ibrahim Hakan Bucak - Academia.edu (original) (raw)

Papers by ibrahim Hakan Bucak

Journal of Surgery and Medicine

International Journal of Health Services Research and Policy

It is important for health professionals working with children to be aware of all aspects of chil... more It is important for health professionals working with children to be aware of all aspects of children's rights. the study was conducted to determine the qualitative analysis of the knowledge of the healthcare professionals working in pediatrics units on children's rights. Twenty health workers in the pediatric units of an obstetric and children's hospital, nine physicians and eleven nurses, took part in the research. Data were collected with the semi-structured interview technique using an 'information form' and a 'structured interview form'. Data were then subjected to analysis. Two themes were determined as "the views of healthcare professionals on children's rights" and "what can be done to better implement children's rights". In line with these themes; it was determined that healthcare workers mostly focused on children's right to life and development, and other rights were not mentioned much. It was determined that healthcare professionals thought that training should be given to raise awareness of children's rights. It is recommended that in-service training be provided to increase the knowledge and awareness of children's rights among health workers in pediatric units.

İstanbul Bilim Üniversitesi Florence Nightingale tıp dergisi, Oct 14, 2018

Objectives: This study aims to examine the sleep quality and daytime sleepiness patterns of puerp... more Objectives: This study aims to examine the sleep quality and daytime sleepiness patterns of puerperium women.

Adıyaman Üniversitesi Sağlık Bilimleri Dergisi, 2020

1p 36 delesyon sendromu en sık rastlanılan submikroskopik delesyon sendromlarından bir tanesidir.... more 1p 36 delesyon sendromu en sık rastlanılan submikroskopik delesyon sendromlarından bir tanesidir. 1p 36 delesyon sendromlu hastalar; gelişimsel gecikme/zihinsel yetersizlik ve mikrobrakisefali, hipo/hipertelorizm, düz kaşlar, derin gözler, düz burun köprüsü, orta yüz hipoplazisi, düşük kulak, büyük geç kapanmış ön fontaneller gibi kendine özgü kraniyofasiyal görünüm gibi değişken derecelerde ortak klinik özelliklere sahiptirler. Bu yazımızda birbirinden farklı prezantasyon gösteren 1p 36 delesyon sendrom tanısı konulan iki olguyu sunmak istedik.

Herpes zoster enfeksiyonu, varisella zoster virusu tarafindan olusturulan akut vezikulobulloz bir... more Herpes zoster enfeksiyonu, varisella zoster virusu tarafindan olusturulan akut vezikulobulloz bir cilt hastaligidir. Hastalik ileri yaslarda ve immun sistemi baskilanmis kisilerde daha sik gorulmekle birlikte saglikli cocuklarda oldukca nadirdir. On yasindan kucuk cocuklarda ise oldukca nadirdir. Bu hastalikta, tipik tutulum bolgeleri siklik sirasina gore; torakal, servikal, oftalmik ve lumbosakral bolgelerdir. Herpes zoster enfeksiyonunda dokuntu oncesi ilgili dermatom bolgesinde agri ortaya cikar ve agri sonrasinda dokuntu izlenir. Kucuk cocuklarda huzursuzluk uyarici bir bulgu olabilir. Bu yazida 6 aylik bir kiz cocugunda saptanan lumbosakral bolge yerlesimli herpes zoster enfeksiyonu, bu yas grubunda herpes zoster enfeksiyonunun nadir gorulmesi ve huzursuzluk nedeni olabilecegini, tam bir fizik muayene yapilmamasi durumunda gozden kacabilecegini, vurgulamak amaciyla sunuyoruz.

