Diagnostic Value of Erythrocyte Sedimentation Rate Levels as a Predictor of Staple-Line Leakage in Bariatric Surgery

2020 ◽  
Vol 15 (4) ◽  
pp. 231-235
Author(s):  
Milad Kheirvari ◽  
Isa Akbarzadeh ◽  
Sahar Eshghjoo ◽  
Mohammadreza Yazdannasab ◽  
Robert C. Alaniz ◽  
...  
2020 ◽  
Vol 2020 ◽  
Author(s):  
Milad Kheirvari ◽  
Isa Akbarzadeh ◽  
Sahar Eshghjoo ◽  
Mohammadreza Yazdannasab ◽  
Robert C. Alaniz ◽  
...  

2020 ◽  
Vol 2020 ◽  
Author(s):  
Milad Kheirvari ◽  
Isa Akbarzadeh ◽  
Sahar Eshghjoo ◽  
Mohammadreza Yazdannasab ◽  
Robert C. Alaniz ◽  
...  

2021 ◽  
pp. 1-7
Author(s):  
Zahra Soleimani ◽  
Fatemeh Amighi ◽  
Zarichehr Vakili ◽  
Mansooreh Momen-Heravi ◽  
Seyyed Alireza Moravveji

BACKGROUND: The diagnosis of osteomyelitis is a key step of diabetic foot management. Procalcitonin (PCT) is a novel infection marker. This study aimed to investigate the diagnostic value of procalcitonin and other conventional infection markers and clinical findings in diagnosis of osteomyelitis in diabetic foot patients. METHODS AND MATERIALS: This diagnostic value study was carried out on ninety patients with diabetic infected foot ulcers admitted in Kashan Beheshti Hospital, 2016. After obtaining consent, 10 cc blood sample was taken for measuring serum PCT, CBC, ESR, CRP and FBS. Clinical characteristics of the wounds were noted. Magnetic resonance imaging of the foot was performed in all patients to diagnose osteomyelitis. All statistical analyses were done with the use of SPSS-16. RESULTS: PCT levels were 0.13 ± 0.02 ng/mili patients with osteomyelitis (n= 45) and 0.04 ± 0.02 ng/ml in patients without osteomyelitis (n= 45). PCT, Erythrocyte sedimentation rate and C-reactive protein was found significantly higher in patients with osteomyelitis (p< 0.001). The ROC curve was calculated for PCT. The area under the ROC curve for infection identification was 1 (p< 0.001). The best cut-off value for PCT was 0.085 ng/ml. Sensitivity, specificity, and positive and negative predictive values were 100%, 97.8%,97.8% and 100%, respectively. CONCLUSION: In this group of patients, PCT was useful to discriminate patients with bone infection. Also, Erythrocyte sedimentation rate and C-reactive protein can be used as a marker of osteomyelitis in diabetic patients.


1926 ◽  
Vol 22 (4) ◽  
pp. 465
Author(s):  
G. Khain

After a number of systematic definitions of this reaction in 15 cl. scarlet fever, Bchler (Zeit. f. Kind., Bd. XXXIX, H. 1; Bd. XL, II. l / 2) received a curve typical for scarlet fever (on the 2nd day of illness, the deposition time ranges from 60 to 20 min. , then from the 2nd to the 28th day there is a gradual increase in the erythrocyte sedimentation time, and after the 28th day this value becomes constant and corresponds to the erythrocyte sedimentation rate in this patient before the onset of the disease), which has great diagnostic value, because scarlet-like toxic exanthema never give a similar curve.


Lupus ◽  
2018 ◽  
Vol 27 (7) ◽  
pp. 1123-1129 ◽  
Author(s):  
E Littlejohn ◽  
W Marder ◽  
E Lewis ◽  
S Francis ◽  
J Jackish ◽  
...  

Background Both C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR) can be elevated in systemic lupus erythematosus (SLE) flare and infection, and are therefore of limited utility for distinguishing between the two conditions in febrile SLE patients. Methods A medical records review of hospitalizations (1997–2006) of SLE patients in the Michigan Lupus Cohort was performed. Eligible hospitalizations were those in which patients presented with a temperature of >100.3°F or with subjective fevers as a presenting complaint at admission. Detailed demographic, clinical, and laboratory data were collected. Multivariable logistic regression was used to examine the associations between ESR and CRP and the outcome of flare vs infection, adjusted for confounders. Results Among 557 SLE patients screened, there were 53 eligible hospitalizations (28 flares and 25 infections). Each unit increase in the ratio of ESR:CRP was associated with a 17% increase in the odds of fever being attributable to SLE flare compared to infection (OR 1.17, 95% CI 1.04, 1.31; p = 0.009), when adjusted for white blood cell count, SLE duration, sex, race, and age. ESR and CRP were not individually associated with flare vs infection when modeled with their ratio. Conclusions The ratio of ESR:CRP may provide diagnostic value beyond individual ESR and CRP levels in distinguishing flare vs infection in SLE patients presenting with fever.


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