e-ISSN 2147-2475

Hzl Arama




RESPIRATORY CASE REPORTS - Respir Case Rep: 11 (2)
Cilt: 11  Say: 2 - 2022

EDITR'DEN
1.
Respiratory Case Reports Dergisinde 10. Yl Tamamlarken
Completing the 10th Year in Respiratory Case Reports
Zafer Kartalolu, Ouzhan Okutan
Sayfalar I - III

OLGU SUNUMU
2.
Lenfadenopatili Periferik Akcier Nodlnn Tansnda Endobroniyal Ultrason ile Robotik Yardml Bronkoskopi: Olgu Sunumu
Robotic-assisted Bronchoscopy with Endobronchial Ultrasound for the Diagnosis a of Peripheral Lung Nodule with Lymphadenopathy: A Case Report
Sai Priyanka Pulipaka, Katherine Walsh, Alejandra Yu Lee-Mateus, Daniel Hernandez, Rocio Castillo-Larios, David Abia-Trujillo, Sebastian Fernandez-Bussy
doi: 10.5505/respircase.2022.70437  Sayfalar 55 - 58
Akcier nodllerinin yaklak %95'i iyi huylu olmakla beraber, ABD'de onkolojik lmlerin nde gelen en sk nedeni akcier kanseri olduu iin akcier nodl-lerin trn belirlemek gerekmektedir. Bir tehis arac seerken, tehis deerinden dn vermeden, yaplan ilem saysn azaltabilmek nemlidir. Bu olgu sunu-munda, periferik yerleimli bir akcier nodl ve mediastinal lenf nodlarnn biyopsisinde mevcut rad-yal ve lineer endobroniyal ultrason rehberliinde transbroniyal ine aspirasyonu ile beraber, robotik yardml bronkoskopinin baarl bir ekilde birlikte kullanlmas anlatlmaktadr. Tek bir ilem ile hem periferik nodl hem de lenf nodl, komplikasyonsuz olarak rneklendi. Periferik nodlde malingnite yoktu, ancak lenf nodl Histoplazma ile uyumlu bulundu.
Some 95% of all detected lung nodules are benign, although it is essential to determine the underlying cause, given that lung cancer is the leading cause of oncological death in the United States. When choos-ing a diagnostic tool, reducing the number of proce-dures without compromising the diagnostic value is essential. This case report focuses on the successful use of the latest robotic-assisted bronchoscopy in combination with existing radial and linear endo-bronchial ultrasound-guided transbronchial needle aspiration for the biopsy of a peripherally located lung nodule and mediastinal lymph nodes. Combin-ing the two procedures allowed the peripheral nodule and lymph nodes to be sampled with no complica-tions in a single procedure. The nodule showed no cancerous growth, although the lymph nodes showed granulomas consistent with Histoplasma.

3.
Sarkoidoz ve Silikozis Birliktelii: Olgu Serisi
Coexistence of Sarcoidosis and Silicosis: Case Series
Melike Yksel Yavuz, Yucel Demiral
doi: 10.5505/respircase.2022.36002  Sayfalar 59 - 64
Silikozisin ayrc tans sarkoidoz, berilyoz, hipersensi-tivite pnmonisi, malignite, tberkloz ve dier gra-nlomatz enfeksiyonlar ierir. Sarkoidoz etiyolojisi tam olarak bilinmeyen sistemik granlomatz bir hastalktr ve silika, berilyum gibi mesleki maruziyet faktrlerin tetikleyici ajan olarak rol oynayabilecei dnlmektedir. Eksik ve dikkatsiz bir meslek yks birok olguda pnmokonyoz yerine sarkoidoz tans-na yol aabilir. Ek olarak bu iki hastaln bir arada grlmesine veya bir dierinin tekinden nce sap-tamas gibi durumlara da eitli makalelerde dikkat ekilmitir. Bu yazda bir niversite hastanesinin i ve meslek hastalklar blmne bavuran be olgu zerinden sarkoidoz ve silikoz birliktelii tartlmtr. Tm olgularda aktif akcier tberklozu ve akcier malignitesi dland. Tm olgularn biyopsi materyal-lerinin histopatolojik incelemeleri kazeifiye olmayan granlomatz inflamasyon olarak rapor edildi. Bir olguda polarize mikroskopta ift kran cisim gsterildi. Burada, bu olgular nda iyi alnm bir meslek yksnn sarkoidoz ve silikozisin ayrc tans ve etiyolojisini saptamadaki faydasna dikkat ekmek amalanmtr.
The differential diagnosis of silicosis includes sar-coidosis, berylliosis, hypersensitivity pneumonia, malignancy, tuberculosis and other granulomatous infections. Sarcoidosis is a systemic granulomatous disease with an unknown etiology, although it is thought that occupational exposure to such substanc-es as silica and beryllium may be a trigger. An in-complete occupational history may lead to a diagno-sis of sarcoidosis rather than pneumoconiosis in many cases, although various associations of these two diseases, such as the coexistence and detection of one before or after the other, have been reported in literature. The coexistence of sarcoidosis and sili-cosis is discussed in the present study with reference to five cases who applied to the Occupational Dis-eases department of a university hospital. Active pulmonary tuberculosis and lung malignancy were excluded in all cases, and histopathologic examina-tions of all samples were reported as non-caseating granulomatous inflammation. In the specimen of one case, a birefringent body was identified upon polar-ized microscopy. In the light of these cases, it is aimed to draw attention to the usefulness of a well-received occupational history in the differential diag-nosis and etiology of sarcoidosis and silicosis.

