[The monitoring of immunological indices in odontogenic abscesses and phlegmons and their differential diagnostic meaning].
The immune homeostasis parameters have been monitored in 31 patients with odontogenic abscesses and phlegmons. Immunological values possessing differential diagnostic significance have been detected. Activation of phagocytosis, spontaneous and stimulated activity of phagocytes in parallel with a moderate decrease in the cellular functional reserve, increased immunoregulatory index, and moderate shifts in the concentrations of IgG and IgM are characteristic of odontogenic abscesses, while odontogenic phlegmons are characterized by deep depression of the phagocyte function and failure of cellular and humoral immunity. The disorders in the immune functions of patients with odontogenic phlegmons normalized 2 weeks later than in those with odontogenic abscesses. Both diseases run a wave-like course and are characterized by phasic changes in immunological parameters, which is significant for determining pathogenesis and choosing appropriate immunocorrective therapy.
Taĭchenachev
A Ia
AIa
Kolesnikov
A P
AP
Zolotova
S I
SI
D000038:Abscess / Q000175:diagnosis* / Q000276:immunology / Q000601:surgery; D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D002481:Cellulitis / Q000175:diagnosis* / Q000276:immunology / Q000601:surgery; D003937:Diagnosis, Differential; D004630:Emergencies; D005260:Female; D005491:Focal Infection, Dental / Q000175:diagnosis* / Q000276:immunology / Q000601:surgery; D006801:Humans; D007111:Immunity, Cellular; D008297:Male; D008875:Middle Aged; D015166:Monitoring, Immunologic; D010587:Phagocytosis; D013997:Time Factors; D014076:Tooth Diseases / Q000175:diagnosis* / Q000276:immunology / Q000601:surgery