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Öğe Bronchiolitis Obliterans Organizing Pneumonia: Three Cases Leading to Respiratory Failure(Bilimsel Tip Publishing House, 2005) Altiay, Gundeniz; Hatipoglu, Osman Nuri; Tabakoglu, Erhan; Yalcin, Omer; Caglar, TuncayBronchiolitis obliterans organizing pneumonia (BOOP) is an entity of unknown etiology characterized histologically by granulation tissue plugs within the lumens of small airways extending into the alveolar ducts and airways. The typical presenting symptoms and signs are dyspnea, cough, fever, weight loss, and a chest radiograph with single or multiple alveolar opacities. Some cases progress rapidly and have a poor prognosis. We followed-up three idiopathic BOOP cases in one month. Pathological diagnosis was based on transbronchial lung biopsy (TBLB) in all of them. The characteristic features of all cases were progressive respiratory failure. We treated them with high dose prednisolone for three days (first day 80 mg q6h, second day 80 mg q8h, third day 80 mg q12h) and continued with 1 mg/kg/d prednisolone. We observed rapid radiological and clinical improvement in all cases. Interestingly, these three patients were admitted to our clinic with progressive respiratory failure in the same one month period.Öğe A Case of Massive Pulmonary Embolism Due to Diabetic Ketoacidosis and Hyperhomocysteinemia(Aves, 2014) Uzmezoglu, Bilge; Ozdemir, Levent; Hatipoglu, Osman Nuri; Ozdemir, Burcu; Edis, Ebru CakirA 57-year-old woman with no prior history was admitted to our emergency department with complaints of chest pain, dyspnea, xerostomia, syncope, and cyanosis on her lips and feet. On her physical examination, cyanosis, tachypnea, hypotension and sinus tachycardia were revealed. On the spiral computed tomography of the thorax of the patient with diabetic ketoacidosis, thrombus was detected in the left and right main pulmonary artery and segmental branches of the right pulmonary artery. The fibrinolytic treatment was initiated in the emergency department for the patient with hemodynamic shock due to the diagnosis of acute massive pulmonary embolism. Etiological examinations revealed B12 deficiency and hyperhomocysteinemia. This case, with the presentation of massive pulmonary embolism, resulted from the synergistic effect of hyperhomocysteinemia associated with B12 deficiency; hypovolemia caused by diabetic ketoacidosis was reported owing to its rareness.Öğe A case of ruptured hydatid cyst with upper lobe localization that imitated active lung tuberculosis(Aves Yayincilik, Ibrahim Kara, 2007) Ozlen, Burcu; Ozdemir, Levent; Yoruk, Yener; Altiay, Gundeniz; Tabakoglu, Erhan; Hatipoglu, Osman NuriHydatid cyst is a parasitic infestation caused by Echinococcus granulosus. Although liver is the most common site of infection, lungs may also be affected in 10 to 30 % of cases. The cyst is usually located in the lower lobes. of the lungs. A 49-year-old male patient with a cavitary lesion in the posterior segment of the right upper lobe, was admitted to the tuberculosis ward with a preliminary diagnosis of lung tuberculosis (TB), and anti-TB treatment was started empirically. Bronchoscopy was performed after three different sputum examinations with negative results for acid-fast bacilli (AFB). Bronchoalveolar lavage examination was also negative for AFB. High resolution computed tomography showed findings of a ruptured hydatid cyst, rather than TB. A cysctotomy was performed to the patient whose indirect hemagglutination test result was negative for hydatid cyst.Öğe Chronic Necrotizing Pulmonary Aspergillosis in a Case with Ankylosing Spondylitis(Bilimsel Tip Publishing House, 2012) Perincek, Gokhan; Hatipoglu, Osman Nuri; Yoruk, Yener; Batmaz, Emrah; Ilgili, AysegulAnkylosing spondylits is a prototype of spondyloarthropathy tropates. During the progression of ankylosing spondylitis, which can destroy many systems, pleuroparanchymal involvement occurs rarely. The most commonly observed lesion is the fibrobullous disease on the upper lobes. Chronic aspergillus colonization has been reported in a quite significant percentage of the patients with ankylosing spondylits (50-65%). Pulmonary aspergilloma is the most observed clinical form in patients with ankylosing spondylitis. Invasive pulmonary aspergillosis occurs especially in patients with immunesupression. Here we shall present a case with ankylosing spondylitis complicated by chronic necrotizing pulmonary aspergillosis which is a form of invasive pulmonary aspergillosis.