The Diagnostic Value of the Leukocyte Shift Index in Purulent-Septic Rhinosinusogenic Complications in Children

The aim of this study was to investigate the diagnostic value of the leukocyte shift index (LSI) in inflammatory pathology of the paranasal sinuses (PNS) with the rhinosinusogenic orbital complications (RSOC) in pediatric patients. Methods and Results: The study involved 50 patients (26 boys and 24...

Full description

Bibliographic Details
Main Authors: Tatiana B. Kuznetsova, Maria N. Ponomareva, Nadezhda E. Kuznetsova
Format: Article
Language:English
Published: International Medical Research and Development Corporation 2021-09-01
Series:International Journal of Biomedicine
Subjects:
Online Access:http://ijbm.org/articles/i43/ijbm_11(3)_shc.pdf
_version_ 1818369712359211008
author Tatiana B. Kuznetsova
Maria N. Ponomareva
Nadezhda E. Kuznetsova
author_facet Tatiana B. Kuznetsova
Maria N. Ponomareva
Nadezhda E. Kuznetsova
author_sort Tatiana B. Kuznetsova
collection DOAJ
description The aim of this study was to investigate the diagnostic value of the leukocyte shift index (LSI) in inflammatory pathology of the paranasal sinuses (PNS) with the rhinosinusogenic orbital complications (RSOC) in pediatric patients. Methods and Results: The study involved 50 patients (26 boys and 24 girls) with diseases of the PNS and RSOC (reactive edema of the eyelids, orbital tissue, and purulent-septic complications of the eyelids and orbit) aged from 1 to 17 years (mean age of 6.66±0.63 years). Group 1 included 29 patients (16 boys and 13 girls) with reactive edema of the eyelids and orbital tissue. Group 2 included 21 patients (10 boys and 11 girls) with purulent-septic RSOC. As a marker for determining the activity of the inflammatory process and the disorders of the immunological reactivity of the body, LSI (leukocyte shift index) was calculated. In general, the LSI value was 1.61±0.21 in Group 1 and 3.45±0.49 in Group 2 (P=0.001). Among patients aged between 3 and 12 years, the LSI was 1.66±0.30 in Group 1 and 3.93±0.79 in Group 2 (P=0.012). The results obtained indicate that LSI can be used to predict purulent-septic RSOC in inflammatory diseases of PNS in patients aged between 3 and 12 years. LSI values from 1.36 to 1.96 may predict the development of reactive edema of the eyelids and orbital tissue; from 3.14 to 4.72 - the development of purulent-septic complications of the eyelids and orbit. Conclusion: The results obtained can be useful in predicting the clinical course of the RSOC in inflammatory pathology of PNS in patients in the age group of 3-12 years.
first_indexed 2024-12-13T23:28:12Z
format Article
id doaj.art-8736e94a355848f0b8de5badc27bc6d1
institution Directory Open Access Journal
issn 2158-0510
2158-0529
language English
last_indexed 2024-12-13T23:28:12Z
publishDate 2021-09-01
publisher International Medical Research and Development Corporation
record_format Article
series International Journal of Biomedicine
spelling doaj.art-8736e94a355848f0b8de5badc27bc6d12022-12-21T23:27:29ZengInternational Medical Research and Development CorporationInternational Journal of Biomedicine2158-05102158-05292021-09-0111330130410.21103/Article11(3)_ShCThe Diagnostic Value of the Leukocyte Shift Index in Purulent-Septic Rhinosinusogenic Complications in ChildrenTatiana B. Kuznetsova0Maria N. Ponomareva1Nadezhda E. Kuznetsova2Tyumen State Medical University, Tyumen, the Russian FederationTyumen State Medical University, Tyumen, the Russian FederationTyumen State Medical University; Tyumen Region Clinical Hospital No2. Tyumen, the Russian FederationThe aim of