management of COVID-19 pediatric patients with preexisting comorbidities who were candidates for a surgical tracheostomy.
    Keywords covid-19 ; pediatric ; tracheostomy ; Medicine ; R
    Language English
    Publishing date 2022-03-01T00:00:00Z
    Publisher Galenos Yayinevi
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article ; Online: Smell and Taste Impairment in COVID-19 Positive Pediatric Patients

    Zahide Mine Yazıcı / Neslihan Sağlam / Nihal Akçay / Bengisu Menentoğlu / Nevin Hatioğlu / Esra Şevketoğlu / İbrahim Sayın

    Bagcilar Medical Bulletin, Vol 7, Iss 3, Pp 267-

    A Prospective Cohort on Different Stages of The Disease

    2022  Volume 272

    Abstract: Objective:To evaluate the smell and taste impairment in Coronavirus disease-2019 (COVID-19) pediatric patients according to the disease severity.Method:Ninety polymerase chain reaction test-confirmed COVID-19 patients were enrolled from January 2021 to ... ...

    Abstract Objective:To evaluate the smell and taste impairment in Coronavirus disease-2019 (COVID-19) pediatric patients according to the disease severity.Method:Ninety polymerase chain reaction test-confirmed COVID-19 patients were enrolled from January 2021 to July 2021. Patients were categorized into three main groups according to the stage of disease (stage 1: Outpatients, stage 2: Inpatients, stage 3: Intensive care unit patients). There were 30 pediatric patients in each group. Subjects were evaluated with a questionnaire. Visual analog scale was used to evaluate smell and taste impairment patients.Results:The impairment of smell and taste were evaluated separately, and the rates were found to be 31.1% and 35.6%, respectively. The impairment of smell showed a statistically significant difference between the groups (p=0.002). The rate of smell impairment in the outpatients was found to be significantly higher than in the patients treated in the intensive care unit. The taste impairment did not show a statistically significant difference between the groups (p=0.109; p>0.01). Persistence of smell and taste impairment was found in 5.5% of the patients.Conclusion:The rate of smell impairment in the outpatients was found to be significantly higher than in the cases treated in the intensive care unit.
    Keywords covid-19 ; olfactory impairment ; pediatrics ; smell ; taste ; Medicine ; R
    Subject code 616
    Language English
    Publishing date 2022-09-01T00:00:00Z
    Publisher Galenos Yayinevi
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  7. Article ; Online: Effective Lipid Emulsion Treatment of a Venlafaxine Intoxication Case with Status Epilepticus

    Nihal Akçay / Ülkem Koçoğlu Barlas / Mey Talip Petmezci / Güner Özçelik / Esra Şevketoğlu

    Türk Yoğun Bakım Dergisi, Vol 18, Iss 4, Pp 213-

    2020  Volume 216

    Abstract: Venlafaxine is a serotonergic and noradrenergic antidepressant. It shares serotonergic adverse effects with selective serotonin reuptake inhibitor (SSRI) antidepressants and causes noradrenergic adverse effects in particular cardiovascular disorders. ... ...

    Abstract Venlafaxine is a serotonergic and noradrenergic antidepressant. It shares serotonergic adverse effects with selective serotonin reuptake inhibitor (SSRI) antidepressants and causes noradrenergic adverse effects in particular cardiovascular disorders. However, it does not demonstrate advantages over SSRIs regarding efficacy. Most patients with a venlafaxine overdose develop only mild symptoms. Severe toxicity has been reported for venlafaxine, with the most common symptoms being central nervous system depression, serotonin toxicity, seizure or cardiac conduction abnormalities. We present a case of venlafaxine intoxication complicated by a late increase in creatine kinase (CK) level, seizures and cardiac toxicity. As reported in the literature, venlafaxine overdose can be fatal and can lead to cardiac toxicity and death. Patients may benefit from lipid emulsion-mediated therapeutic plasma exchange for the treatment of the lethal effects of venlafaxine intoxication. A 14-year-old patient with status epilepticus, long QTc interval and elevated CK level after venlafaxine overdose was successfully treated with lipid emulsion-mediated therapeutic plasma exchange.
    Keywords venlafaxine intoxication ; lipid emulsion treatment ; status epilepticus ; therapeutic plasma exchange ; long qtc interval ; Medicine ; R ; Medical emergencies. Critical care. Intensive care. First aid ; RC86-88.9
    Language Turkish
    Publishing date 2020-12-01T00:00:00Z
    Publisher Galenos Yayinevi
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  8. Article ; Online: Successful Treatment of an Intracranial Aneurysm by the Embolization Method in an Adolescent Patient

    Ülkem Koçoğlu Barlas / Hakan Selçuk / Mey Talip Petmezci / Nihal Akçay / Güner Özçelik / Hasan Serdar Kıhtır / Esra Şevketoğlu

    Journal of Pediatric Emergency and Intensive Care Medicine, Vol 8, Iss 2, Pp 122-

    2021  Volume 125

    Abstract: Intracranial aneurysms are very rarely encountered during childhood. In the clinics, they may be revealed after non-specific complaints or they may be observed as subarachnoid hemorrhage triggered by trauma. Today, endovascular treatment option is more ... ...