Öğe Churg-Strauss syndrome associated with montelukast(Turkish Assoc Tuberculosis & Thorax, 2008) Ozlen, Burcu; Ozdemir, Levent; Eskitutuncu, Banu; Cevirme, Leyla; Kurtar, Nazan; Soy, Mehmet; Hatipoglu, Osman NuriA 47 year old woman who had a history of asthma for 15 years referred to our hospital because of infiltrates on her chest radiograph that not responded to antibiotic treatment. We found that she had eosinophilia in peripheral blood (38%) and bronchoalveolar lavage (54%), nasal polyposis, and transient pulmonary infiltrates, and in the base of these findings we diagnosed as Churg-Strauss Syndrome (CSS). She has been using montelukast for 2 years. By examining her previous medical records, we observed that while eosinophil rates in peripheral blood were normal before montelukast usage, after this therapy eosinophil rates were greater 10 percent. Therefore, we thought that CSS was to be associated with montelukast usage. After just montelukast therapy was discontinued, clinical and radyographic parameters and the eosinophil counts (20%) improved. We present this case of CSS associated with montelukast in whom spontaneous remission was observed without using corticosteroids and cytotoxic agents.Öğe The Diagnostic Value of Oxidative Stress Products in Pulmonary Embolism(Bilimsel Tip Publishing House, 2011) Batmaz, Emrah; Edis, Ebru Cakir; Eskiocak, Sevgi; Hatipoglu, Osman Nuri; Kaya, SabriyeObjective: The aim of our study is to show the oxidative stress in pulmonary embolism by detecting the levels of ischemia modified albumin (IMA), advanced oxidation protein product (AOPP) and malondialdehyde (MDA) in patients with pulmonary embolism. Material and Method: 39 patients, who were dagnosed with pulmonary embolism in the Emergency Service or Thoracic Diseases Polyclinic of the Trakya University Faculty of Medicine between September 1, 2008 and March 31, 2009, and 39 healthy volunteers were included in the study. IMA, AOPP and MDA levels were studied. T-test and Mann Whitney and X-2 tests were applied in independent samples. A value of p<0.05 was accepted as statistically significant. Results: There was no significant difference between the two groups in terms of age, height, and weight. The difference in the AOPP levels of the two groups was not significant. The difference in the serum albumin levels of the two groups was found significant (p<0.001). The difference in levels of IMA after being corrected according to the albumin levels of the two groups was not significant. MDA levels of the two groups showed a significant difference (p=0.032). Conclusion: AOPP levels in patients with pulmonary embolism were not found different but, the increases of MDA levels were significant. We suggest using albumin-adjusted IMA levels to interpret IMA levels more correctly. We need more studies about using IMA levels as an indicator for diagnosis of pulmonary embolism.Öğe Economic burden of nosocomial pneumonia in non-intensive care clinics(Turkish Assoc Tuberculosis & Thorax, 2015) Edis, Ebru Cakir; Hatipoglu, Osman Nuri; Yilmam, Ilker; Sut, NecdetIntroduction: Almost all data on the cost of nosocomial pneumonia (NP) in the literature is associated with ventilator- associated pneumonia. This study aims to determine the economic burden of nosocomial pneumonia in clinical inpatients. Materials and Methods: Data on costs of the 154 adult patients (97 male, 57 female; mean age 64.53 +/- 14.92) who were hospitalized in non-intensive care clinics and developed NP were recorded prospectively. The control group consisted of 148 patients without pneumonia matched for age (mean age 65.66 +/- 13.86), sex (94 male), diagnosis, and hospitalization date. Data obtained from both groups