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Öğe INVESTIGATION OF 62 MUSHROOM POISONING CASES APPLIED TO THE EMERGENCY SERVICE DURING ONE MONTH PERIOD(Aves, 2008) Deniz, T.; Saygun, M.Aim: In this study, it is aimed to investigate the extensive mushroom poisoning cases applied to the Emergency Department during a month. Materials and Methods: The age, gender, the duration of latent phase, clinical and laboratory findings of mushroom poisoning cases were investigated. Results: 62 patients applied to the Emergency Department in total. 51.6% of who were male, 70.9% were in adult age group. When latent phase was investigated, it was seen that the symptoms in most cases (77.3%) appeared within initial 6 hours and in 17.6% of cases after 6 hours. Gastrointestinal symptoms were first existing symptoms in 87.1% cases and there was no significant difference between the age and gender groups in terms of the distribution of these symptoms (p>0.05). Nausea was found in 67.7%, vomiting in 54.8%, stomach-ache in 40.3% and diarrhea in 14.5% of patients. Neurological symptoms such as headache, dizziness and confusion were found in 17.7% of patients, sweating in 1.6% and agitation in 1.6% of patients. Conclusion: Since the latent phase was shorter than 6 hours and no deaths were recorded in adult group in which no enzyme elevation was found, it could be thought that the most mushrooms in the region were not very poisonous; however, this does not indicate that wild mushrooms in this region can be safely consumed.Öğe Is there a relationship between the blood cholinesterase and QTc interval in the patients with acute organophosphate poisoning?(Wiley, 2007) Baydin, A.; Aygün, D.; Yazici, M.; Karataş, A.; Deniz, T.; Yardan, T.Organophosphates cause poisoning as a result of the excessive accumulation of acetylcholine at the cholinergic synapses due to inhibition of acetylcholinesterase (ChE). In the literature, it has been reported that there have been electrocardiographic abnormalities, including QT-interval prolongation in most patients with acute organophosphate poisoning (OPP), and a relation between blood ChE level and clinical severity in acute OPP. The aim of this study is to assess the relationship between blood ChE level and QTc interval in the patients with acute OPP. This retrospective study consists of 20 patients admitted to the emergency intensive care unit. A total of 93 QTc interval and blood ChE measures obtained on the same day from 20 cases were compared for their correlation. There were prolonged QTc intervals in 35.4% of the ECGs. There was a negative correlation between QTc interval and blood ChE measures. In following up the patients with acute OPP, QTc interval may be useful when blood ChE levels are low and may provide complementary information concerning the severity of poisoning. However, further prospective studies, supporting the present results, are needed.Öğe SPONTANEOUS HEMOPNEUMOTHORAX OBSERVED IN A HEALTHY YOUNG(Aves, 2008) Kandis, H.; Gungor, A.; Katirci, Y.; Deniz, H.; Deniz, T.Spontaneous hemopneumothorax is a disease rarely accompanied by spontaneous pneumothorax. Delay in diagnosis and treatment may result in mortality. We considered that hemothorax (spontaneous hemopneumothorax) accompanied by spontaneous pneumothorax may develop in a young patient not having trauma and bleeding, we aimed to investigate the existing treatment methods.