4.
Bir Mahkumda Hemoptizi Nedeni Olarak Munchausen Sendromu
Munchausen's Syndrome as a Cause of Hemoptysis in a Prisoner
Hulya Dirol, Fatma Deniz, Yaar Glnur Gdl
doi: 10.5505/respircase.2022.73383  Sayfalar 65 - 68
Yapay hemoptizi olduka nadirdir ve tans doktorlar zorlar. Krk yandaki erkek mahkmun drt yldr hemoptizisi vard. Daha nce detayl inceleme yaplm ancak hemoptizinin etiyolojisi belirlenememiti. Son gnlerde hemoptizi skl ve miktar artmt. Biz de radyolojik grntleme ve bronkoskopi dahil birok tansal tetkikler yaptk ancak kanamann lokalizasyonunu ve etiyolojisini belirleyemedik. Tam idyo-patik hemoptizi tehisi koyacakken baz pheli dav-ranlar ve elikili ifadeler grdk. Psikiyatrik deer-lendirmenin ardndan hastaya ikinci eksen kiilik bozukluu ve yapay bozukluk tans konuldu. Yapay hemoptizinin tehisi zordur ve idiyopatik hemoptizi ile kartrlabilir. Detayl bir muayene ile kanama yeri ve nedeni belirlenemeyen hemoptizi hastalarnda dnlmelidir.
Factitious hemoptysis is fairly rare condition, the diagnosis of which can be challenging to physicians. A 40-year-old incarcerated male with hemoptysis for four years had previously undergone a detailed inves-tigation, but the etiology of the hemoptysis could not be determined. The hemoptysis has increased in frequency and quantity, however, numerous diagnos-tic tests, including radiological imaging and bron-choscopy, has been unable to reveal the localization and etiology of the bleeding. As we were about to diagnose idiopathic hemoptysis, some suspicious behaviors and contradictory statements led us to conduct a psychiatric evaluation, and the patient was subsequently diagnosed with axis two personality disorder and factitious disorder. Factitious hemoptysis is difficult to diagnose and may be confused with idiopathic hemoptysis, and should be considered in patients with hemoptysis in which the location and cause of bleeding cannot be determined after a de-tailed examination.