of patients for the number of hospitalization days and the data obtained from the hospital automation program (Avicenna) for costs were compared using the Mann-Whitney U test. Results: While the mean duration of hospitalization was 32.8 days in patients with NP, it was 9.8 (p< 0.0001) in the control group. The cost of hospital beds was $631 for NP patients and $153 for the controls (p< 0.0001). The total cost was $ 6241 for NP patients and $1117 for the controls (p< 0.0001). Conclusion: NP is a high-cost condition that increases the duration of hospitalization 3.5-fold, hospital-bed cost 4-fold, and the total cost 5-fold.Öğe The Effect of COVID-19 Rapid Antigen Testing in Education on Early Detection and Prevention of Epidemics: A Faculty Example from Trakya University(Bilimsel Tip Yayinevi, 2023) Davarci, Ismail; Eryildiz, Canan; Mert, Habibe Tulin Elmaslar; Davarci, Pinar Zehra; Hatipoglu, Osman Nuri; Kirilmaz, Eda; Ekuklu, GalipIntroduction: To ensure the safe continuation of face-to-face education, there is ongoing discussion regarding the routine use of easily applicable tests. This study aimed to determine the effectiveness of the COVID-19 rapid antigen tests in the early diagnosis of COVID19 cases among university students studying face-to-face. Materials and Methods: Our study spanned a duration of eight weeks and included students from three different departments within a faculty. The first group of students underwent rapid antigen tests twice a week, with positive results confirmed by PCR testing. The second group was visited twice a week, and students displaying symptoms underwent both rapid antigen and PCR tests. The third group was monitored solely through the use of Hayat Eve Sigar (Life Fits Into Home) codes. To identify asymptomatic cases and students who did not report their symptoms in the second group, all volunteers on the final day of the study underwent screening using rapid antigen tests. The groups were compared based on the obtained results, and a questionnaire was administered to the students during each visit. This approach allowed for the investigation of factors associated with positive cases.Results: A total of 274 students participated in our study, with 114 (41.6%) in the first group, 96 (35.0%) in the second group, and 64 (23.4%) in the third group. The rate of detecting the cases in the first group was significantly higher than in the second and third Conclusion: The obtained findings indicate that COVID-19 rapid antigen tests, as mentioned, can serve as a screening tool for the early detection of cases and prevention of further spread among students during face-to-face education. These results align with the criteria established by international organizations and epidemiological standards. By screening all participating students, the potential for bias is minimized, enabling the identification of asymptomatic individuals who may unknowingly transmit the virus.Öğe Effecting factors on survival in patients taking thrombolytic treatment due to massive pulmonary embolism(Turkish Assoc Tuberculosis & Thorax, 2010) Hatipoglu, Osman Nuri; Perincek, Gokhan; Edis, Ebru Cakir; Tabakoglu, Erhan; Altiay, GundenizMassive pulmonary embolism (MPE) is a life threatening disease, thrombolytic treatment could save lives. The aims of this study are to identify early and late mortality rates in patients with MPE who received thrombolytic treatment, and mortality related risk factors. All the hospital records for the MPE patients who received thrombolytic treatment between 1998 and 2006 were retrospectively investigated. Pulmonary embolism was diagnosed through computed tomografi scan and V/P scintigraphy. Due to MPE, 21 women total 41 patients who undergo tPA or streptokinase were included in the study. Kaplan-Meier for the survival analysis and cox regression analysis for determining the mortality related independent risk factors were used. Dying while staying in hospital was accepted as early or hospital mortality, after discharge from hospital as late mortality. Out of 41 patients, 12 of them died while they are hospitalized (hospital mortality; 