Objective: Detection of seroprevalence and possible transmission routes of hepatitis B virus (HBV), hepatitis C virus (HCV) and hepatitis D virus (HDV) in children between the ages of 0 and 18 accepted our hospital due to any complaints. Material and Methods: From blood taken from 208 patients that accepted to our hospital children's policlinics due to any complaint, serology of Hepatitis B, Hepatitis C (HBsAg, anti-HBs, anti-HBC IgG, anti-HBC IgM, anti-HCV) via chemiluminescent microparticle immunoassay (CMIA) method and serology of hepatitis D (anti-HDV) via enzymelinked immunosorbent assay (ELISA) method were examined. Results: The anti-HBS positivity was 68.3%, HBsAg positivity was 0.0%, anti-HBc IgG positivity was 0.5% and anti-HBc IgM pasitivity was 0.0% in a total of 208 patient group. The status of hepatitis B immunization was found as 100% according to the our questionnaire. Conclusion: When the results of our study were evaluated, seroprevalance of anti-HBs was higher than the average of Turkey, seroprevalance of HBsAg , anti-HDV total and anti-HCV were lower than the average of Turkey. Compaigns about vaccination and transmission routes and public awareness activities should continue.

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Objective: Detection of seroprevalence and possible transmission routes of hepatitis B virus (HBV), hepatitis C virus (HCV) and hepatitis D virus (HDV) in children between the ages of 0 and 18 accepted our hospital due to any complaints. Material and Methods: From blood taken from 208 patients that accepted to our hospital children's policlinics due to any complaint, serology of Hepatitis B, Hepatitis C (HBsAg, anti-HBs, anti-HBC IgG, anti-HBC IgM, anti-HCV) via chemiluminescent microparticle immunoassay (CMIA) method and serology of hepatitis D (anti-HDV) via enzymelinked immunosorbent assay (ELISA) method were examined. Results: The anti-HBS positivity was 68.3%, HBsAg positivity was 0.0%, anti-HBc IgG positivity was 0.5% and anti-HBc IgM pasitivity was 0.0% in a total of 208 patient group. The status of hepatitis B immunization was found as 100% according to the our questionnaire. Conclusion: When the results of our study were evaluated, seroprevalance of anti-HBs was higher than the average of Turkey, seroprevalance of HBsAg , anti-HDV total and anti-HCV were lower than the average of Turkey. Compaigns about vaccination and transmission routes and public awareness activities should continue.

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A 16-year-old male was admitted to hospital after presenting with complaints of fever and weakness. The medical history revealed osteomyelitis of the right leg after a knife injury during a game at home. The osteomyelitis had been treated surgically. After 2 months he presented to pediatric outpatients with intermittent mild fever and dizziness that had started 3 days ago. Physical examination was normal except for tonsillopharyngeal hyperemia. Cardiac examination was normal. There was no cardiac murmur. Electrocardiography (ECG) showed first degree AVB. Echocardiography performed to evaluate the IE possibility and to exclude the causes AVB such as car-ABSTRACT Complete atrioventricular block (AVB) is one of the well described but uncommon complications of infective endocarditis (IE). The degree of AVB reflects the extension of infection. The degree of AVB is thought to be associated with increased morbidity and mortality. It is recommended to evaluate newly developed AVBs as predictors of IE, to diagnose and treat IE as soon as possible. We report a case with delayed diagnosis of aortic valve endocarditis that revealed first degree AVB in the earlier phase of disease and followed by complete AVB until accurate treatment was started. Successful surgical intervention and antibiotherapy resulted in a downgrading and diminishing of the high-grade conduction block without any complications.