5.
Solunum Yetmezliinin Nadir Bir Nedeni: Negatif Basnl Pulmoner dem
A Rare Cause of Respiratory Failure: Negative Pressure Pulmonary Edema
Baak Saynalp, Ouz Abdullah Uyarolu
doi: 10.5505/respircase.2022.56823  Sayfalar 69 - 72
Bu olgu sunumunda, elektif artroskopik ilem sonras nefes darl gelien, negatif basnl pulmoner dem (NBP) tans konan ve baaryla tedavi edilen bir hasta sunulmutur. Yirmi dokuz yanda, herhangi bir tbbi yks olmayan erkek hasta, askeri operasyon srasnda gelien rotator manet yrt nedeniyle hastanemize bavurdu. Genel anestezi altnda artroskopik ilem yapld. Ancak hastada ekstbasyondan 2 saat sonra dispne geliti. Hastada satrasyon dkl ve takipne ile birlikte ve kpkl pembe balgam grld. Bilgisayarl tomografi pulmoner anjiyografide tromboemboli saptanmayp, her iki akcierde kardiyojenik olmayan pulmoner dem dndren yaygn buzlu cam opasiteleri saptand. Hasta NBP tans konularak invazif olmayan mekanik ventilasyon, intravenz furosemid ve inhale ksa etkili betaagonistler ile tedavi edildi. Birka gn iinde belirgin bir iyileme grlen hasta herhangi bir solunum semptomu olmadan taburcu edildi. Ekstbasyon sonras solunum yetmezlii gelien kiilerde hayat tehdit edici bir tablo olan NBP akla gelmelidir.
We report here on the successful management of a patient who developed dyspnea after an elective arthroscopic procedure and who was diagnosed with Negative Pressure Pulmonary Edema (NPPE). A 29-year-old male patient with no known medical history was admitted to our hospital due to a rotator cuff tear sustained during a military operation. An arthroscopic procedure under general anesthesia was performed; however, the patient developed dyspnea 2 hours after extubation. He was desaturated, tachypneic and began to produce frothy pink sputum. Pulmonary computed-tomography angiography revealed wide-spread ground-glass opacities in both lungs suggest-ing non-cardiogenic pulmonary edema without acute pulmonary thromboembolism. The patient was thus diagnosed with NPPE and treated with non-invasive mechanical ventilation, intravenous furosemide and inhaled short-acting beta-agonists. Significant recov-ery was observed in a couple of days, and the patient discharged after his respiratory symptoms abated. NPPE should immediately be suspected in individuals who develop respiratory failure following extubation, as it can be life threatening.

6.
Sevofluran ile ndklenen Diffz Alveolar Hemoraji
Diffuse Alveolar Hemorrhage Induced by Sevoflurane
Birsen Pnar Yldz, Didem Grgn Hattatolu, Fulya Omak Kaya
doi: 10.5505/respircase.2022.37084  Sayfalar 73 - 76
nhale anestezik sevoflurana maruz kaldktan sonra yaygn alveolar hemoraji (DAH) gelien bir olguyu sunmay amaladk. Burada sunulan hasta, jineko-masti nedeniyle plastik cerrahiye bavuran 29 yanda bir erkek idi. Genel anestezi altnda intravenz mida-zolam (4mg), fentanil ve inhale sevofluran ile kompli-kasyonsuz cerrahi uyguland. Ameliyat sonunda ani hipoksemi ve masif kanama tespit edildi. Akcier grafisinde bilateral yaygn alveolar infiltratlar grld. Ameliyat sonras dnemde serum hemoglobin dzeyi 2,5 g/dl (13'ten 10,5 gr'a) dt. Hastaya 3 gn sreyle intravenz olarak gnlk metilprednizolon (1 gr) tedavisi verildi. Drdnc gnde hipoksemi d-zeldi ve akcier grafisinde alveolar infiltratlar kaybol-du. Literatrdeki snrl veriler, sevofluran ve DAH arasnda bir iliki olduunu gstermektedir. Bizim olgumuzda DAH' geliimine neden olan sebepler ve zemin hazrlayan faktrlerin hibiri saptanmad. Bu nedenle, DAH'dan inhale anestezik olarak sevoflu-ran'n sorumlu olduu dnlmektedir.
We present here a case of diffuse alveolar hemor-rhage (DAH) following exposure to inhaled anesthetic sevoflurane. A 29-year-old male was admitted to the plastic surgery department with gynecomastia. Sur-gery was performed without complication under gen-eral anesthesia with intravenously administered mid-azolam (4mg), fentanyl and inhaled sevoflurane. Immediate hypoxemia and massive hemorrhage was detected at the end of the operation, and a chest radiography revealed bilateral widespread alveolar infiltrates. The serum hemoglobin level dropped by 2.5 g/dl (from 13 to 10.5 gr) in the postoperative setting. The patient was treated with methylpredniso-lone (1 gr) administered intravenously daily for 3 days. The hypoxemia resolved and alveolar infiltrates on the chest radiograph disappeared on the 4th day. There is limited data in literature reporting on the association between sevoflurane and DAH. None of the predisposing factors or causative reasons for DAH were detected in our case, and so it can be conclud-ed that the use of sevoflurane as an inhaled anesthet-ic was responsible for the DAH.