this study was to investigate the diagnostic value of the leukocyte shift index (LSI) in inflammatory pathology of the paranasal sinuses (PNS) with the rhinosinusogenic orbital complications (RSOC) in pediatric patients. Methods and Results: The study involved 50 patients (26 boys and 24 girls) with diseases of the PNS and RSOC (reactive edema of the eyelids, orbital tissue, and purulent-septic complications of the eyelids and orbit) aged from 1 to 17 years (mean age of 6.66±0.63 years). Group 1 included 29 patients (16 boys and 13 girls) with reactive edema of the eyelids and orbital tissue. Group 2 included 21 patients (10 boys and 11 girls) with purulent-septic RSOC. As a marker for determining the activity of the inflammatory process and the disorders of the immunological reactivity of the body, LSI (leukocyte shift index) was calculated. In general, the LSI value was 1.61±0.21 in Group 1 and 3.45±0.49 in Group 2 (P=0.001). Among patients aged between 3 and 12 years, the LSI was 1.66±0.30 in Group 1 and 3.93±0.79 in Group 2 (P=0.012). The results obtained indicate that LSI can be used to predict purulent-septic RSOC in inflammatory diseases of PNS in patients aged between 3 and 12 years. LSI values from 1.36 to 1.96 may predict the development of reactive edema of the eyelids and orbital tissue; from 3.14 to 4.72 - the development of purulent-septic complications of the eyelids and orbit. Conclusion: The results obtained can be useful in predicting the clinical course of the RSOC in inflammatory pathology of PNS in patients in the age group of 3-12 years.http://ijbm.org/articles/i43/ijbm_11(3)_shc.pdfparanasal sinusesrhinosinusogenic orbital complicationsleukocyte shift index
spellingShingle Tatiana B. Kuznetsova
Maria N. Ponomareva
Nadezhda E. Kuznetsova
The Diagnostic Value of the Leukocyte Shift Index in Purulent-Septic Rhinosinusogenic Complications in Children
International Journal of Biomedicine
paranasal sinuses
rhinosinusogenic orbital complications
leukocyte shift index
title The Diagnostic Value of the Leukocyte Shift Index in Purulent-Septic Rhinosinusogenic Complications in Children
title_full The Diagnostic Value of the Leukocyte Shift Index in Purulent-Septic Rhinosinusogenic Complications in Children
title_fullStr The Diagnostic Value of the Leukocyte Shift Index in Purulent-Septic Rhinosinusogenic Complications in Children
title_full_unstemmed The Diagnostic Value of the Leukocyte Shift Index in Purulent-Septic Rhinosinusogenic Complications in Children
title_short The Diagnostic Value of the Leukocyte Shift Index in Purulent-Septic Rhinosinusogenic Complications in Children
title_sort diagnostic value of the leukocyte shift index in purulent septic rhinosinusogenic complications in children
topic paranasal sinuses
rhinosinusogenic orbital complications
leukocyte shift index
url http://ijbm.org/articles/i43/ijbm_11(3)_shc.pdf
work_keys_str_mv AT tatianabkuznetsova thediagnosticvalueoftheleukocyteshiftindexinpurulentsepticrhinosinusogeniccomplicationsinchildren
AT marianponomareva thediagnosticvalueoftheleukocyteshiftindexinpurulentsepticrhinosinusogeniccomplicationsinchildren
AT nadezhdaekuznetsova thediagnosticvalueoftheleukocyteshiftindexinpurulentsepticrhinosinusogeniccomplicationsinchildren
AT tatianabkuznetsova diagnosticvalueoftheleukocyteshiftindexinpurulentsepticrhinosinusogeniccomplicationsinchildren
AT marianponomareva diagnosticvalueoftheleukocyteshiftindexinpurulentsepticrhinosinusogeniccomplicationsinchildren
AT nadezhdaekuznetsova diagnosticvalueoftheleukocyteshiftindexinpurulentsepticrhinosinusogeniccomplicationsinchildren