29%) 6 of them died after they were discharged (late mortality; 21%). The average survival time among discharged patients was 2304 days (95% confidence interval: 1725-2884). Among those patients who took streptokinase or tPA, late or early mortality rates (p>0.05) and survival time did not show significant difference (p=0.8908). The presence of arrhythmia [p=0.01; odds rate (OR): 6.25] and jugular vein distention (JVD) (p=0.03; OR: 6.25) for hospital mortality and multiple ongoing health problems for the late mortality were identified as the independent risk factors. For the hospital mortality, the presence of JVD or arrhythmia, for prognostic sensitivity, specificity, positive predictive value and negative predictive value were recorded as 75%, 79%, 60% and 88% respectively. In conclusion, the presence of arrhythmia and/or JVD on a patient with MPE is a negative prognostic factor for hospital mortality. The presence of other ongoing health problems influences the survival time of the discharged patients.Öğe Evaluating flutter device and the active cycle of breathing technique in non-cystic bronchiectasis: The prospective randomised study(European Respiratory Soc Journals Ltd, 2012) Altiay, Gundeniz; Uzmezoglu, Bilge; Sut, Necdet; Tuna, Hakan; Hatipoglu, Osman Nuri[Abstract Not Available]Öğe Factor V Leiden Mutation Accompanying Recurrent Massive Pulmonary Thromboembolism(Aves, 2012) Perincek, Gokhan; Hatipoglu, Osman Nuri; Ege, Turan; Kara, Ibrahim; Kul, SerefA 46-year-old female patient was admitted to the emergency department with the complaints of dyspnea, swelling of the right leg and and feeling of unwell. Deep venous thrombosis was detected at the lower extremity venous Doppler ultrasound and thrombi was detected at the left main pulmonary artery and at the segmental pulmonary arteries bilaterally with the computed tomography of thorax. As hypotension was developed, she was diagnosed with pulmonary thromboembolism and treated with streptokinase infusion. The patient's complaint of dyspnea decreased and her haemodynamic parameters improved after thrombolytic therapy, and subsequently she underwent anticoagulant therapy. On the fifth day of monotorization, while still under the anticoagulant therapy, the patient suddenly developed dyspnea, cyanosis and hypotension. The rt-PA therapy was adminestered with the pre-diagnosis of recurrent massive pulmonary thromboembolism. After the rt-PA therapy, the patient's haemodynamics improved, her cyanosis and complaints of dyspnea regressed. Heterozygote Factor V Leiden mutation was detected with examinations. Inferior vena cava filter was placed together with the anticoagulant therapy. The patient has been under our monitoring for 3 months.Öğe Fat Embolism: Case Report(Aves, 2006) Ozdemir, Levent; Tabakoglu, Erhan; Gurlu, Vuslat; Hatipoglu, Osman Nuri; Altiay, Gundeniz; Yilmam, Ilker; Ozlen, BurcuFat embolism syndrome is a rare disorder which usually may be seen as a complication of long bone trauma. It becomes apparent 24-72 hours after injury with respiratory, neurological, urinary, ocular and cutaneous symptoms and sings. Our case is a 46 years old male patient who evaluated 30 hours after left tibia fracture for confusion, fever, dyspnea, tachypnea and a petechial rash on the anterior chest and anterior axillary folds. Chest radiograph was normal. The patient had hypoxemia and hypocapnia in arterial blood gases measurement. Ventilation perfusion scintigraphy revealed emboli with intermediate probability. No other etiology could be found to explain the state of confusion. Cotton-wool exudates and small haemorrhages were observed in retina. Many fat globules were found in urine samples. After steroid treatment, rapid clinical improvement was observed.