Purpose: Controlled Nutritional Status (CONUT) score is strongly associated with mortality in various patient groups. This study aimed to assess the CONUT score’s ability to predict mortality in Hemodialysis (HD) patients. Patients and Methods: Data from 243 patients who started HD between 2012 and 2020 were analyzed retrospectively. Laboratory test results within the first month after dialysis initiation were recorded and CONUT scores were calculated. Results: Over a mean follow-up duration of 32.2 months, the association between early (within six months) and late mortality was assessed. During this period, 119 patients (48.8%) died. Non-survivors had higher CONUT scores. The optimal cut-off for the CONUT score was 5.5. Sensitivity and specificity for predicting mortality were 62.2% and 61.23%, respectively. The optimal cut-off for early mortality was 6.5. Sensitivity and specificity for predicting early mortality were 68% and 69.3%, respectively. The CONUT score demonstrated moderate predictive accuracy for mortality (AUC 0.665) and higher accuracy for early mortality (AUC 0.729), highlighting its clinical utility in risk stratification. Conclusion: CONUT score at the beginning of HD is a reliable tool in predicting overall mortality in these patients, but it is especially useful in predicting early mortality.

A rare case of acute acalculous cholecystitis secondary to hantavirus infection with renal syndrome

Tuberculosis (TB) has become a global emergency worldwide. The long time period between the exposure to TB bacillus and the onset of symptoms cause a delay in diagnosis. Herein, we report a case of 64-year-old female patient suffering from dyspepsia, anorexia, weight loss and abdominal pain for the last 8 months. Physical examination, ascites fluid evaluation, chest radiography, ultrasonographic and tomographic scans, histopathological analysis of the lymphadenopathy (LAP) and endometrial tissue revealed TB. A fourfold antituberculous treatment with isoniazid, pyrazinamide, rifampicin and ethambutol was prescribed for two months and for four months maintenance therapy with isoniazid and rifampicin was given. On the fourth month of the medical treatment the patient clinically recovered. Since the diagnosis of TB is difficult, high grade suspicion, combination of the radiologic, microbiologic and histopathological examinations are needed to achieve a diagnosis.

COVİD-19 ilk Çin de 2019 Aralıkta görülüp yüksek bulaşıcılığı olup tüm dünyaya hızla yayılmaktadır.Mart ayında Dünya Sağlık Örgütü tarafından pandemi olarak bidirilmiştir.Covid 19 sonrası pnömoni sık görülür.Yapılan çalışmalarda sekonder pnömotoraks nadir görülüp oranı %1-2 arasında olup ciddi solunum sıkıntısı ve ölüme neden olabilmektedir. Covid 19 nedeniyle serviste yatan 71 yaşındaki hastada ani nefes darlığı ve göğüs ağrısı olup satürasyonları düşünce yapılan görüntülemede sağda pnömontoraks olan hastadan bahsettik. Covid 19 nedeniyle takip edilen hastalarda ani gelişen solunum sıkıntısında spontan pnömotoraks açısından dikkatli değerlendirilmelidir.