Section: 
Science articles
Science articlesCommon pathogenesis of chronic tonsillitis and acute appendicitis
V. V. Dvoryanchikov (1), V. G. Mironov (1), S. S. Pavlova (2), V. I. Podsvirov (3), P. V. Nacharov (2)
(1) Kirov Military Medical Academy,Saint Petersburg, 194044, Russia
(2) Saint Petersburg Research Institute of Ear, Throat, Nose and Speech,Saint Petersburg, 190013, Russia
(3) Branch No. 1 442 Military Clinical Hospital,Saint Petersburg, Pushkin, 196602, Russia
UDK: 616.322+616.322-002+616.346.2-002+616-036.11.004.12
DOI: https://doi.org/10.18692/1810-4800-2020-3-8-15
ABSTRACT
For many decades, the problem of chronic tonsillitis still does not lose its relevance. However, some aspects of the etiology and pathogenesis of chronic tonsillitis remain unexplored. This article presents the results of a study of the bacterial flora and structural components of the tissues of the palatine tonsils in chronic decompensated tonsillitis and appendix in patients with acute tonsillitis, as well as a comparison of some indicators of the general clinical analysis of peripheral blood in patients with these types of pathology. Chronic tonsillitis occurred in the history of patients with acute appendicitis in 78% of cases, which is ten times the frequency of its detection in the urban population. In all patients with acute appendicitis, palatine tonsil hypertrophy was detected, mainly of the III degree, as well as the presence of liquid or thick caseous pus in the gaps. In chronic decompensated tonsillitis, an increase in the seeding of the palatine tonsils of Streptococcus pyogenes occurs, and in acute appendicitis, Staphylococcus aureus and Streptococcus pyogenes appear on the background of Escherichia coli. Unidirectional changes in the areas of structural components of palatine tonsils in patients with chronic decompensated tonsillitis and appendix in patients with acute appendicitis were revealed. Based on the data obtained, we can assume the similarities and interconnections of the pathogenesis of chronic decompensated tonsillitis and acute appendicitis.
Publication date:
25.06.2020
Keywords:
chronic decompensated tonsillitis, acute appendicitis, palatine tonsils, vermiform appendix, immunological organ, bacterial microflora, tissue structure, pathogenesis.
For citation:
Dvoryanchikov V. V., Mironov V. G., Pavlova S. S., Podsvirov V. I., Nacharov P. V. Common pathogenesis of chronic tonsillitis and acute appendicitis. Rossiiskaya otorinolaringologiya. 2020;19(3):8–15. https://doi.org/10.18692/1810-4800-2020-3-8-15