Tekin Baglam1, Adem Binnetoglu2, Ali Cemal Yumusakhuylu1, Fethullah Gerin3, Berat Demir1, Murat Sari1. 1. Department of Otorhinolaryngology-Head and Neck Surgery, Marmara University Pendik Training and Research Hospital, Istanbul, Turkey. 2. Department of Otorhinolaryngology-Head and Neck Surgery, Marmara University Pendik Training and Research Hospital, Istanbul, Turkey. Electronic address: adembinnet@hotmail.com. 3. Department of Biochemistry, Marmara University Pendik Training and Research Hospital, Istanbul, Turkey.
Abstract
OBJECTIVE: The aim of this study was to determine whether the neutrophil-to-lymphocyte ratio (NLR) can be used as a predictor for deep neck space infections (DNSIs) that occur as a complication of acute bacterial tonsillitis in the pediatric population. MATERIALS AND METHODS: We evaluated the NLR values of 180 pediatric patients diagnosed with acute bacterial tonsillitis with or without DNSI who presented to the Otolaryngology Department of Marmara University Hospital between 2010 and 2013. In cases in which DNSI was suspected, the patients underwent complete otolaryngological examination and radiological imaging including CT and MRI. NLR was calculated in all the subjects and was compared between the patients with acute bacterial tonsillitis without DNSI and those with DNSI. RESULTS: With regard to the tonsillitis-related complications, 17 patients had peritonsillar abscess (9.4%); five, parapharyngeal abscess (2.8%); and two, retropharyngeal abscess (1.1%). The mean NLR was significantly higher in the patients of acute bacterial tonsillitis with DNSI (P<0.05). The optimum cut-off value of NLR was determined to be 5.4. CONCLUSION: This study is the first to investigate the relationship between NLR and DNSI as a complication of acute bacterial tonsillitis. The results demonstrated that the NLR value could be a potential laboratory parameter for diagnosing DNSIs.
OBJECTIVE: The aim of this study was to determine whether the neutrophil-to-lymphocyte ratio (NLR) can be used as a predictor for deep neck space infections (DNSIs) that occur as a complication of acute bacterial tonsillitis in the pediatric population. MATERIALS AND METHODS: We evaluated the NLR values of 180 pediatric patients diagnosed with acute bacterial tonsillitis with or without DNSI who presented to the Otolaryngology Department of Marmara University Hospital between 2010 and 2013. In cases in which DNSI was suspected, the patients underwent complete otolaryngological examination and radiological imaging including CT and MRI. NLR was calculated in all the subjects and was compared between the patients with acute bacterial tonsillitis without DNSI and those with DNSI. RESULTS: With regard to the tonsillitis-related complications, 17 patients had peritonsillar abscess (9.4%); five, parapharyngeal abscess (2.8%); and two, retropharyngeal abscess (1.1%). The mean NLR was significantly higher in the patients of acute bacterial tonsillitis with DNSI (P<0.05). The optimum cut-off value of NLR was determined to be 5.4. CONCLUSION: This study is the first to investigate the relationship between NLR and DNSI as a complication of acute bacterial tonsillitis. The results demonstrated that the NLR value could be a potential laboratory parameter for diagnosing DNSIs.
Authors: Alessio Danilo Inchingolo; Sabino Ceci; Luisa Limongelli; Alberto Corriero; Luigi Curatoli; Daniela Azzollini; Pietro Paolo Mezzapesa; Grazia Marinelli; Giuseppina Malcangi; Giovanni Coloccia; Mario Ribezzi; Maria Massaro; Ioana Roxana Bordea; Antonio Scarano; Felice Lorusso; Nicola Brienza; Gianfranco Favia; Nicola Quaranta; Francesco Inchingolo Journal: Case Rep Dent Date: 2022-07-12
Authors: Clark D Russell; Arun Parajuli; Hugo J Gale; Naomi S Bulteel; Philipp Schuetz; Cornelis P C de Jager; Anne J M Loonen; Georgios I Merekoulias; J Kenneth Baillie Journal: J Infect Date: 2019-02-22 Impact factor: 6.072