Northern Clinics of Istanbul, 2021

C oronaviruses are RNA viruses from the Coronaviridae family. These viruses cause infection in mo... more C oronaviruses are RNA viruses from the Coronaviridae family. These viruses cause infection in most mammals including humans [1]. While human coronavirus infections are mostly self-limiting with a mild course, severe acute respiratory syndrome coronaviruses (SARS-CoV) and the Middle East respiratory syndrome coronavirus (MERS-CoV) posed a serious threat within the past 20 years with a mortality rate of 10% and 37%, respectively [2, 3]. A novel strain of coron-avirus appeared in December 2019 in the city of Wuhan in Hubei Province, China and spread quickly worldwide. This novel coronavirus was previously referred to as 2019 novel coronavirus (2019-nCoV) and subsequently named as SARS-CoV-2. COVID-19 is the name given by the WHO for the disease caused by the novel coronavirus SARS-CoV-2. This novel microorganism was identified through research efforts prompted by the observation that affected patients had similar pneumonia symptoms ABSTRACT OBJECTIVE: COVID-19 since the reporting of the first case of infection and its declaration as a pandemic, it caused morbidity and mortality in hundreds of thousands of people. In the early stages of the COVID-19 pandemic, the number of confirmed cases among children was relatively low, and therefore, data were limited. However, the number of pediatric cases has also risen markedly among children in the later stages of the pandemic. METHODS: Forty patients from 1 month to 18 years of age who presented to the Division of Pediatric Infectious Diseases of a tertiary research and training hospital between March 10, 2020, and May 31, 2020, with symptoms suggestive of COVID-19 infection and whose combined oropharyngeal and nasopharyngeal swab specimens tested positive on real-time reverse transcription polymerase chain reaction (rRT-PCR) were included in the study. RESULTS: Forty pediatric patients with a mean age of 109.1±66.1 months were included in the study. Among patients, 62.5% (25/40) were girls and 37.5% (15/40) were boys. The most presentation symptom was cough in 19 (47.5%) patients. Hydroxychloroquine (HQ) therapy was given as part of combination treatment to 15 symptomatic patients older than 72 months of age (72-143 months of age: 4 patient, 144-216 months of age: 11 patients). The mean time to a rRT-PCR negative test was 7.2±1.69 (4-10) days for the group receiving an HQ treatment protocol and 8.2±1.44 (6-11) days for the group receiving a non-HQ treatment protocol with no significant difference between the groups (p=0.054). CONCLUSION: In this study, it was shown that the use of HQ had no effect on the length of hospital stay and that there was no significant difference between patients in terms of epidemiological data.

Avicenna Journal of Medicine, 2021

Background Anxiety and caregiver burden increase among caregivers for individuals with chronic di... more Background Anxiety and caregiver burden increase among caregivers for individuals with chronic disease. The purpose of this study was to compare the anxiety levels and caregiver burden among caregivers for cases with pediatric celiac disease (CD) before and during the COVID-19 pandemic. Materials The Zarit Burden Interview (ZBI) and the Beck Anxiety Inventory (BAI) were applied to 29 parents caring for pediatric CD patients in January 2020, when COVID-19 cases had not yet been seen in Turkey. The study was designed prospectively. The scales were also reapplied to the same study group online during the COVID-19 pandemic (May 2020). The results were then compared. Results Parents caring for 29 cases of pediatric CD; 21 mothers (72.4%), six fathers (20.7%), and two aunts (6.9%) took part in the study. Mean ZBI scores before and during the COVID-19 pandemic were 27.51 ± 14.12 (8–73) and 38.68 ± 10.95 (21–57), respectively (p < 0.01). Mean BAI scores before and during the COVID-19 pan...

Journal of the College of Physicians and Surgeons Pakistan, 2021

The aim of this study was to evaluate vitamin B12 levels in the patients diagnosed with neurofibr... more The aim of this study was to evaluate vitamin B12 levels in the patients diagnosed with neurofibromatosis type 1 (NF1) and to compare them with a healthy group. In this study, the files of the patients, who were admitted to the pediatric neurology outpatient clinic of a tertiary university hospital and were followed up after being diagnosed with neurofibromatosis type 1 during the 15-month period, were evaluated retrospectively (Study group). Demographic data, and laboratory test results (complete blood count, iron, iron-binding capacity, ferritin, vitamin B12 and folate) were recorded from the patient files. The cases admitted to the hospital for routine child health examination in the same period were taken as the control group. Vitamin B12 levels were statistically significantly lower in the study group compared to the control group (p=0.012). This study is the first study evaluating vitamin B12 levels in NF1 patients.