    Abstract Intracranial aneurysms are very rarely encountered during childhood. In the clinics, they may be revealed after non-specific complaints or they may be observed as subarachnoid hemorrhage triggered by trauma. Today, endovascular treatment option is more prominent for their management. In this study, we aimed to present a case that we hospitalized in our service due to head trauma and consequently detected a ruptured aneurysm. A fourteen-year-old male patient was admitted to our emergency room as intubated after falling from a chair in his father's workplace. After the brain computerized tomography and brain angiography, he was hospitalized with a pre-diagnosis of head trauma. The patient, who was treated for the existing brain edema, was extubated on the seventh day of hospitalization. The patient underwent digital subtraction angiography with the thought of presence of ruptured aneurysm in the images examined and a focus of aneurysm was detected in the right posterior inferior cerebral artery. The patient whose aneurysm sac was filled with gas by coil embolization technique during the same session was discharged on the 20th day of his hospitalization without brain edema and new focus of bleeding during his control computed tomography. We wanted to share this case study, in which we reviewed the literature about intracranial aneurysm treatment and follow-up options.
    Keywords aneurysm ; embolization ; coil ; subarachnoid hemorrhage ; Medicine ; R ; Pediatrics ; RJ1-570 ; Medical emergencies. Critical care. Intensive care. First aid ; RC86-88.9
    Subject code 616
    Language English
    Publishing date 2021-08-01T00:00:00Z
    Publisher Galenos Yayinevi
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  9. Article ; Online: Evaluation of Clinical and Demographic Characteristics of Patients Hospitalized in the Pediatric Intensive Care Unit due to Convulsive Status Epilepticus

    Ülkem Koçoğlu Barlas / Nihal Akçay / Mey Talip Petmezci / Hasan Serdar Kıhtır / Osman Yeşilbaş / Kübra Boydağ Güvenç / Güner Özçelik / Esra Şevketoğlu

    Journal of Pediatric Emergency and Intensive Care Medicine, Vol 8, Iss 3, Pp 172-

    2021  Volume 176

    Abstract: Introduction:Status epilepticus is an important part of pediatric intensive care hospitalizations. In this study, it was aimed to investigate the general characteristics and to share the clinical and demographical features of patients who were ... ...

    Abstract Introduction:Status epilepticus is an important part of pediatric intensive care hospitalizations. In this study, it was aimed to investigate the general characteristics and to share the clinical and demographical features of patients who were hospitalized due to convulsive status epilepticus.Methods:One hundred-thirty one cases were included in this study. Identity information of patients, presence of acute and chronic diseases, duration of intensive care stay and hospitalization, first seizure type, where they were admitted, number of seizures during intensive care follow-up, antiepileptics used in treatment and other treatments and the status of discharge-mortality were recorded.Results:62.6% of cases were male and the mean age of all cases was 53.69±47.14 months. The most common chronic disease was epilepsy and the most common acute disease was lower respiratory tract infection. The first admission of 34.4% of the cases was due to status epilepticus, and the rate of cases accepted from other hospitals was 60.3%. During intensive care follow-up, no convulsions were observed in 77.1% of the cases. In the first treatment, benzodiazepine infusion was used in 77.1% of the cases. The median length of stay in intensive care unit was 4 days (minimum-maximum= 3-8 days) in the benzodiazepine infusion group, and 3 days (minimum-maximum=2-3 days) in the group that was not given benzodiazepine. The other most preferred antiepileptics were levetiracetam and phenytoin in 62.6% and 39.7% of the cases, respectively. The mortality rate was found as 2.3%.Conclusion:In our study, it was observed that the majority of the patients who were hospitalized in our pediatric intensive care unit due to convulsive status epilepticus were male, convulsive status epilepticus was more common in children with chronic neurological disease, benzodiazepine infusion was the first choice for treatment and Levetiracetam was the second most commonly used antiepileptic.
    Keywords benzodiazepine ; child ; phenobarbital ; levetiracetam ; status epilepticus ; Medicine ; R ; Pediatrics ; RJ1-570 ; Medical emergencies. Critical care. Intensive care. First aid ; RC86-88.9
    Subject code 610
    Language English
    Publishing date 2021-12-01T00:00:00Z
    Publisher Galenos Yayinevi
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  10. Article ; Online: A Rare Casue of Stridor

    Nihal Akçay / Hasan Serdar Kıhtır / Mey Talip Petmezci / Ülkem Koçoğlu Barlas / Esra Şevketoğlu

    Türk Yoğun Bakım Dergisi, Vol 17, Iss 1, Pp 58-

    Congenital Subglottic Hemangioma

    2019  Volume 59

    Keywords Medicine ; R ; Medical emergencies. Critical care. Intensive care. First aid ; RC86-88.9
    Language Turkish
    Publishing date 2019-03-01T00:00:00Z
    Publisher Galenos Yayinevi
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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