Tonsillitis is a very common disease all over the world and it can be confusing to detect if it has bacterial or viral origin. In this study, it was aimed to investigate if absolute neutrophil count ANC can be used as a predictor to display acute bacterial tosillitis. Supporting blood tests and throat cultures were performed and ANC was calculated for all patients individually before the initiaiton of treatment. According to this, ANC can be used as an easy, fast and reliable predictor for acute bacterial tonsillitis with high sensitivity and specifity.
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Abstract: Intravenous contrast media used for coronary angiography are iodine-based and could induce thyroid gland dysfunction. We present the case of a year-old woman with coronary artery disease who developed hyperthyroidism after percutaneus coronary intervention. Treatment with thiamazole induced agranulocytosis, complicated with severe tonsillitis.
During recurrence of hyperthyroidism, after careful assessment of available methods of treatment, she was recommended to undergo radioiodine therapy I. The patient received lithium carbonate as pretreatment. After 13 days of pre-treatment, patient received the therapeutic dose of I. Neither thyrotoxicosis progression nor acute coronary syndrome occurred. After 3 weeks, her thyroid hormones were found to be within normal ranges.
Lithium therapy could be used as an effective treatment in patients who developed serious side-effects due to previous treatment with thionamides. STI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission.
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Beneficial Effects of Lithium and Radioiodine Therapy in the Treatment of Hyperthyroidism.