7.
Splenik Tberklozun Elik Ettii Tberkloz Lenfadenit ve Tberkloz Plrezi: Bir Olgu Sunumu
A Case Report of Tuberculous Lymphadenitis and Tuberculous Pleural Effusion Accompanied by Splenic Tuberculosis
Gamze Kayasuyu, Ceyda Anar, Sheyla Uygur, Betl Doan, Muzaffer Onur Turan, Bunyamin Sertogullarindan, Ebru Cakir
doi: 10.5505/respircase.2022.55822  Sayfalar 77 - 82
Dalak tberklozu, literatrde zaman zaman, oun-lukla eitli risk faktrleri olan bakl basklanm bireylerde tanmlanmtr. Dalak tutulumu ve spleno-megalinin olmas, bu tr Mycobacterium tuberculosis enfeksiyonunun tehis edilmesini zorlatrr. Spleno-megali ile birlikte mediastinal ve abdominal lenfade-nopatileri olan ve lenfoma n tans ile aratrlan, nemli bir tbbi yks olmayan 56 yanda kadn hasta ate, halsizlik yaknmas ile bavurdu. Alnan plevral ve dalak biyopsisinde granlomatz inflamas-yonun ortaya kt. Burada, dalak tberklozunun elik ettii tberkloz lenfadenit ve plrit olgusunu sunuyoruz Tberkloz, nedeni bilinmeyen ate ve lenfadenopatilerin elik ettii hastalklarda ayrc tan olarak hala aklda tutulmaldr.
Spleen tuberculosis has occasionally been described in literature, mostly in immunocompromised patients with various risk factors. The presence of spleen in-volvement and splenomegaly makes this type of My-cobacterium tuberculosis infection difficult to diag-nose. A 56-year-old woman who had mediastinal and abdominal lymphadenopathies with splenomeg-aly and was investigated with a pre-diagnosis of lymphoma, and with no significant medical history, presented with complaints of fever and malaise. Here, we present a case of tuberculous lymphadenitis and pleuritis accompanied by splenic tuberculosis with the appearance of granulomatous inflammation on pleu-ral and spleen biopsy. Tuberculosis should be kept in mind as a differential diagnosis in diseases accom-panied by a fever of unknown origin and lymphade-nopathy.

8.
Akcier Apsesi ile Takip Edilen Hastada kincil Beyin Apsesi
Secondary Brain Abscess in a Patient Followed Up with Lung Abscess
zlem Ataolu, Pnar Yldz Glhan, Mehmet Fatih Elverili, Ege Gle Balbay
doi: 10.5505/respircase.2022.63496  Sayfalar 83 - 87
Down sendromunda solunum yolu enfeksiyonlar sk olarak grlmektedir. Diabetes mellitusu da olan Down sendromlu 24 yandaki erkek hasta, ate ve kusma ikayetleri ile gittii d merkezde akcier ap-sesi tansyla antibiyotik tedavisi alm, ancak semp-tomlarnn gerilememesi zerine tarafmza sevk edil-mitir. Radyolojik incelemede akcier apsesinde d-zelme olmasna ramen ate, kusmann devam etme-si ve ba arsnn da balamas zerine yaplan ince-lemelerde hastann beyin apsesinin de olduu sap-tand. zellikle altta yatan ek hastal olan akcier apseli olgularda beyin apsesi gibi ek apse odaklar asndan dikkatli olunmaldr.
Respiratory tract infections are common in Down syndrome. A 24-year-old male patient with Down syndrome with concurrent diabetes mellitus under-went antibiotic treatment with a diagnosis of lung abscess in an external center with complaints of fever and vomiting, but was referred to us after his symp-toms did not regress. Despite the improvement in the lung abscess noted in a radiological examination, the patient was identified with a brain abscess upon an examination due to the continuation of fever, vomit-ing and the onset of headache. Particular attention should be paid to additional abscess foci such as brain abscess in cases with lung abscess with an underlying comorbidity.