Turkish Journal of Pediatric Emergency and Intensive Care Medicine, 2020

Cankurtaran ile hasta taşınması yaşamsal tehlikesi ve acil tedavi gereksinimi bulunan her hasta i... more Cankurtaran ile hasta taşınması yaşamsal tehlikesi ve acil tedavi gereksinimi bulunan her hasta için yaşam kurtarıcı bir sağlık basamağıdır. Bu çalışmada çocuk acil servise 112 Acil Sağlık Hizmetleri'ne bağlı cankurtaran ile getirilen hastaların geriye dönük olarak incelenmesi amaçlandı. Yöntemler: Çocuk acil servisine 01.04.2018-30.06.2018 tarihleri arasında cankurtaran ile getirilen hastaların dosyaları geriye dönük olarak değerlendirildi. Değerlendirme sonucunda; hastanın cankurtaran çağırma şikayeti, cankurtaranda yapılan müdahaleler, demografik veriler, sosyal güvence, sevk durumu, başvuru saati ve günü, çocuk acil serviste uygulanan müdahaleler, son tanısı ve sonlanımına ait bilgiler kaydedildi. Cankurtaran ile getirilmeyen hastaların triyaj durumu, acil servis gözlem odasına alınma, acil servis gözlem odasında kalış süresi ve hastaneye yatış oranları incelendi. Bulgular: Çalışma döneminde acil serviste muayene edilen hasta sayısı 40.778 iken, cankurtaran ile getirilen hasta sayısı 313 idi. Çalışmaya alınan hastaların 173'ü (%55,3) kız, 140'ı (%44,7) erkek cinsiyette idi. Olguların yaş ortalaması 95,92±67,5 (1-216) ay idi. Hastaneye başvuru günleri incelendiğinde perşembe günü (%19,8) ilk sırada gelmekte idi. Cankurtaran ile getirilen hastaların acil servis triyaj durumu değerlendirildiğinde olguların %8'i kırmızı iken cankurtaranla getirilmeyenlerde bu oran %0,3 idi. Cankurtaranla getirilen hastaların %33,9'u hastaneye yatırılırken bu oran cankurtaranla getirilmeyenlerde %2,4 idi. Cankurtaranda hastaların 112'sine (%35,8) damar yolu açılmamış iken çocuk acil servisinde damar yolu açılmayan hasta sayısı 29 (%9,3) idi (p=0,001). Cankurtaran çağrılma nedenleri incelendiğinde ilk sırada ateş (66, %21,1) şikayeti gelmekte idi. Sonuç: Sağlık çalışanlarının, cankurtaran ile çocuk hastaların taşınması esnasında yapılması gerekenler konusunda daha fazla eğitilmesi gerekmektedir. Cankurtaran ile getirilen hastaların acil servis gözlem odasında kalış süresi, hastaneye yatırılma oranı ve bu hastaların kırmızı triyaj kodu alması olasılığının yüksek olduğu sonucuna varıldı. Cankurtaran ile çocuk hasta taşınması konusunda çok merkezli çalışmalara ihtiyaç duyulmaktadır.

Avicenna Journal of Medicine, 2020

Background: The aim of this study was to examine the characteristics of patients presenting to a ... more Background: The aim of this study was to examine the characteristics of patients presenting to a pediatric emergency department in a rural province of Turkey due to horse and donkey bites and to analyze whether these features differ from those of more common animal bites in rural areas. Materials and Methods: The records of patients presenting to the pediatric emergency department of a tertiary hospital due to horse and donkey bites over a 3-year period were examined retrospectively. Demographic data, month of presentation, animal species involved (horse or donkey), the body area bitten, treatment applied to the wound site, whether tetanus and rabies vaccinations were administered, and whether or not antibiotics were prescribed on discharge from the emergency department were recorded from these files. Results: The annual incidence of horse and donkey bites was determined as 7.8/100,000. Thirty-six patients, 24 (66.7%) boys and 12 (33.3%) girls, with a mean age of 95.6 ± 33.9 (48–190...

Adıyaman Üniversitesi Sağlık Bilimleri Dergisi, 2019

Aim: Epistaxis is a common, usually self-limiting, clinical condition in childhood. Many factors ... more Aim: Epistaxis is a common, usually self-limiting, clinical condition in childhood. Many factors have been identified in the etiology of epistaxis although one third of epistaxis called idiopathic. Anatomical structure of nose should be taken into account in the evaluation of patients with recurrent idiopathic epistaxis. Aim of this study to reveal whether or not there is any correlation between nasofrontal angle and recurrent idiopathic epistaxis in children.Methods: The patients referred to the pediatric and ear-nose-throat outpatient clinics for recurrent epistaxis between October 2014–April 2015 were enrolled in the study and accepted as study group. The control group was chosen from patients without epistaxis. The NFA was measured with a commercial angle meter under normal anatomic position by the same researcher.Results: Sixty-two subjects with recurrent idiopathic epistaxis and ninety subjects without epistaxis were enrolled in this study and named as the study group and the ...

