These results suggest that thermal ablation with radiofrequency energy is an easily applied, efficient, and reliable technique in treatment of the inferior turbinate hypertrophy, and that anterior-posterior length measurement in the axial section of the inferior turbinate by MRI, which is thought as an objective evaluation method, could be an efficient diagnostic tool in detecting the efficiency of radiofrequency on inferior turbinate.

Aim    High sensitive troponin (hs-TnI) levels may increase secondary to Coronavirus disease-2019 (COVID-19), and this increase is associated with cardiovascular mortality in COVID-19 patients. Epicardial adipose tissue (EAT) is associated with myocardial injury directly as a reservoir tissue for coronavirus, and indirectly through mediators it secretes as an apocrine gland. We aimed to evaluate the relationship between myocardial injury secondary to COVID-19 infection and EAT thickness.Material and methods    Thoracic computed tomography (CT) was performed in 73 consecutive patients diagnosed with COVID-19. EAT thickness and volume were calculated by two radiologists blind to the study data. We formed two groups according to hs-TnI concentrations, patients with myocardial damage (hs-TnI ≥11.6 ng / l) and without myocardial damage (hs-TnI<11.6 ng / dl).Results    A total of 46 patients were women (63.0 %). The mean age was 66.4±12.3 yrs in the myocardial injury group and 55.9±9.7 yrs in the group without myocardial injury (p<0.001). There were 20 hypertensive patients (68.9 %) in the injury group, while there were 12 hypertensive patients (27.3 %) in the group without injury (p=0.001). Glucose, C-reactive protein, D-dimer, white blood cell count, neutrophil, and neutrophil / lymphocyte ratio were higher in the injury group (p<0.05, for all variables). The mean EAT thickness was 5.6±1.6 mm in the injury group, whereas it was 4.8±1.8 mm in the group without injury (p=0.031). EAT thickness of 4.85 mm and above was associated with the myocardial injury with 65 % sensitivity and 39 % specificity (AUC=0.65, 95 % CI: 0.52–078, p=0.031).Conclusion    In patients with COVID-19 infection, higher rates of myocardial injury were observed as the EAT thickness increased. Epicardial adipose tissue, contributes to cytokine-mediated myocardial injury either directly or indirectly by acting as a reservoir for coronavirus. Increased EAT thickness is associated with myocardial injury in COVID-19 patients.

No abstract

ÖzKedi Tırmığı Hastalığı; daha çok çocuklarda ve genç erişkinlerde görülen, bölgesel lenfadenopati ile karakterize yavaş seyirli bir enfeksiyon hastalığıdır. Hastalığın etkeni Bartonella henseleae'dır. Etken, sıklıkla kediler tarafından insanlara bulaştırılır. Hastalık; bölgesel lenfadenopati, ateş, halsizlik ve yorgunluk gibi yakınmalarla kendini gösterir. Sağ inguinal bölgede şişlik ve karın ağrısı şikayetiyle başvuran 25 yaşında bayan hastanın bilgisayarlı tomografi (BT) incelemesinde; sağ inguinal bölgede 5x4 cm boyutunda santrali nekrotik LAP izlendi. Abdominal Manyetik Rezonans Görüntüleme (MRG)'de; karaciğer ve dalakta multipl büyüğü 3 cm çapında T2 Ağırlıklı Görüntüleme (AG)'de hiperintens kontrastlı imajlarda periferal kontrastlanan difüzyon MR'de difüzyon kısıtlanması gösteren apse ile uyumlu lezyonlar izlendi. İnguinal lenf bezi eksizyonel biyopsisinin histopatolojik incelemesi; "Kedi Tırmığı Hastalığı ile uyumlu granülomatöz lenfadenit" olarak tanımlandı. Nedeni bilinmeyen ateşle gelen hastalarda LAP ve visseral organlarda apse birlikteliğinde KTH akılda bulundurulmalıdır. AbstractCat Scratch Disease; is a slow-onset infectious disease characterized by regional lymphadenopathy, mostly seen in children and young adults. The disease affects Bartonella henseleae. The agent is often transmitted to humans by the cat. The disease is presented with regional lymphadenopathy, fever, fatigue and weakness. 25-year-old female patient with a right inguinal region swelling and abdominal pain acomputerized tomography (CT) scan ;In the right inguinal region was observed 5x4 cm sized centralized necrotic LAP. Abdominal Magnetic Resonance Imaging (MRI); liver and spleen multipled by 3cm in diameter showed hyperintense in T2 Weighted Imaging (WI), peripheral enhancement in contrast images and lesions compatible with abscess showing diffuse restriction in diffuse MR Histopathological examination of inguinal lymph node excisional biopsy; "Granulomatous lymphadenitis compatible with Cat Scratch". In patients with unexplained fever, LAP and visceral organs should be kept in mind when abscess is present.

Objective: Coronavirus disease-2019 (COVID-19) can particularly affect the respiratory and cardiovascular systems and cause serious mortality. Mitral annular calcification (MAC) is a mitral valve pathology associated with cardiac mortality. We aimed to evaluate the effect of MAC on myocardial injury (MI) and mortality, which can develop secondary to COVID-19 infection. Materials and Methods: After applying the exclusion criteria, thorax computed tomography (CT) images of the remaining 1151 consecutive COVID-19 patients were evaluated. Calculation of MAC scores was done by two expert radiologists blinded to the study data. MI was defined as those with hs-TnI level (≥34 ng/dl). Patients included in the study were classified as having mortality and not occurring. Results: Male gender, advanced age (>65), hypertension, diabetes mellitus, chronic obstructive pulmonary disease, chronic kidney disease (CKD), coronary artery disease, heart failure and atrial fibrillation rates were statistically higher in the mortality group (p