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COVID-19 infection usually causes mild symptoms in children. Mortality and morbidity of the disease have decreased with the widespread use of vaccines. COVID-19 vaccines are generally known to protect against the disease and its complications. In this case report, a thirteen-year-old patient who came to the pediatric emergency department with chest pain, received two doses of BNT162b2 (Pfizer-Biontech), and was diagnosed with acute COVID-19-associated myocarditis is presented. With this case, it was emphasized that it may be necessary to make vaccination reminder doses at shorter intervals in order to evaluate those with chronic diseases separately from healthy children and to maintain effective protection against COVID-19. [ABSTRACT FROM AUTHOR]

Introduction: The purpose of the study is to identify the prevalence of Internet addiction (IA) among students and evaluate the association of IA with depression, social phobia, social anxiety and psychiatric disorders. Materials and Methods: A total of 297 students aged 9-14 years and studying at a private school in Gölbaşı/Ankara province were included in the study. The study was conducted between November 2015 and May 2016. The student's depression inventory; social phobia scale for student and adolescents; social anxiety scale for student-revised and strength and difficulties questionnaire were used as data collection tools. According to the Internet dependency scale, student were classified into 4 groups as non-addicted group, threshold group, risk group and addicted group. Results: According to the Internet dependency scale, the majority (258/86.9%) of the students were not Internet addicts. Twenty seven (9.1%) students were in the threshold group and 12 (4%) student were in the risk group. Compared with the depressed mood, the likelihood of having depression in the risk group was higher (p=0.001). The risk group and the threshold group had higher social phobia and social anxiety scores at a statistically significant level than the non-dependent group (p≤0.05). Conclusion: Internet use is an indispensable element for the lives of generation-Z student. However Internet addiction, which is directly related to this condition, causes many psychological and social problems for student at an alarming level. These problems cannot be ignored and can be avoided by rational use of the internet. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Pediatric Infection / Çocuk Enfeksiyon Dergisi is the property of Journal of Pediatric Infection / Cocuk Enfeksiyon Dergisi and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introduction: Human brucellosis is one of the most common zoonotic infections in the world. The definitive diagnosis of brucellosis is based on cultured Brucella organisms from blood or other tissue samples. We aimed to compare bacteremic and nonbacteremic brucellosis patients with demographical, epidemiological, clinical and laboratory features and determine the predictive factors affecting blood culture positivity.Materials and Methods: Children aged 1 month to 18 years who were followed up with the diagnosis of brucellosis between January 2005 and March 2021 were included in this retrospective study. According to the isolation of Brucella melitensis in blood culture, the patients were divided into two groups as bacteremic and nonbacteremic and compared in terms of demographic, clinical and laboratory characteristics.Results: One hundred eighty-nine (116 male, 61.4%) patients diagnosed with brucellosis were included in the study. There were 76 (40.2%) bacteremic and 113 (59.8%) nonbacteremic patients. Bacteremic patients were younger than nonbacteremic patients. Fever, arthralgia, hepatomegaly and splenomegaly were significantly higher in the culture positive group. High levels of C-reactive protein (CRP), aspartate aminotransferase (AST) and alanine aminotransferase (ALT) were found to be significant in the bacteremic group.Conclusion: In our study, history of fever and arthralgia, hepatomegaly and splenomegaly in physical examination and high CRP, ALT and AST levels in the biochemical analysis were important factors determining blood culture positivity. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Pediatric Infection / Çocuk Enfeksiyon Dergisi is the property of Journal of Pediatric Infection / Cocuk Enfeksiyon Dergisi and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Aim: Evaluation of the etiology, clinical and laboratory findings, treatment and complications of preseptal and orbital cellulitis in patients and to show that these complications can be prevented with early diagnosis and effective treatment. Materials and Methods: Thirty-eight patients with orbital and preseptal cellulitis who had been admitted to Ankara Training and Research Hospital, Clinic of Paediatric between September 2015 and February 2017 were retrospectively studied. Results: Thirty-five patients (92.1%) were diagnosed with preseptal cellulitis and 3 patients (7.9%) were diagnosed with orbital cellulitis. The mean age at diagnosis of the patients [24 girls (63.2%) and 14 boys (36.8%)] was 4.01±3.72 years. The most frequent etiologic factor was conjunctivitis (28.9%). Twenty-five patients (65.7%) were treated with intravenous ampicillin-sulbactam alone as the first treatment. No patient underwent surgery. All patients recovered completely without any eye illnesses and no complications were observed. Conclusion: Orbital infections can be healed through early diagnosis and effective antibiotic therapy in childhood and ampicillin-sulbactam therapy alone should be preferred over combination therapy due to its high effectiveness and relatively low side effects. [ABSTRACT FROM AUTHOR]

Background: Enteroviruses (EV) are most common causes of the etiologically known aseptic meningitis in children. EV can be detected with polymerase chain reaction (PCR) in cerebrospinal fluid (CSF) samples. We aimed to evaluate the clinical and laboratory characteristics of children diagnosed with PCR-confirmed EV meningitis in CSF samples., Patients: Patients aged 1 month to 17 years who underwent lumbar puncture (LP) with suspected meningitis and had CSF viral PCR and culture results between September 2012 and January 2021 at a tertiary care hospital in Turkey were included., Methods: Patients with no virus detected in CSF samples by PCR was comprised PCR-negative group. The EV PCR-positive patients were divided into two groups based on CSF pleocytosis as enteroviral meningitis (EVM) with CSF pleocytosis and EVM without CSF pleocytosis, and compared in terms of clinical and laboratory features., Results: 78 (38.2%) were EV PCR-positive, and 126 (61.8%) were PCR-negative. Pleocytosis was detected in 55 (70.5%) EV PCR-positive patients and 94 (74.6%) of PCR-negative patients. Convulsion was significantly frequent (p=0.017) in EV PCR-positive patients with no pleocytosis. Protein and lactate concentrations in CSF were significantly higher in EV PCR-positive patients with pleocytosis (p=0.048, p=0.001, respectively). Median hospital stay was significantly longer in PCR-negative group (p<0.001)., Conclusion: Diagnosing EVM with PCR prevents long-term hospitalization, unnecessary antibiotic use and healthcare-related complications., Competing Interests: The authors declare that they have no conflict of interest., (Thieme. All rights reserved.)