No abstract

Following acute organophosphate poisoning, intermediate syndrome essentially relates to the impairment of neuromuscular transmission due to prolonged inhibition of acetylcholinesterase activity at the muscle end-plate. However, the role of muscle injury in the development of intermedicate syndrome is not clear. The aim of this study was to determine whether the initial serum levels of the muscle enzymes can predict the subsequent development of intermediate syndrome.We reviewed the files of 47 adult patients with organophosphate poisoning between April 2003 and February 2006. The muscle enzymes were obtained within first 24 hr from each patient. Among the patients, 17% (n = 8) had severe poisoning and 83% (n = 39) mild poisoning. In 10 patients (21%), intermediate syndrome was observed. Of the patients with severe poisoning, 63% (n = 5) developed subsequent intermediate syndrome; among those with mild poisoning, 13% (n = 5) developed intermediate syndrome. There was no significant difference in initial serum levels of creatine kinase and aspartate aminotransferase between the patients with severe poisoning and mild poisoning, and there was no difference in initial serum levels of creatine kinase and aspartate aminotransferase between the patients with and without intermediate syndrome. The serum levels of the muscle enzymes measured within the first 24 hr may not predict the subsequent development of intermediate syndrome.

No abstract

SUMMARY

Hydatid disease remains a serious health problem for the Mediterranean countries, such as Turkey. At present Hydatid cyst is an endemic public health problem that is seen especially in some parts of South America, Middle Asia and South Europe. Pleural hydatid cyst is seen rarely and is supposed r to depend on rupture of pulmonary or liver hydatid cysts. A nineteen year old man who took part in sports and was previously completely healthy was admitted to the emergency service with chest pain that began suddenly and was not improving with rest. Thorax tomography was planned because a circular opacity with a 5 cm diameter is seen in pulmonary radiography of the patient. In the thorax tomography, there was a supported t hydatid cyst image with pleural invasion into the right middle lobe of the lung (pulmonary). The patient was operated on by thoracic surgeons. On the fifth day, the patient was discharged from hospital. Hydatid cysts infect different tissue including the pleura. In emergency service, physicians should notice that the patient with atypical chest pain and pulmonary opacity site in radiography may have a pleural cyst hydatid cyst.