Öğe Hospital-acquired pneumonia in patients receiving immunosuppressive therapy(Galenos Publ House, 2010) Edis, Ebru Cakir; Hatipoglu, Osman Nuri; Yilmam, Ilker; Eker, Alper; Tansel, Ozlem; Sut, Necdet; Tekgunduz, EmreObjective: The aims of this study were to determine the clinical success rates, effect of neutropenia on treatment success rates, risk factors related to mortality, and survival in patients who developed hospital-acquired pneumonia (HAP) while receiving immunosuppressive therapy. Materials and Methods: Forty-three adult patients receiving immunosuppressive therapy who developed HAP were included in this prospective study. Transplantation patients and human immunodeficiency virus (HIV)-positive patients were not included. Antibiotic treatment was managed by a multidisciplinary team. The Kaplan Meier method was used for the survival analysis and Cox regression was used for the identification of mortality-related independent risk factors. The relationship between neutropenia and the clinical success rate was determined using the chi-square test. Results: Although anti-pseudomonal antibiotics were started empirically in 40 of the 43 patients (93%) at the beginning of the treatment, the most frequently isolated pathogens were Acinetobacter spp. and Escherichia coli. The success rate at the end of the treatment was 65.1%. The survival rates for the 3(rd), 14(th), 42(nd), and 365(th) days were 97%, 86%, 58%, and 19%, respectively. Elevated levels of urea [Hazard Ratio=1.01 (95% Cl: 1.00-1.02)] and blood glucose [HR=1.01 (95% Cl: 1.00-1.02)] were found to be independent risk factors affecting survival. The treatment success rate was higher in patients without neutropenia (n=23) than in those with neutropenia (n=20) (p=0.05). Conclusion: The treatment success rate was low in patients who developed HAP while receiving immunosuppressive therapy. (Turk J Hematol 2010; 27: 20-4)Öğe The Importance of Pathogen Identification in the Success of Treatment of Hospital Acquired Pneumonias(Aves, 2010) Edis, Ebru Cakir; Hatipoglu, Osman Nuri; Yilmam, Ilker; Eker, Alper; Tansel, Ozlem; Sut, NecdetObjective: The aim of this study was to determine the effects of identification of the pathogens and specific and appropriate treatments, and the success of these treatments for subjects who acquired HAP non-ICU. Material and Method: The analyzed data was obtained from the records of 154 consecutive HAP patients who acquired pneumonia non-ICU. We investigated whether the factor was identified, whether patients received a specific therapy according to the results of a culture antibiogram, and whether the patients received appropriate antibiotics therapy initially. Results: When the groups treated specifically (n=78) and empirically (n=76) were compared, there were no significant differences between the clinical success rates. The difference was not significant between the group given an appropriate antibiotherapy initially (n=42) and the group whose initial therapy was changed according to the culture antibiogram after the factor was found (n=36). When the group given appropriate initial antibiotherapy (n=42) was compared with all the other patients (n=112), the difference between the clinical success rates was not significant. The most remarkable result of the study was the success rate being significantly higher in the group in which the pathogen could not be identified (n=66) compared with the group in (n=88) which the pathogen was identified (p=0.022). Conclusion: The clinical success rate was low in microorganism-caused HAPs with a potential for drug resistance and having the characteristic of developing rapid resistance, such as Acinetobacter spp. and Pseudomonas spp, even though specific treatment was administered. These results indicate that the prevention of infections that occur with such microorganisms is more important than the treatment.