Evaluation of Child Cases Admitted for Tick Bite and Tick Species in İstanbul
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...
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Galenos Yayinevi
2018-09-01
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doaj-d60ae10bd2654d8799a6a3b66088fdd12020-11-25T00:53:53ZengGalenos YayineviJournal of Pediatric Research2147-94452587-24782018-09-015312412710.4274/jpr.3371613049054Evaluation of Child Cases Admitted for Tick Bite and Tick Species in İstanbulAbdurrahman Avar Özdemir0Yakup Yeşil1Aynur Gülanber2İlker Efil3 Biruni University Hospital, Clinic of Pediatrics, İstanbul, Turkey İstanbul University of Health Sciences, Kanuni Sultan Süleyman Training and Research Hospital, Clinic of Pediatrics, İstanbul, Turkey İstanbul University Faculty of Veterinary Medicine, Department of Parasitology, İstanbul, Turkey İstanbul University Faculty of Veterinary Medicine, Department of Parasitology, İstanbul, Turkey 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. http://jpedres.org/archives/archive-detail/article-preview/evaluation-of-child-cases-admitted-for-tick-bite-a/19518 Crimean-Congo Haemorrhagic Feverchildtick bite |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Abdurrahman Avar Özdemir Yakup Yeşil Aynur Gülanber İlker Efil |
spellingShingle |
Abdurrahman Avar Özdemir Yakup Yeşil Aynur Gülanber İlker Efil Evaluation of Child Cases Admitted for Tick Bite and Tick Species in İstanbul Journal of Pediatric Research Crimean-Congo Haemorrhagic Fever child tick bite |
author_facet |
Abdurrahman Avar Özdemir Yakup Yeşil Aynur Gülanber İlker Efil |
author_sort |
Abdurrahman Avar Özdemir |
title |
Evaluation of Child Cases Admitted for Tick Bite and Tick Species in İstanbul |
title_short |
Evaluation of Child Cases Admitted for Tick Bite and Tick Species in İstanbul |
title_full |
Evaluation of Child Cases Admitted for Tick Bite and Tick Species in İstanbul |
title_fullStr |
Evaluation of Child Cases Admitted for Tick Bite and Tick Species in İstanbul |
title_full_unstemmed |
Evaluation of Child Cases Admitted for Tick Bite and Tick Species in İstanbul |
title_sort |
evaluation of child cases admitted for tick bite and tick species in i̇stanbul |
publisher |
Galenos Yayinevi |
series |
Journal of Pediatric Research |
issn |
2147-9445 2587-2478 |
publishDate |
2018-09-01 |
description |
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. |
topic |
Crimean-Congo Haemorrhagic Fever child tick bite |
url |
http://jpedres.org/archives/archive-detail/article-preview/evaluation-of-child-cases-admitted-for-tick-bite-a/19518
|
work_keys_str_mv |
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