We aim to present a unique case with discharging lacrimal gland fistula secondary to severe head trauma by an animal. A 9-year-old girl presented with serous fluid discharge from a cutaneous fistula in the left orbital region. The patient had history of surgery for traumatic frontal bone fracture and skin laceration in the superior orbital rim three weeks earlier. She underwent a complete ophthalmological examination and there was no anterior segment or fundus pathology. The orifice of the fistula was detected in mediolateral part of the left superior orbital rim and fluid secretion was increasing with irritation of the left eye. Neurosurgical complications were excluded and radiological assessment was nonremarkable. The patient's legal representatives were informed and lacrimal gland fistulectomy was planned. However, the fistula was self-closed one week after initial ophthalmological examination, and the patient had no symptoms. In conclusion, traumatic injuries of superior orbital region should be carefully evaluated and wounds should be well closed to prevent consecutive lacrimal gland fistula.
This study was carried out to evaluate the association between the antibiotic susceptibility patterns and the antibiotic resistance genes in staphylococcal isolates obtained from various clinical samples of patients attending a teaching hospital in Hatay, Turkey.A total of 298 staphylococci clinical isolates were subjected to antimicrobial susceptibility testing. The genes implicated in resistance to oxacillin (mecA), gentamicin (aac(6')/aph(2''), aph(3')-IIIa, ant(4')-Ia), erythromycin (ermA, ermB, ermC, and msrA), tetracyclin (tetK, tetM), and penicillin (blaZ) were amplified using multiplex PCR method.Methicillin resistance rate among 139 Staphlococcus aureus isolates was 16.5 and 25.9 per cent of S. aureus carried mecA gene. Of the 159 CoNS isolates, methicillin resistance rate was 18.9 and 29.6 per cent carried mecA gene. Ninety four isolates identified as gentamicin resistant phenotypically, contained at least one of the gentamicin resistance genes [aac(6')/aph(2''), aph(3')-IIIa, ant(4')-Ia], 17 gentamicin-susceptible isolates were found as positive in terms of one or more resistance genes [aac(6')/aph(2''), aph(3')-IIIa, ant(4')-Ia] by multiplex PCR. A total of 165 isolates were resistant to erythromycin, and contained at least one of the erythromycin resistance genes (ermA, ermB, ermC and msrA). Phenotypically, 106 staphylococcal isolates were resistant to tetracycline, 121 isolates carried either tetK or tetM or both resistance genes. The majority of staphylococci tested possessed the blaZ gene (89.9%).The present results showed that the phenotypic antibiotic susceptibility patterns were not similar to those obtained by genotyping done by multiplex PCR. Rapid and reliable methods for antibiotic susceptibility are important to determine the appropriate therapy decisions. Multiplex PCR can be used for confirmation of the results obtained by conventional phenotypic methods, when needed.
This work presents a graph-based representation (a.k.a., cell-graph) of histopathological images for automated cancer diagnosis by probabilistically assigning a link between a pair of cells (or cell clusters). Since the node set of a cell-graph can include a cluster of cells as well as individual ones, it enables working with low-cost, low-magnification photomicrographs. The contributions of this work are twofold. First, it is shown that without establishing a pairwise spatial relation between the cells (i.e., the edges of a cell-graph), neither the spatial distribution of the cells nor the texture analysis of the images yields accurate results for tissue level diagnosis of brain cancer called malignant glioma. Second, this work defines a set of global metrics by processing the entire cell-graph to capture tissue level information coded into the histopathological images. In this work, the results are obtained on the photomicrographs of 646 archival brain biopsy samples of 60 different patients. It is shown that the global metrics of cell-graphs distinguish cancerous tissues from noncancerous ones with high accuracy (at least 99 percent accuracy for healthy tissues with lower cellular density level, and at least 92 percent accuracy for benign tissues with similar high cellular density level such as nonneoplastic reactive/inflammatory conditions).
This study was conducted to investigate the coagulase gene polymorphism of Staphylococcus aureus isolated from subclinical bovine mastitic milk samples from 3 different Turkish cities (Hatay, Gaziantep, and Burdur). Amplification of the coagulase gene from 80 S. aureus isolates produced 5 different polymerase chain reaction (PCR) products; 79 isolates showed only 1 amplicon, and 1 isolate showed 2 amplicons. The isolates were grouped into 9 genotypes by analysing the restriction fragment length polymorphism (RFLP) of the gene; the 2 most common genotypes accounted for 73.8% of the isolates. The results indicated that many coagulase gene genotypes are present in the studied regions and only 1 or 2 genotypes predominated. Subklinik ‹nek Mastitis'lerinden ‹zole Edilen Staphylococcus aureus Sufllar›n›n Koagulaz Gen Polimorfizmi Ozet: Bu cal›flma, uc farkl› flehirden (Hatay, Gaziantep ve Burdur) toplanan mastitisli s›¤›r sutlerinden izole edilen 80 Staphylococcus aureus suflunun koagulaz gen polimorfizmini araflt›rmak amac›yla yap›ld›. Seksen S. aureus suflu 5 farkl› polymerase chain reaction (PCR) amplikonu olufltururken, 79 izolat 1 amplikon ve 1 izolat 2 amplikon oluflturdu. ‹zolatlar, koagulaz geninin restriction fragment length polymorphism (RFLP) analizi ile 9 genotipe ayr›ld›. ‹ki yayg›n genotip izolatlar›n % 73,8'ini oluflturdu. Sonuclar, cal›fl›lan bolgelerde farkl› genotiplerin olduunu ve bunlardan sadece bir veya iki genotipin dominant olduunu gostermektedir.
Giardia intestinalis Genotiplerinin, Real-Time PCR Yöntemi ile Dışkı Örneklerinden Belirlenmesi ÖZ Amaç: Giardia intestinalis flagellalı, Giardiyaz'a neden olan bir protozoondur ve dünya çapında önemli bir sorundur.Moleküler yöntemlerle sekiz farklı genotipi saptanan G. intestinalis'de, A ve B genotipinin, insan ve memelilerde hastalıklarla ilişkili olduğu ve farklı genotiplerin, farklı klinik tablolar meydana getirebildiği bildirilmektedir.Biz de bu bilgiler ışığında, giardiyaz tanısı almış ve G. intestinalis pozitif saptanan dışkı örneklerinde bulunan G. intestinalis genotiplerinin dağılımını real-time PCR yöntemi ile belirlemeyi ve moleküler epidemiyolojik bir
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