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Association between Ca/Mg/P status and suppurative tonsillitis in children
1Department of Pediatrics, Shanghai Jiao Tong University Affiliated Sixth Peoples Hospital, Shanghai, China.
Insights
Magnesium and phosphorus imbalances may increase the risk of suppurative tonsillitis in children. Inflammatory markers can help identify children at higher risk for this common respiratory illness.
Area of Science:
- Pediatric respiratory diseases
- Mineral metabolism in children
- Infectious disease pathogenesis
Background:
- Suppurative tonsillitis (ST) is a frequent pediatric respiratory ailment.
- This study explored the link between calcium (Ca), magnesium (Mg), and phosphorus (P) levels and the risk of ST suppuration.
- Investigated potential risk factors associated with ST in pediatric patients.
Discussion:
- Elevated white blood cell (WBC), platelet (PLT), C-reactive protein (CRP), and erythrocyte sedimentation rate (ESR) indicate higher inflammation in ST patients.
- Significantly lower Mg and P levels were observed in children with ST compared to controls.
- No significant difference in Ca levels was found between the groups.
Key Insights:
- Mg/P imbalance may contribute to susceptibility to ST suppuration in children.
- Lower phosphorus levels showed a negative association with procalcitonin (PCT).
- Inflammatory indexes appear to correlate with the risk of ST suppuration.
Outlook:
- Further research into Mg/P metabolism in pediatric ST is warranted.
- Exploring therapeutic strategies targeting mineral balance could be beneficial.
- Utilizing inflammatory markers for early risk assessment in pediatric tonsillitis.
Abstract:
Suppurative tonsillitis (ST) is a common respiratory disease in children. This study aims to investigate the association between calcium (Ca)/magnesium (Mg)/phosphorus (P) and the risk of onset of suppuration in tonsillitis in children. Seventy children with ST and 61 age- and sex-matched children with non-ST were enrolled in this study. The association between Ca/Mg/P and suppuration risk in tonsillitis was investigated. The relationship between Ca/Mg/P and the potential risk factors for ST were also studied. White blood cell (WBC), platelet (PLT), c-reactive protein (CRP) and erythrocyte sedimentation rate (ESR) levels were significantly higher in the ST group than those in the non-ST group (p less than 0.05). Mg and P levels were significantly lower in the ST group than those in the non-ST group (p less than 0.05). There was no obvious difference in Ca level between the ST group and the non-ST group (p=0.762). A significantly negative association between P and PCT was noted (r=-0.236, p=0.035). The results indicated that Mg/P disorder may be associated with the susceptibility to suppuration in children with tonsillitis, inflammatory indexes may reflect this risk.
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