Annals of Clinical and Analytical Medicine, 2017

Epstein-Barr virüs (EBV) herpes virüs ailesindendir. Çocuklarda yaşam boyu süren enfeksiyonlara v... more Epstein-Barr virüs (EBV) herpes virüs ailesindendir. Çocuklarda yaşam boyu süren enfeksiyonlara ve birkaç kanser tipinin gelişmesinde rol oynamaktadır. Primer enfeksiyonu asemptomatik veya nonspesifik hafif bulgularla seyreder. Bu çalışmamızdaki amacımız primer EBV enfeksiyonlu hastalarda inflamatuvar sürecin trombosit parametrelerini, trombosit lenfosit oranını (TLO) ve nötrofil lenfosit oranını (NLO) etkileyip etkilemediğinin ortaya konulmasıdır. Gereç ve Yöntem: Çalışmamız retrospektif bir çalışma olup çalışmamıza 44 primer EBV enfeksiyonlu hasta ile 66 sağlıklı hasta dahil edildi. Her iki grubun demografik verileri ile laboratuvar bulguları kayıt edildi. Verilerin istatistiksel analizinde SPSS 22.0 programı kullanıldı. Niteliksel ve niceliksel verilerin analizinde Student's t-testi, Mann-Whitney U testi, ki kare testleri kullanıldı. İstatistiksel olarak anlamlılık için p < 0,05 değeri alındı. Bulgular: Ortalama trombosit sayısı, ortalama trombosit hacmi, albümin düzeyleri ve trombosit lenfosit oranı çalışma grubunda kontrol grubuna kıyasla anlamlı düzeyde düşük saptandı (p değerleri sırasıyla 0.028, 0.002, 0.012 ve <0.001'idi). Ortalama ürik asit düzeyi ile trombosit dağılım genişliği düzeyi ise çalışma grubunda kontrol grubuna göre istatistiksel olarak anlamlı düzeyde yüksek saptandı (p değerleri sırasıyla 0.007 ve <0.001 idi). Trombosit dağılım genişliği için 13,7 optimal cutoff düzeyi olarak alındığında [eğri altında kalan alan: 0,774] olup bu değer primer EBV enfeksiyonu için % 81 özgüllüğe, % 79,5 duyarlılığa sahipti (p< 0,001). Tartışma: Çalışmamız primer EBV enfeksiyonunun trombosit sayısı ve trombosit göstergelerini etkilediğini göstermesi açısından oldukça anlamlıdır. Trombosit parametrelerinin etkilendiği enfeksiyonlarda EBV, ilk düşünülmesi gereken viral etkenlerden biri olmalıdır. Trombosit göstergelerinin EBV enfeksiyonunda oynadığı rolü açıklayacak prospektif çalışmalara ihtiyaç vardır.

Annals of Medical Research, 2018

Aim: he purpose of this study was to evaluate the demographic data and clinical features of patie... more Aim: he purpose of this study was to evaluate the demographic data and clinical features of patients diagnosed with deep neck infection over a one-year period and hospitalized for treatment in a tertiary training and research hospital. Material and methods: Files for cases treated and followed-up for deep neck infection in our pediatric department during 2017 were evaluated retrospectively. Age, sex, month of presentation, presentation symptoms, physical examination findings, laboratory results, radiological imaging, consultations requested from other departments, treatments administered, number of days of hospitalization, and complications developing were assessed from these case files. Results: Twenty-eight (63.6%) of the 44 patients hospitalized for treatment for deep neck infection in the pediatric department were boys, and 16 (36.4%) were girls. Patients' mean age was 57.45 ± 44.35 (5-191) months. Mean duration of hospitalization and treatment was 8.2 ± 2.8 (4-14) days. The most common presentation symptom was swelling in the neck (65.9%), and the most common physical examination finding was cervical lymphadenopathy (81.8%). Tooth decay was present in 27.3% of patients. Consultations were most commonly requested with the ear, nose and throat department, while consultations were requested with the external diseases department for five patients (11.3%). Conclusion: The prevalence of deep neck infection has increased in recent years.Further studies are needed on the subject of deep neck infection, which may involve life-threatening complications. Physicians should pay closeattention to the relation between tooth decay and deep neck infection in all patients followed-up with a diagnosis of such infection.