Öğe Melatonin administration acutely decreases the diffusing capacity of carbon monoxide in human lungs(Karger, 2006) Vardar, Selma Arzu; Altun, Guelay Durmus; Guenerbueyuek, Caner; Hatipoglu, Osman Nuri; Mert, Selva; Kaymak, KadirBackground: Most physiological measurements of the pulmonary diffusing capacity use carbon monoxide (CO) as a tracer gas. Similar to CO, melatonin binds the hemoglobin in the blood. Objective: The present study was designed to assess the effect of exogenous melatonin administration on pulmonary functions including diffusing capacity for carbon monoxide (DLCO) in healthy subjects. Methods: The study was performed in a randomized, double-blind, placebo-controlled manner. DLCO was measured in 22 healthy male volunteers ( age 18 - 25 years) who were randomized to melatonin (n = 11) and placebo administration ( n = 11). At baseline, DLCO, alveolar volume (V-A) and other spirometric parameters such as forced expiratory volume in 1 s (FEV1), forced vital capacity (FVC), peak expiratory flow (PEF) and maximal voluntary ventilation (MVV) were measured. DLCO was then corrected for the hemoglobin concentration. Measurements were repeated in a double-blind fashion 60 min after the administration of melatonin ( 1 mg) or placebo. Results: DLCO was significantly decreased (39.31 +/- 4.75 vs. 34.82 +/- 6.18 ml/min/mm Hg) 60 min after the melatonin administration ( p = 0.01), while FEV1, FVC, FEV1/FVC, PEF and MVV values did not demonstrate significant differences. Placebo administration did not result in significant alteration in any of these parameters. Conclusions: In healthy subjects, oral administration of melatonin acutely influences the DLCO without affecting other pulmonary function test results. We conclude that melatonin may have a reducing effect on the DLCO in the lungs. Copyright (C) 2006 S. Karger AG, Basel.Öğe Mortality Rates and Related Factors in Respiratory Intensive Care Unit Patients(Aves, 2007) Altiay, Gundeniz; Tabakoglu, Erhan; Ozdemir, Levent; Tokuc, Burcu; Cevirme, Leyla; Hatipoglu, Osman Nuri; Caglar, TuncayThe aim of this study is to identify the mortality rates and the influential factors in the respiratory intensive care unit (ICU). We prospectively evaluated a total of 150 patients consecutively admitted with respiratory failure between May 2003 and May 2005 in Trakya University Hospital, and 135 patients were enrolled in the study. The patients excluded from the study were the ones who died within the first 24 hours of ICU (n: 8), or had malignant diseases (n: 7). Chi-square test and t-test were used to compare hospital survivors with non-survivors, and logistic regression analysis was performed to define independent factors influencing the mortality rates in the hospital. To determine the efficiency of APACHE II, ROC analysis was used. 92 of the patients were male and 43 were female. The mean age was 64.9 +/- 12.9 years. The mortality rate was 32.6% (n: 44). The highest mortality rate was in patients with severe pneumonia/sepsis. (54.2%). The main conditions independently associated with increased mortality rate were arrhythmias (odds ratio [OR], 8.10; 95% confidence interval [CI], 2.67-24.58; p < 0.05), the need for invasive mechanical ventilation (OR, 6.04; 95% CI, 1.88 - 19.34; p < 0.05), the need for cardiotonic medication (OR: 5.36; % 95 CI: 1.67 - 17.22, p<0.05) and ventilator-associated pneumonia (OR: 5-21; 95% CI: 1.54-17.63; p < 0.05).Öğe Prognostic Factors Affecting Survival in Small Cell Lung Cancer Patients(Wolters Kluwer Medknow Publications, 2009) Ozlen, Burcu; Hatipoglu, Osman Nuri; Ozdemir, Levent; Sut, Necdet; Altiay, Gundeniz; Tabakoglu, ErhanAim: Small cell lung cancer (SCLC) is an aggressive tumour with a poor clinical course, but responsive to both chemotherapy and radiotherapy. Some clinical and laboratory parameters can predict survival in SCLC. The aim of this study was to analyze the survival and identify the prognostic factors that influence survival in SCLC. Material andMethod: Forty six consecutive SCLC patients who were planned for chemotherapy, enrolled in this study prospectively. We recorded basic characteristic properties and factors affecting prognosis for each patient. We determined their survival time and survival curves were calculated by the method of Kaplan and Meier analysis. Results: Median survival time was 338 days (95% confidence interval: 243-432). Survival ratio for one month was 89%, for 6 months 62% and for one year 45%. Significiant parameters (p< 0.05) evaluated by univariate analysis followed by multivariate analysis. In multivariate analysis liver metastas (Relative Risk (RR): 4.99, 95% confidence interval: 1,21 -20,53), weight loss (RR: 11.3, 95% confidence interval 1,11-115,5) and low level of total protein after first chemotherapy (RR: 0.198, 95% confidence interval 0,06-0,63) were found as independent factors affecting survival. Conclusion: SCLC is a disease with high mortality. Prognostic factors that we found, can be supported by further investigations.