9.
Primer Plevral Sinovyal Sarkom Olgusu
A Case of Primary Pleural Synovial Sarcoma
Kadir Canolu, smail Ylmaz, Tayfun Calkan, mer Ayten, Ouzhan Okutan, Zafer Kartalolu, Neslihan Kaya Terzi
doi: 10.5505/respircase.2022.85579  Sayfalar 88 - 92
Primer plevral sinovyal sarkom tanl 29 yanda erkek hastann, geliinde herhangi bir ikayeti yoktu, sigara imiyordu ve zgemiinde zellik yoktu. PA akcier grafisinde, gs duvarna bitiik dzgn snrl dev kitle izlendi. Toraks BTsinde; sa hemitoraks latera-linde, diffz amorf kalsifikasyon ieren solid kitlesel lezyon tespit edildi. PET/BTde, tanmlanan lezyonda SUVmax 5.0 olan F18-FDG tutulumu saptand. Tru-cut biyopsi sonucunda, histolojik olarak monofazik, youn hcresel ve birbiri zerine geen fasikllerin oluturduu isi hcreler, SYT-SSX1 fzyon (X;18)(p11.23;q11) saptanmas zerine sinovyal sarkom tans kondu. Cerrahi ve kemoradyoterapi sonrasnda 1 yldr stabil olarak onkoloji merkezinde takip edilmektedir. Bu yaz, nadir grlen ve agresif bir tumor olan primer plevral sinovyal sarkomun tan basamaklar ve iyi sonular alnabilmesi iin hzlca tedavisinin balanmasna dikkat ekmeyi amalamak-tadr.
We present here the case of a 29-year-old male with primary pleural synovial sarcoma. The patient had no complaints, no significant medical history and did not smoke. A well-circumscribed giant mass, adjacent to the chest wall was observed on a PA chest X-ray, with a solid mass lesion in the lateral right hemithorax with diffuse amorphous calcifications noted on thorax computed tomography. An F18-FDG uptake with a SUVmax of 5.0 was detected in the mass defined by PET/CT. A Tru-cut biopsy revealed monophasic as histological subtypes composed of a dense cellular and interlaced fascicular proliferation of spindle cells, and SYT-SSX1 fusion (X;18)(p11.23;q11) consistent with synovial sarcoma. The patient was followed-up in the oncology center after surgery and chemoradio-therapy, and has been stable for 1 year. This paper draws attention to a diagnostic approach to primary pleural synovial sarcoma, which is a rare and aggres-sive tumor, and the need for the prompt initiation of treatment for an improved outcome.

10.
Dispne ve Disfajinin Nadir Bir Nedeni Olarak Kommerell Divertikl
Kommerell Diverticulum: A Rare Cause of Dyspnea and Dysphagia
Refika Hural, Glsm Bingol, Enis ztrk, Ebru Serin, Seda Tural Onur, Emir zgr Bar kn
doi: 10.5505/respircase.2022.17362  Sayfalar 93 - 97
Kommerell divertikl (KD), genellikle aberran bir sa subklavyen arterin (ARSA) veya aberran sol subklav-yen arterin (ALSA) knda bulunan aortik arkn distal ksmnn konjenital dilatasyonudur. Bu olguda, sa tarafl aortik ark (RAA) ile beraber ligamentum arteri-yozumu (LA) olan ve KD'den kaynaklanan ALSA's olan 40 yanda bir erkek hastay tanmladk. Polikli-niimize bavurmu bu hastann son bir yl iinde devam eden nefes darl ve yutma gl yks vard. Kliniimizde hastaya, ligamentum arteriyozum-lu RAA'da ALSA dzeyinde KD gstermek iin akci-er tomografisi ekildi. Semptomlar nedeniyle KD ve LAnn cerrahi rezeksiyonu planland. nen aortadan KD rezeke edildi ve ALSA sol karotid artere transfer edildi. Hasta ameliyattan 6 gn sonra komplikasyon-suz olarak taburcu edildi. Ameliyattan sonra hastann dispne ve disfajisi tamamen kayboldu.
Kommerell's diverticulum (KD) is a congenital dilata-tion of the distal portion of the aortic arch that is usually located at the origin of an aberrant right subclavian artery (ARSA) or the aberrant left subclavi-an artery (ALSA). We describe here a 40-year-old male patient with a right-sided aortic arch (RAA) with ligamentum arteriosum (LA) and ALSA originating from the KD. The applied to our outpatient clinic with a history of dyspnea and dysphagia that had persist-ed for the last year. The patient underwent chest computed tomography (CT) in our clinic, revealing ALSA-level KD in RAA with ligamentum arteriosum. Surgical resection of KD and LA was planned based on the symptoms. NE was resected from the descend-ing aorta and ALSA was transferred to the left carotid artery, and the patient was discharged 6 days after the operation without complications. After the opera-tion, the patient's dyspnea and dysphagia subsided completely.

