Evaluation of Child Cases Admitted for Tick Bite and Tick Species in İstanbul
Journal Title: The Journal of Pediatric Research - Year 2018, Vol 5, Issue 3
Abstract
Aim: The Crimean-Congo Haemorrhagic Fever (CCHF) is a tick-borne infection that has a high mortality. In Turkey, the total number of cases reported between 2002-2014 was 9.069 and 440 of them died. The aim of this study is to evaluate the demographic characteristics of the children with the complaint of tick bite and to determine the species of the ticks seen in İstanbul. Materials and Methods: A hundred sixty two tick bite cases were analyzed with respect to demographic, clinical and laboratory findings between January and December 2014. The blood samples for whole blood count, prothrombin time, activated partial thromboplastin time, alanine aminotransferase, aspartate aminotransferase and creatinine were obtained from all cases and they were followed up for 10 days. The ticks removed from patients were classified by the Department of Parasitology in the Veterinary Faculty of İstanbul University. Results: The mean age of the patients was 6.1±3.7 years and 76% of them were male. Eighty four (52%) of the cases had additional complaints other than tick bite. The most frequently complaints were nausea/vomiting (26%), fever (19%) and cough (14%). We found that 34 (20%) of them had abnormal laboratory results such as elevated liver enzymes, leukocytosis, leukopenia, thrombocytopenia and prolonged prothrombin time. August was the month in which most patients applied (56 cases, 34%). The regions of body that were most bitten by the ticks were the extremities (35.8%). The total number of larvae, nymphs and adult ticks were found as 4, 88 and 14 respectively. Conclusion: This study showed that the tick species in the İstanbul province were largely different from the species causing CCHF. Although the incidence of CCHF in İstanbul is lower than in other regions of Turkey, children and their families who live in or travel to rural areas in Istanbul should be informed about this disease.
Authors and Affiliations
Abdurrahman Avar Özdemir, Yakup Yeşil, Aynur Gülanber, İlker Efil
Keywords
Related Articles
- EP ID EP382414
- DOI 10.4274/jpr.33716
- Views 61
- Downloads 0
Perianal-Perineal Localized Alveolar-Embryonal (Mixed) Type Rhabdomyosarcoma: Rare Localization, Case Report
A 17-year old girl who had been admitted to another hospital with perianal swelling and pain was diagnosed with perianal abscess. She had been given anti-biotheraphy and anti-inflamatory medication. Because her swelling...
Evaluation of Dynamic Postural Balance in Pediatric Familial Mediterranean Fever Patients
Aim: Familial Mediterranean Fever (FMF) is an autoinflammatory and chronic disorder. Colchicine has been prescribed to treat FMF since 1972. Balance is a complex function of the neuromuscular system. The aim of this stud...
Cerebral Involvement of Hemophagocytic Lymphohistiocytosis in Griscelli Syndrome
Type II Griscelli Syndrome (GS) is caused by a mutation in the RAB27A gene and usually manifests with silvery-gray hair, immune deficiency and the development of hemophagocytic lymphohistiocytosis (HLH). A hematopoietic...
The Effects of Maternal Anemia in Pregnant Women with Respect to the Newborn Weight and the Placental Weight in the Delivery Room
Aim: The aim of the study was to investigate the possible effects of maternal anemia in pregnant women with respect to placental weight and newborn weight. Materials and Methods: In this cross-sectional study, 68 healthy...
Bannayan-Riley-Ruvalcaba Syndrome in a Case Evaluated Due to Multinodular Goiter
Bannayan-Rıley-Ruvalcaba syndrome (BRRS) is characterized by macrocephaly, pigmented macules on the glans penis and benign mesodermal hamartomas. 9.6-year-old boy was referred to the pediatric surgeon following an observ...