RESUMO
The present study was designed to optimize diagnostics of acute cervical lymphadenitis and adenophlegmona in patients with diabetes. A total of 146 patients with suppurative diseases of the head and the neck were available for examination of whom 63 presented with complicated clinical condition. It was shown that evaluation of the interleukin status (IL-8, IL-10), early diagnosis of systemic inflammatory reaction and compensatory anti-inflammatory response as well as the use of the ultrasound visualization technique make it possible to objectively assess the patient's condition and predict the outcome of the disease taking into consideration effects of hyperglycemia in diabetic patients.
Assuntos
Celulite (Flegmão)/diagnóstico , Diabetes Mellitus Tipo 1/complicações , Diabetes Mellitus Tipo 2/complicações , Interleucina-10/sangue , Interleucina-8/sangue , Linfadenite/diagnóstico , Doença Aguda , Adulto , Idoso , Biomarcadores/sangue , Celulite (Flegmão)/sangue , Celulite (Flegmão)/etiologia , Diagnóstico Diferencial , Seguimentos , Humanos , Linfadenite/sangue , Linfadenite/etiologia , Pessoa de Meia-Idade , Pescoço , Estudos Retrospectivos , Adulto JovemRESUMO
Hypercoagulation disorders contribute to pathogenesis of purulent sinusitis and craniocerebral trauma. They may result in thrombotic complications. To prevent and correct these disorders we used intramaxillary administration of heparin. This treatment promoted fast regress of hypercoagulatory disturbances of hemostasis: improved plasma recalcification, plasma tolerance to heparin, weakened depression of euglobulin fibrinolysis, stimulated normalization of fibrinogen level. Heparin treatment was contraindicated in intracranial hematomas, recent subarachnoidal hemorrhages.
Assuntos
Anticoagulantes/uso terapêutico , Infecções Bacterianas/microbiologia , Transtornos da Coagulação Sanguínea/tratamento farmacológico , Transtornos da Coagulação Sanguínea/etiologia , Traumatismos Craniocerebrais/complicações , Heparina/uso terapêutico , Sinusite/complicações , Sinusite/microbiologia , Adolescente , Adulto , Humanos , Pessoa de Meia-IdadeRESUMO
Of 115 patients admitted to hospital in 1994-1997 for stomatopharyngeal diphtheria (SPD), 41(35.7%) patients had compensated chronic tonsillitis (CT), while 17(14.8%) patients had decompensated CT. The ENT examinations carried out from the first day of the hospitalization helped to establish CT diagnostic criteria in localized form of SPD. It is shown that CT in diphtheric patients, especially decompensated CT, delays regress of local symptoms, extension of microbiocenotic spectrum and stomatopharynx contamination, prolongs carriage of diphtheric corinobacteria.