11.
nsidental Tespit Edilen Aberran Sa Subklavyen Arter: Olgu Sunumu
Incidentally Detected Aberrant Right Subclavian Artery: A Case Report
Mehmet Aar, Semih Koyiit
doi: 10.5505/respircase.2022.63325  Sayfalar 98 - 101
Aberran sa subklavyen arter (ASSA) konjenital bir anomali olup, sklkla asemptomatik seyreden ve nadir grlen bir anomalidir. Erikin ASSAl hasta-larda en sk klinik bavuru semptomu disfaji olup nadirde olsa solunum yaknmalar ile de bavurabilir-ler. Yutma gl ile bavuran 79 yandaki bir hasta ekilen toraks ve boyun BT, zofagografi ile tan konularak sunulmutur. Hasta yutkunamama ve ksrk ikayeti ile bavurduu merkezlerde pnmoni tedavisi grm, ekilen grafiler sonras mediastinal kitle phesiyle sevk edilen hastaya kontrastl bilgisa-yarl tomografi ile ASSA tans konulmutur. Sonu olarak yutma gl ile bavuran hastalarda ASSA buna neden olan nadir bir sebepte olsa ayrc tanda yer almaldr.
Aberrant right subclavian artery (ARSA) is a rarely seen congenital and often asymptomatic anomaly. The most common clinical presenting symptom in adult ARSA patients is dysphagia, while patients may rarely present with respiratory complaints. We present here the case of a 79-year-old patient with dysphagia who was diagnosed based on thorax and neck CT and esophagography findings. The patient was treat-ed for pneumonia in the centers to which she applied with complaints of cough and inability to swallow, and was subsequently referred to us with the suspi-cion of a mediastinal mass after radiograms were obtained. The diagnosis of ARSA was made based on contrast-enhanced computed tomography. With this in mind, ARSA should be included in the differential diagnosis of patients presenting with dysphagia, despite it being a rarely seen etiology.

12.
AIDS, PCP ve Tberkloz Tanlar Alan COVD-19 pheli bir Olgu
A Case of Suspected COVID-19 Identified with AIDS, PCP and Tuberculosis
Zeynep Tilbe Saymaz, eref zkara
doi: 10.5505/respircase.2022.67984  Sayfalar 102 - 106
HIV (nsan mmn Yetmezlik Virs) immn sistemi zayflatan, AIDS (Kazanlm Baklk Yetersizlii Sendromu) hastalna yol aan viral bir enfeksiyon-dur. mmn sistemin zayflamas ile birlikte, tberk-loz, PCP (Pneumocystis jiroveci pnmonisi), CMV (sitomegalovirs), kandida gibi frsat enfeksiyonlara olanak salamaktadr. En yksek mortaliteyi oluturan durumlar frsat enfeksiyonlardr. Bu durum AIDS hastalarnda frsat enfeksiyonlara ynelik tarama ve profilaksi uygulanmasn gerekli klmtr. Tberkloz ile HIV birliktelii uzun zamandr bilinmekte ve prog-nozu ktletirmektedirler. PCP ise gnmzde man-tar olarak kabul edilen P. jirovecii etkenli frsat bir pnmonidir. Covid -19 pandemisi ile birlikte de AIDS hastalarnda yeni bir mortalite sebebi ortaya kmtr. AIDS hastalarnn bu frsat enfeksiyonlara kar taranmas, profilaktik tedavi almas ve erkenden tedavi almalar hayati nem tamaktadr. Ancak HIV pozitiflii rastlantsal olarak saptanan kiilerde tarama ve profilaksi gecikmesinden tr mortalite yksek seyredebilmektedir. Bu yazda Covid-19 pnmonisi phesi ile hastanemize bavuran bir hastann HIV pozitif tespit edilip PCP ve takibinde akcier tberk-lozu saptanmas anlatlmaktadr.
HIV (Human Immunodeficiency Virus) is the virus that causes AIDS (Acquired Immune Deficiency Syndrome), while PCP (Pneumocystis jiroveci pneumonia), tuber-culosis, CMV (Cytomegalovirus) and candidiasis are the OIs (opportunistic infections) occurring due to immune deficiency. OIs, and bacterial pneumonias in particular, are the most common causes of mortality, which makes the screening and prophylactic therapy for OIs necessary. The synergy between tuberculosis and HIV has long been known, and worsens the prognosis. PCP is an OI that is caused by a fungus named P. jiroveci. COVID-19 has emerged as a new cause of death among AIDS patients. Screening and prophylactic therapy for Ols is vital for patients with AIDS, however, mortality may be high due to delays in screening and prophylaxis in those whose HIV positivity is detected coincidentally. We report here on a patient who applied to our hospital with suspected COVID-19 pneumonia who was found during follow-up to be HIV positive with PCP and pulmonary tuber-culosis.

