We aimed to compare the demographic and ultrasound data regarding first-episode urinary tract infections with recurrent infections in children. Methods A total of 509 children aged 0-16 years who were diagnosed to have a urinary tract infection (UTI) as confirmed with positive urinary culture tests were retrospectively investigated. A comparison of baseline parameters, responsible pathogen incidences, and ultrasound findings was made between children who had a single episode of UTI (n=418, 82.1%) with those having second or more recurrent episodes of urinary tract infection (n=91, 17.9%). Results The mean age of children with a single episode of urinary tract infection was significantly lower than those who had recurrent urinary tract infection (5.33±4.38 vs. 7.01±4.83 years, p=0.003). Incidences of Escherichia coli and Enterococcus faecalis was significantly higher in patients with recurrent urinary tract infection than those who had single episode (n=315, 75.4% vs. n=80, 87.9%, p=0.009 and n=8, 1.9% vs. n=9, 9.9%, p<0.001, respectively). An abnormal ultrasound was significantly more common in patients with recurrent urinary tract infection than those who had a single episode (n=41, 54.6% vs. n=59, 22.7%). Increased renal parenchymal echogenicity (p=0.002), bladder cystitis (p=0.01) and hydronephrosis (p<0.001) were significantly more common in patients with recurrent urinary tract infection than those who had a single episode of urinary tract infection. Conclusion Escherichia coli and Enterococcus faecalis were the most common responsible pathogens in recurrent urinary tract infections. Structural changes, such as hydronephrosis and bladder cystitis, are likely to have an important role in the etiology of children with recurrent urinary tract infection.

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Cutaneous ciliated cyst is defined as a rare, painless lesion frequently encountered on the lower extremities of young girls after puberty. The cyst is surrounded by the columnar ciliary epithelium. Apart from the lower extremities of girls, they may be localized on the scalp, scapula, thumb, abdomen, umbilicus, thigh, heel, knee, and gluteal region. There are two theories to explain this localization. The first is that they are mullerian heterotrophy, while the other is that they are ciliated metaplasia of eccrine glands. In this paper, we described a cutaneous ciliated cyst, which was observed with a previously undescribed localization on the back of a 13-year-old female patient.

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Dünyada akut karının yaygın nedenlerinden biri olarak kabul edilen apandisitin tanısı özellikle çocukluk çağında zordur ve başka hastalıklarla karışabilmektedir. Çalışmamızda akut, komplike apandisit tanısı alan ve karın ağrısı nedeniyle klinik izleme alınan hastaların ilk yatışlarında alınan c-reaktif protein (CRP) ve hemogram parametrelerinin analiz edilerek aralarındaki ilişkinin ortaya konulması amaçlanmıştır. Gereç ve Yöntem: Ocak 2016-Mayıs 2017 tarihleri arasında hastanemize karın ağrısı yakınması ile başvuran 573 çocuk hasta geriye dönük olarak tarandı. Hastalar karın ağrısı nedeniyle takip edilenler, akut ve komplike apandisit olanlar olmak üzere üç gruba ayrıldı. Tüm hastaların demografik verileri, CRP, hemogram parametreleri ve bundan türetilen oranlar kaydedildi. Bulgular: NLO, WBC/MPV, CRP/MPV, PLO ve MPV/L değerleri apendektomi yapılan hastalarda karın ağrısı gözlem grubundan daha yüksek çıkmıştır (p<0.001). Hb, MCV, MPV, htc, platelet sayıları gruplara göre istatistiksel olarak anlamlı farklı değildi (p>0.05) Sonuç: NLO, WBC/MPV, CRP/MPV, PLO ve MPV/L değerlerinin apendektomi yapılan hastalarda daha yüksek çıkması nedeniyle operasyona karar vermede ya da karın ağrısı gözlemleri belirlemede bu parametrelerin tanıyı destekleyeceği kanaatindeyiz.