Disseminated intravascular coagulation is a serious and life threatening systemic complication of snake bites that can cause death if the treatment is delayed. Herein we present a 57-year-old female patient with no prior systemic disease who died because of disseminated intravascular coagulation that developed in 6 hours due to a snake bite. (Yoğun Bakım Derg 2012; 1: 17-8)Yaygın intravasküler koagülasyon yılan ısırmalarının hayatı tehdit eden ciddi bir sistemik komplikasyonudur ve tedavi geciktirilir ise ölüme neden olabilir. Biz burada daha önce herhangi bir sistemik hastalığı olmayan, yılan ısırmasından sonra ilk 6 saat içinde yaygın intravasküler koagülasyon gelişen ve bu sebeple yaşamını yitiren 57 yaşında bir bayan hastayı sunuyoruz. (Yoğun Bakım Derg 2012; 1: 17-8)Anahtar sözcükler: Yılan ısırması, yaygın intravasküler koagülasyon, ölüm, erken tedavi Geliş Tarihi: 07.12.2011
AbstractÖzet
Objective: In this study, we aimed to determine the diagnostic value of the tuberculin skin test (TST) and the QuantiFERON-TB Gold Plus (QFT-Plus) test in the diagnosis of latent tuberculosis infection and to compare the effectiveness of these two tests. Method: One hundred and thirty-four patients aged between 5 and 80 with suspect tuberculosis having QuantiFERON-TB GOLD Plus test and Tuberculin skin test results were included in our study between January 2018 and February 2019. Results: A total of 134 patients aged between 5-80 years were included in the study. In 26 of the QFT-Plus positive cases, TST was positive and in 17 of them TST were negative. TST was positive in 64 patients. Twenty six of TST positive patients were found to be QFT-Plus positive and 38 of them were QFT-Plus negative. The distributional difference was found to be statistically significant. There was no agreement between the QFT-Plus and TDT tests.
Conclusion:As a result, considering that TST, which is still used routinely today, has some disadvantages in LTBI research, it is thought that QFT-Plus test can be used as an alternative despite its high cost.
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