13.
Epileptik Nbetle Bavuran Gen Kadn COVID-19 Hastas
Young Female COVID-19 Patient Presenting with Epileptic Seizure
Smeyye Kement, Kader Topu, Cem Arda Yacan, Seda Berke, Nilgn Cengiz, Ouz Uzun
doi: 10.5505/respircase.2022.83702  Sayfalar 107 - 111
COVID-19, asemptomatikten iddetli semptomlarla giden hastala kadar geni bir klinik spektrum gste-ren, ounlukla solunum yollarn etkileyen yeni tip koronavirs enfeksiyonudur. Hastalkta temel etkile-nen blge solunum sistemi olsa da, pandeminin erken evrelerinden itibaren baz hastalarda, ba ar-s, ba dnmesi ve kas arlar gibi nrolojik semp-tomlar da bildirilmitir. COVID-19 semptomlar ve komplikasyonlar, hem periferik hem de santral sinir sistemini ve iskelet kaslarn etkileyebilir. Epileptik nbet, COVID-19'un nadir bir belirtisidir. Biz de COVID-19 ensefalopatisi nedeniyle, hastaneye epi-leptik nbet ile bavuran bir kadn hastay sunuyoruz.
COVID-19 is a new type of coronavirus infection with a wide clinical spectrum, ranging from asymptomatic to severely symptomatic, and that mostly affects the respiratory tract. Although the respiratory tract is the primary area affected by the disease, neurological symptoms such as headache, dizziness and muscle ache have also been reported in some patients since the early stages of the pandemic. COVID-19 symp-toms and complications can affect the peripheral and central nervous systems as well as the skeletal mus-cles, while epileptic seizure is a rare manifestation of COVID-19. We present here the case of a female patient admitted to hospital with epileptic seizure due to COVID-19 encephalopathy.

14.
Atipik Post-COVID Sekeli: Bronektazi
Atypical Post-COVID Sequel: Bronchiectasis
Emine Afin
doi: 10.5505/respircase.2022.32704  Sayfalar 112 - 115
Post- COVID pulmoner fibrozis ve tromboemboli geliimine dair ok sayda yayn olmasna ramen, bronektazi geliimi ile ilgili literatrde snrl sayda yayn ve olgu sunumlar bulunmaktadr. Biz de bu almamzda post-COVID 11. ayda bronektazi sekeli saptanan olgumuzu sunmay amaladk. Krk dokuz yanda, erkek, diabetes mellitus ve hipertansi-yon tanl, non-smoker hasta, efor dispnesi ile ba-vurdu. On bir ay nce ar COVID-19 pnmonisi ve solunum yetmezlii ile hastanede 1,5 ay sreyle yat-rlarak izlenmiti. Favipiravir, pulse metilprednizolon ve geni spekturumlu antibiyotik verilen hastann invazif mekanik ventilatr ihtiyac olmamt ve sekon-der bakteriyel enfeksiyon saptanmamt. Toraks BTsinde eski BTleri ile kyaslandnda fibrotik dei-iklikler kaybolmasna ramen bronektazisinin sebat ettii grld. Gelecek yllarda bronektazi etyoloji-sinde ilk sorgulayacamz nedenlerden biri COVID-19 geirme yks olabilir.
Although there have been many studies determining the occurrence of post-COVID pulmonary fibrosis and thromboembolism, there are a limited number of studies and case reports in literature on the develop-ment of bronchiectasis. The present study presents a case of bronchiectasis sequel in the post-COVID 11th month. A 49-year-old male, non-smoker with diabe-tes mellitus and hypertension was admitted with exer-tional dyspnea. The patient had been followed up in the hospital 11 months earlier for 1.5 months with severe COVID-19 pneumonia and respiratory failure for which he was treated with Favipiravir, pulse methylprednisolone and broad-spectrum antibiotics. There was no need for invasive mechanical ventila-tion, and no secondary bacterial infection was de-tected. Compared to the previous CT, a chest CT revealed that bronchiectasis had persisted despite the disappearance of fibrotic changes. In the coming years, one of the first questions raised regarding the etiology of bronchiectasis may be the patients COVID-19 history.

LookUs & Online Makale