Öğe Pulmonary Nocardiosis Induced by Long-Term Use of Steroids on a Bronchiectasis Backgroung(Galenos Yayincilik, 2015) Ozdemir, Levent; Ozdemir, Burcu; Temelli, Mustafa; Hatipoglu, Osman NuriA 45-year-old male was assessed with the complaints of cough, sputum, fever, shortness of breath, tingling and burning in both legs. In his history, he had frequent hospitalizations and steroid use. Respiratory system examination revealed inspiratory and expiratory crackles on bilateral lower-middle zones and expiration rhoncus. Laboratory examination revealed leukocytosis and elevated CRP levels; serology for HIV was reported negative. Computed tomography showed diffuse interstitial pneumonia. Electromyography (EMG) showed lower extremity muscle activation compatible with myopathy. Acid-fast bacilli was negative (three consecutive negative microscopy results) and no reproduction was detected in the culture. Nocardia spp. growth was detected in sputum culture. According to the antibiogram results, he was treated with doxycycline, trimethoprim and sulfamethoxazole for 6 months. At the end of treatment, the lesions were found to be regressed on computed tomography. In conclusion, considering the high frequency of bronchiectasis in our country, the fact that nocardia may develop due to inappropriate long-term steroid use during an attack should be kept in mind.Öğe A Rare Cause of Hemoptysis(Aves, 2009) Ciftci, Abdullah; Ozdemir, Levent; Hatipoglu, Osman Nuri; Caglar, TuncayHemoptysis is a bleeding in the respiratory system together with a cough. Common causes of hemoptysis are bronchitis, lung cancer, bronchiectasis, pulmonary tuberculosis, pulmonary embolism and pneumonia. A 67-year old patient was diagnosed to have pepticulcus who was suffering from melana and hematemesis, and then hemoptysis developed while he was being treated in gastroenterology clinic. Because of this, we consultated him. In his case history, diabetes, hypertension, and a coronary bypass operation 3 years ago were available. In the chest radiograph, a homogenous and smooth-edged lesion sized 5x5 cm was observed on the periphery of the right lung. In the computerized tomography, lung fistulization and thrombosed fluid collection that is making pressure on the heart was observed on the right lung. The patient was operated in the cardiovascular surgery, and as a result of the rupture of the saphen graft that was placed during the bypass operation, right lung fistulization and hemoptysis developed. Thus, we found it appropriate to present this case as a rare cause of hemoptysis.Öğe Socioeconomic features and predisposing factors in patients with bronchiectasis(Aves Yayincilik, Ibrahim Kara, 2007) Ozdemir, Levent; Tabakoglu, Erhan; Hatipoglu, Osman Nuri; Altiay, Guendeniz; Ozlen, Burcu; Ciftci, Abdullah; Caglar, TuncayObjectives: The aim of this study was to determine socioeconomic features of cases with bronchiectasis and to determine predisposing factors which might play a role in the development of this condition. Patients and Methods: A total of 69 cases with bronchiectasis (43 males, 26 females; mean age 53.7 +/- 15.6 years) were retrospectively evaluated. Patients, totally in whom the was, predisposing factors for bronchiectasis, cigarette and alcohol consumptions, education and and monthly income levels were recorded. Results: Most of the cases multiple predisposing factors for bronchiectasis. Pneumonia (68%), measles (32%), and tuberculosis (18%) were the most common causes. Forty-two percent of the cases were primary school graduates and 20% never attended school. Fifty-five percent of the cases smoked cigarettes and 19% of the cases used alcohol. The mean monthly income was found to be 438.2 +/- 363 YTL. Conclusion: We concluded that bronchiectasis is prominent among individuals with low socioeconomic level.
