İlk Temas, Açık Erişim, Tüm Sağlık Sorunları Çekirdek Yeterliliği İlkesinde Otizm Tanısı

Abstract

A six-year-old male patient who has a twin healthy brother was admitted to our family medicine clinic with complaints of cough, sputum, and nausea. On physical examination, fever was 36.7°C, oropharynx was hyperemic, he had tonsillar hypertrophy, left ear discharge and respiratory sounds were natural. The patient was diagnosed with "Acute Upper Respiratory Tract Infection" and treatment was started. During the examination, the patient was agitated and fearful, unable to concentrate, did not make eye contact, did not respond to questions and warnings, and exhibited distinct behavioral differences from his twin, such as shouting and crying, and aggressive features. When his medical history was questioned, he was learned to have born to a 45-year-old father and a 35-year-old mother through in vitro fertilization method on 35 weeks and 4 days, he was 2650 gram. He was breastfed for 8 months, could speak a word around the age of 2, and there was usually a neurodevelopmental process behind his twin. Considering this situation, the patient was referred to the child psychiatry outpatient clinic due to the suspicion of autism. He was evaluated in the child psychiatry outpatient clinic for the first time three years ago, since his speech did not start at the same time with his twin, and he was recommended to come for a follow-up visit 3 months later with a pre-diagnosis of autism. The patient, who did not come for the control, was diagnosed with "Autism" after the evaluation in our family medicine clinic.