Comamonas testosteroni is a Gram- negative, aerobic, motile, non-spore-forming bacillus. It has not been recognized as a component of the endogenous human microflora. Due to its ability to survive in liquid environments, it can survive for a long time in a hospital environment and cause opportunistic infections. Although rare, C. testosteroni has been reported as a cause of cellulitis, peritonitis, endocarditis, meningitis, endophthalmitis, tenosynovitis, pneumonia and bacteremia. Here, we present a case of a 4-year-old girl who was operated on for persistent cloaca with C. testosteroni isolated in her urine culture. Identification studies were performed by MALDI-TOF MS (bioMerieux, France) mass spectrophotometer method. Antibiotic susceptibility tests were performed with the automatic device VITEK-2 Compact (bioMérieux, France). Microorganism was found susceptible to ceftazidime and ciprofloxacin; intermediate susceptible to meropenem and piperacillin / tazobactam and resistant to gentamicin, amikacin, imipenem and trimethoprim-sulfamethoxazole. With this case report, C. testosteroni was reported as the first cause of urinary tract infection in our country and the third in the world.

Comamonas testosteroni is a Gram- negative, aerobic, motile, non-spore-forming bacillus. It has not been recognized as a component of the endogenous human microflora. Due to its ability to survive in liquid environments, it can survive for a long time in a hospital environment and cause opportunistic infections. Although rare, C. testosteroni has been reported as a cause of cellulitis, peritonitis, endocarditis, meningitis, endophthalmitis, tenosynovitis, pneumonia and bacteremia. Here, we present a case of a 4-yearold girl who was operated on for persistent cloaca with C. testosteroni isolated in her urine culture. Identification studies were performed by MALDI-TOF MS (bioMerieux, France) mass spectrophotometer method. Antibiotic susceptibility tests were performed with the automatic device VITEK-2 Compact (bioMérieux, France). Microorganism was found susceptible to ceftazidime and ciprofloxacin; intermediate susceptible to meropenem and piperacillin / tazobactam and resistant to gentamicin, amikacin, imipenem and trimethoprim-sulfamethoxazole. With this case report, C. testosteroni was reported as the first cause of urinary tract infection in our country and the third in the world.

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Objectives: To investigate the maternal characteristics and obstetric outcomes in pregnancies with abnormal 50 g oral glucose challenge test (50gOGCT) and normal 100 g oral glucose tolerance test (100gOGTT) results. Methods: Antenatal follow-up and delivery records were retrospectively evaluated in 379 pregnancies with normal 50gOGCT results (group1), 107 pregnancies with abnormal 50gOGCT but normal 100gOGTT (group 2) and 75 pregnancies diagnosed and treated as gestational diabetes mellitus (GDM) (group 3), excluding the cases with pre-gestational diabetes mellitus and multiple pregnancies. Results: Maternal age was significantly higher in group 2 compared to group 1 and higher in group 3 compared to group 2 (p < 0.05). Gestational age at birth was significantly lower in groups 2 and 3 compared to group 1 (p < 0.05). Idiopathic polihidramnios was present in 0.3%, 2.8% and 2.7% of the cases in group 1, 2 and 3 respectively (p < 0.05). Fetal anomaly was observed in 2.4%, 4.7% and 5.3% of the cases (p < 0.05) and perinatal mortality was observed in 0.5%, 1.9% and 1.3% of the cases (p > 0.05), respectively. Conclusions: Insulin resistance in pregnancy may be more frequently encountered as maternal age increases. Poor outcome cannot be fully eliminated in pregnancies with GDM despite treatment. In cases with abnormal 50gOGCT but normal 100gOGTT results, poor outcome may be observed more frequently than in those with normal 50gOGCT results, perhaps due to the presence of a moderate degree of insulin resistance. Further studies must be performed to clarify these facts. EP08.04Early second trimester screening in high risk pregnancy at tertiary referral ultrasound centre Objectives: To assess the utility of transvaginal ultrasound examination in early second trimester in order to recognise fetal anomalies and potential maternal complications in high risk pregnancies. Methods: Women with one previous Caesarean section underwent transvaginal ultrasound at 13 + 4-15 + 5 gestational weeks at the National tertiary referral ultrasound centre in Russia. The following ultrasound features were noted: cervical length, uterine scar appearance, location of placenta, signs of placenta accreta (PA) and fetal anatomy including face, intracranial structures, spine, lungs, heart, diaphragm, extremities, fingers, stomach, bowel, kidneys, urinary bladder, umbilical cord. All women had an additional scan at 19-21 gestational weeks and scan results were compared. Results: An uterine scar was visible in 49/52 (94%) of cases at 13-15 gestational weeks, versus 41/52 (79%) at 19-21 weeks (p = 0.02). At 13-15 weeks 1 case of cervical insufficiency was disclosed (successfully treated with cerclage). Four cases with placenta overlapping the uterine scar were identified; 3 had signs of PA and 1 was not suspicious. Two fetal anomalies were identified (one fetus had multiple anomalies and one had a ventricular septal defect). At the 19-21 weeks scan PA was confirmed in all 3 suspicious cases. The two cases with fetal anomalies were confirmed at 19-21 ...

RESUMENLa determinación de las relaciones de altura de la cara inferior proporciona información importante para el tratamiento de ortodoncia, los enfoques quirúrgicos y la identificación fiable en lmedicina forense. Este estudio se realizó con el objetivo de determinar la altura de la índices bajos de la cara de estudiantes de la Universidad Başkent y evidenciar las posibles diferencias por sexo. El estudio se realizó en 95 mujeres y 101 varones, 18 a 25 años, un total de 196 estudiantes turcos voluntarios. Las imágenes fotogramétricas laterales fueron adquiridos por la misma persona para todos los sujetos en la posición natural de la cabeza, con la boca cerrada en la postura normal. Las imágenes se transfirieron a un entorno de computación. La determinación de seis puntos antropométricos en el plano vertical, la medición de sus distancias relativas y el cálculo de siete relaciones se realizó por la misma persona en todas las fotografías. Se observó una diferencia significativa en función del sexo de los sujetos que fue identificada en los siete parámetros medidos entre los puntos de referencia antropométricas. Cuando se evaluaron las relaciones de altura facial inferior la más grande era la altura bermellón superior / inferior proporción de altura bermellón, tanto en hombres como en mujeres, y el más pequeño era el alto / superior bermellón del labio superior altura en mujeres y el labio superior de elevación / altura de la parte inferior del rostro en los hombres. Postulamos que el conocimiento de determinados índices faciales y sus diferencias según el sexo y la raza puede servir como una guía para la planificación de la terapia en las diferentes intervenciones quirúrgicas, el control en ortodoncia y lla identificación personal. ABSTRACTThe determination of the lower face height ratios provides significant information for orthodontic treatment, surgical approaches and for a reliable identification in forensic medicine. This study was conducted with the aim of determining lower face height ratios in Başkent University students and evidencing possible sex-related differences. The study was performed on 95 female and 101 male, aged 18-25, a total of 196 Turkish volunteer students. Lateral photogrammetric images were acquired by the same person for all subjects in natural head position, with their mouth closed in normal posture. The images were transferred to a computing environment. The determination of six anthropometric points in the vertical plane, the measurement of their relative distances and the calculation of seven ratios were done by the same person on all photographs. A significant difference according to the subjects' sex was identified in all seven parameters measured among the anthropometric landmarks. When the lower face height ratios were evaluated the largest one was the upper vermilion height/lower vermilion height ratio both in males and females,and the smallest one was the upper vermilion height/upper lip height ratio in female subjects and the upper lip height/height of the lower face in males...