Browsing by Author "Kilic, Serbulent"

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    Diagnostic Overlap of Brain Abscess Symptoms with Methamphetamine Withdrawal Symptoms.
    (2023-01) Kilic, Serbulent; Kaya, Hasan Burak; Sarikaya, Ridvan; Guven, Fatma Mutlu Kukul
    From the perspective of forensic medicine, substance abuse is an important topic due to its nature and consequences. The usage of methamphetamine is a significant public health problem with deleterious side effects, one of the most serious of which is mimicking central nervous system infection. A 40-year man was brought to the emergency department with complaints of headache, vomiting, fever, and loss of consciousness. According to his relative, he had abstained from methamphetamine abuse for two weeks. The initial diagnosis was made of methamphetamine withdrawal symptoms. However, computed tomography of the head revealed sinusitis and a hypodense lesion with dimensions of 35 x 35 mm. Moreover, Streptococcus agalactiae (group B streptococcus) was grown in the blood culture. A diagnosis of brain abscess and ventriculitis was made. The aim of this report is to draw physicians attention to substance abstinence symptoms that may mask more serious diseases. Key Words: Brain abscess, Methamphetamine withdrawal, Sinusitis.
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    Striae Distensae Mimicking Physical Child Abuse.
    (2023-01) Kilic, Serbulent; Fedakar, Recep; Yuksel, Melih
    Differentiating between benign cutaneous manifestations and lesions from inflicted injuries is not always simple. A 14-year boy was admitted to our Forensic Medicine Clinic for the preparation of a medico-legal report requested by the prosecution office. On inspection, there were 10 violaceous, atrophic, horizontal, linear striae distensae (SD), confined to the lower back and measuring 0.5 cm in width and between 6 cm and 13 cm in length. The boy had experienced severe weight loss and a large spurt in height in recent months. A diagnosis of physiologic SD was made. This case is presented to draw physicians attention to a physiologic skin manifestation in adolescence that mimics trauma. It is recommended that practitioners develop examination skills and medical knowledge about cases that may become the subject of legal action. Moreover, physicians should learn to distinguish whether skin lesions originate from trauma or not. Key Words: Stretch marks, Physiologic striae, Physical child abuse, Forensic medicine.