Avicenna journal of medicine

Migration is a problem affecting all family members, but particularly children. Child refugees ar... more Migration is a problem affecting all family members, but particularly children. Child refugees are the highest risk group for the health systems of receiving countries. We investigated the health of 104 Syrian child refugees presenting to a tertiary hospital in Turkey. A retrospective study was conducted in the pediatric clinic. The medical files of Syrian refugee children (0-18 years) presenting to Adiyaman University Hospital, Pediatric Clinic between 01 and 30 November 2015, were investigated. Demographic data, body measurements, and laboratory results obtained from patients' medical records were evaluated. Mean age of patients was 53.5 ± 49.6 (2-198) months; 63 were male and 41 were female. Seventy-two patients (69.2%) were under 5 years of age. Weight in 20 patients (19.2%), height in 33 (31.7%), head circumference in 2 (1.9%), and body mass index in 7 (6.7%) were below the third percentile. All patients with body weight below the third percentile had chronic malnutrition. ...

TURKDERM, 2017

El-ayak-ağız hastalığı (EAAH); ateş, deri ve mukoza lezyonları ile seyreden, çocukluk çağının ent... more El-ayak-ağız hastalığı (EAAH); ateş, deri ve mukoza lezyonları ile seyreden, çocukluk çağının enteroviral döküntülü bir hastalığıdır. İyi seyirli ve kendiliğinden düzelme eğiliminde olmakla birlikte, nadiren sistemik tutuluma yol açabilir. Bu çalışmanın amacı, pediatri ve dermatoloji klinikleri tarafından EAAH tanısıyla takip edilen hastalara ait klinik deneyimlerimizi paylaşmaktır. Gereç ve Yöntem: Hastanemize Aralık 2014-Kasım 2015 tarihleri arasında ateş ve döküntü şikayeti ile başvuran hastalardan, klinik bulgulara dayanılarak EAAH tanısı koyulan hastalar prospektif olarak değerlendirildi. Hastaların yaşı, cinsiyeti, başvuru ayı, başvuru şikayeti ve süresi sorgulandı. Sistemik ve dermatolojik muayene bulguları, laboratuvar sonuçları, ekokardiyografi gibi ek inceleme tetkikleri gözden geçirildi. Bulgular: Çalışmaya toplam 39 hasta dahil edildi. Hastaların 19'u (%48,8) kız, 20'si (%51,2) erkek idi. Hastaların ortalama yaşı 29,8±27,9 (6-155) ay olarak hesaplandı. Yaş aralığına göre hastaların 6'sı (%15,3) 0-12 ay arasında iken, sadece 3'ü (%7,8) 60 aydan büyüktü. Başvurular en Background and Design: Hand, foot and mouth disease (HFMD) is a childhood enteroviral eruptive disease presenting with fever and cutaneous and mucosal lesions. It is benign and generally resolves spontaneously, but may sometimes result in systemic involvement. The purpose of this study was to share our clinical experience concerning patients who were followed with the diagnosis of HFMD established by the pediatric and dermatology clinics. Materials and Methods: We prospectively evaluated patients who attended our hospital with the complaints of fever and eruptions and received the diagnosis of HFMD based on the clinical findings between December 2014 and November 2015. Age, sex, month of presentation, presentation symptoms and duration of symptoms were investigated. Systemic and dermatological examination findings, laboratory results and tests such as echocardiography were reviewed. Results: Thirty-nine patients were included; 19 (48.8%) were girl and 20 (51.2%) were boy. The mean age of the patients was 29.8±27.9 (6-155) months. Six (15.3%) patients were in the 0-12 month age group, while only 3 (7.8%) were older than 60 months. Presentations were most common in September, June and October. The most common presentation symptoms were eruptions on the hands and feet (100%), fever (82.1%) and oral aphthae (79.5%). The lesions were most commonly observed on the hands (94.9%, n=37) and feet (87.2%, n=34) and in the mouth (79.5%, n=31). Cardiac involvement was determined in 3 (7.7%) patients. Nail changes were observed during monitoring in 10 (25.6%) patients. Conclusion: Our results show that the age of onset of HFMD in Turkey has decreased compared to that reported in the previous studies. Patients must be evaluated in detail in terms of clinical and laboratory findings showing severity of the disease. This study also shows that pediatricians/dermatologists collaboration is of great importance.

