Neonatal sepsis and meningitis due to Staphylococcus cohnii.
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Biomedical subjects
Publications and source records attributed to I S Kaya.
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Normal limits of periumbilical skin were determined in 304 newborn babies in the first 24 h. Cranial umbilical skin (SD) was 12.36 (3.23) mm and caudal umbilical skin (SD) was 8.76 (3.10) mm on the average. It is recommended that cranial umbilical skin measurement should be included in the examination of dysmorphic neonates, and those with cranial skin length above 18.82 mm (> 2 SD) should be carefully evaluated for Rieger syndrome.
We followed a premature baby with hepatic subcapsular calcification of unknown etiology. Results of clinical and laboratory investigations and growth of the patient were normal. The causes of this condition are discussed and we suggest that it does not necessarily reflect disease.
Serum chromium levels of hypoglycemic preterm and full-term babies were investigated. Normoglycemic preterm and full-term babies were selected as the control group. There was no statistically significant difference in serum Cr levels between preterm and full-term, hypoglycemic and normoglycemic, preterm hypoglycemic and preterm normoglycemic, full-term hypoglycemic and full-term normoglycemic babies. Serum Cr levels of intrauterine-growth-retarded babies were relatively low compared to infants appropriate for gestational age. Serum Cr levels of babies with mothers younger than 35 years of age had significantly lower levels than older mothers' babies.
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The diagnosis of urinary tract infections were established on fifty children in our hospital in the last year. Most of the patients were between the age of 1-12 month (28 cases, 56%). The ratio of female/male was 3.5. Fever was the most common symptom (17 cases, 34%). In the routine urinalysis, proteinuria and pyuria were revealed in 11 cases (22%), and 44 cases (88%), respectively. E. coli was the most common microorganism isolated from urine cultures (70%). Twenty-two patients were regularly followed up and recurrence was observed in 7 patients (32%).
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We noticed coagulase positive staphylococcus is the most common pathogen in the neonatal sepsis in our neonatology unit. We followed 22 cases with neonatal sepsis. Blood cultures revealed coagulase staphylococcus in 9 cases, coagulase negative staphylococcus in 6 cases, Pseudomonas spp. in 5 cases, E. coli in 1 case, Klebsiella spp. in 1 case. The most common symptom was apnea. CRP positivity was noted in 15 cases (68.2%) while increase in immature/total neutrophil ratio was observed in 12 cases (54.5%). However, we detected leukopenia in 2 cases (9.1%). Also, the birthweight of the cases died due to neonatal sepsis were below 2000 gr.
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Agenesis of the lung is extremely rare. Developmental defects of the lung are usually associated with other congenital malformations. Half of all reported patients die either at birth or within the first 5 yrs of life. We report a case of right lung agenesis with absence of the left kidney, and fusion anomaly between ribs 4 and 5 on the left hemithorax.