Balkan Medical Journal, 2016

Background: Angiokeratoma of fordyce occurring over on the vulva is a rare condition. Fordyce ang... more Background: Angiokeratoma of fordyce occurring over on the vulva is a rare condition. Fordyce angiokeratoma is observed more frequently among men than women. In women, it is generally observed in later life, and appears as multiple dark purple papules, measuring 2-4 mm, on the vulva. Case Report: We present the case of a 17-year-old white teenage girl with giant Fordyce angiokeratoma on the right vulva. The angiokeratoma was removed and a V-Y advancement flap was made. Conclusion: In the literature, this is the first childhood case reported in which a reconstruction of the vulva was performed.

Investigative Opthalmology & Visual Science, 2016

The purpose of this study was to determine whether there are differences in choroidal thickness i... more The purpose of this study was to determine whether there are differences in choroidal thickness in children with iron deficiency anemia (IDA). METHODS. Fifty-two patients with IDA and 54 healthy children between 3 and 16 years of age were enrolled in this study. After complete eye examinations were conducted for each participant, the choroidal thickness was measured using optical coherence tomography. Correlations between the choroidal thickness and clinical and laboratory parameters were also evaluated. RESULTS. There were no statistically significant differences between the two groups in terms of visual acuity, intraocular pressure, central corneal thickness, or axial length (P > 0.05). The choroidal thicknesses at the foveal center were 303.13 6 27.14 lm in the IDA patients and 333.67 6 39.77 lm in the healthy control children (P < 0.001); additionally, the choroidal thicknesses at each point within the horizontal nasal and temporal quadrants were thinner in the IDA group. There were positive correlations between the choroidal thickness and hemoglobin (r ¼ 0.337; P < 0.001), mean corpuscular volume (r ¼ 0.305; P ¼ 0.001), iron (r ¼ 0.264; P ¼ 0.006), and ferritin (r ¼ 0.287; P ¼ 0.003) levels; however, there were no correlations between the clinical or ocular characteristics and the choroidal thickness. CONCLUSIONS. The patients with IDA had significantly thinner choroidal thicknesses than those of the healthy children. Choroidal thinning in childhood may be an early sign of deterioration in the ocular blood circulation, without any risk of atherosclerosis in advanced age in the patients with IDA.

Sakarya Medical Journal, 2016

Objective: The aim of this study was to analyze the 25(OH)D3 levels and investigate a province's ... more Objective: The aim of this study was to analyze the 25(OH)D3 levels and investigate a province's pediatric vitamin D insufficiency and deficiency based on residence location. Materials and Methods: The pediatric patients who had 25(OH)D3 level results recorded in the patient file system from April 2013 to December 2014 were enrolled in the study. The demographic data of age, gender, address, and admission season of patients were recorded. The patients were divided into three group according to their 25(OH)D3 levels: Group 1 (deficiency, < 20 ng/mL); Group 2 (insufficiency, 20-29.9 ng/mL); and Group 3 (normal, ≥ 30 ng/mL). Results: Seven hundred and seventy-five patients were included in the study. The average age of the patients was 14.5 ± 9 (1-123) months. The mean vitamin D levels indicated no statistically significant difference among the seasons (p = 0.751) and residence locations (p = 0.183). Conclusion: The results of this study indicate that vitamin D levels are not affected by residence location. Similar studies need to be carried out in major cities.

Turkiye Klinikleri Journal of Pediatrics, 2015

Herpes zoster enfeksiyonu, varisella zoster virüsü tarafından oluşturulan akut vezikülobüllöz bir... more Herpes zoster enfeksiyonu, varisella zoster virüsü tarafından oluşturulan akut vezikülobüllöz bir cilt hastalığıdır. Hastalık ileri yaşlarda ve immün sistemi baskılanmış kişilerde daha sık görülmekle birlikte sağlıklı çocuklarda oldukça nadirdir. On yaşından küçük çocuklarda ise oldukça nadirdir. Bu hastalıkta, tipik tutulum bölgeleri sıklık sırasına göre; torakal, servikal, oftalmik ve lumbosakral bölgelerdir. Herpes zoster enfeksiyonunda döküntü öncesi ilgili dermatom bölgesinde ağrı ortaya çıkar ve ağrı sonrasında döküntü izlenir. Küçük çocuklarda huzursuzluk uyarıcı bir bulgu olabilir. Bu yazıda 6 aylık bir kız çocuğunda saptanan lumbosakral bölge yerleşimli herpes zoster enfeksiyonu, bu yaş grubunda herpes zoster enfeksiyonunun nadir görülmesi ve huzursuzluk nedeni olabileceğini, tam bir fizik muayene yapılmaması durumunda gözden kaçabileceğini, vurgulamak amacıyla sunuyoruz.