DIAGNOSTIC MEANING OF DETERMINATION OF HOMOCYSTEIN IN THE BLOOD SERUM IN CHILDREN WITH NEUROINFECTIONS
https://doi.org/10.22625/2072-6732-2018-10-1-42-46
Abstract
The aim of the study was to determine the serum level of homocysteine in children with neuroinfections.
Mаterials and methods: A blood serum assay of 60 children with viral and bacterial neuroinfections was performed using the enzyme immunoassay to evaluate homocysteinemia as a marker of endothelial dysfunction.
Results: In interpreting the results, the average level of hyperhomocysteinemia in patients with bacterial and viral neuroinfections was established. The highest homocysteine levels in serum were observed in bacterial neuroinfections, especially in the presence of signs of meningoencephalitis and pneumococcal etiology of the disease. Dependence of changes in the level of homocysteinemia from the sex of sick children was not revealed.
Conclusion: Neuroinfections in children, regardless of the cause, are accompanied by hyperhomocysteinemia, indicating the presence of endothelial activation in this pathology, more pronounced in the case of a bacterial etiology of the infectious process and the combined lesion of the soft dura mater and the brain substance.
About the Authors
T. S. BerezovskayaRussian Federation
N. A. Miromanova
Russian Federation
References
1. Neuroinfections in children / Ed. N. V. Skripchenko. – SPb .: Tactic-Studio, 2015.- 856 p (in Russian).
2. Skripchenko, N.V. Neuroinfections in children: trends and perspectives. N.V. Skripchenko, M.V. Ivanova, A.A. Vilnitz, E.Yu.Skripchenko // Russian herald of perinatology. – 2016. – 4. – C.9-22 (in Russian).
3. Sorokina, M.N. Viral encephalitis and meningitis in children / M.N. Sorokina, N.V. Skripchenko. – Moscow: Medicine, 2004. – 346 p (in Russian).
4. Markov, H.M. Molecular mechanisms of vascular endothelial dysfunction / Kh.M. Markov // Cardiology. – 2005. – Т. 45, №12. – P. 62 – 72 (in Russian).
5. Maleev, V.V. The system of hemostasis and the state of the endothelium in infectious pathology / V.V. Maleev [and others] // Infectious diseases. – 2009. – T.7, No. 1. – P. 11-15 (in Russian).
6. Azarenok, A.A. The role of the influenza virus and its surface proteins in the development of endothelial dysfunction: author›s abstract. dis. Cand. Biol. Sciences / A.A. Azarenok. – St. Petersburg, 2014. – 29 p (in Russian).
7. Miromanova, N.A. Markers of endothelial dysfunction in complicated and uncomplicated forms of influenza in children / N.А. Miromanova, A.M. Mironov // Journal of Infectology. – 2016.- T. 8, №4 – P. 66 – 71 (in Russian).
8. Homocysteine. Medico – biological problems: monograph / A.V. Naumov. – Minsk: Professional publications, 2013. – 311 s (in Russian).
9. Naumov, A.V. Homocysteine in the pathogenesis of microcirculatory and thrombotic complications / A.V. Naumov, TN Grinevich, V.M. Naidina // Thrombosis, hemostasis and rheology. – 2012. – Vol. 49, No. 4 – P. 9-19 (in Russian).
10. Clinical aspects of hypercysteinemia: monograph / ed. V.A. Snezhitsky, V.M. Pyrochkina [and others] – GrGMU, 2011. – 292p (in Russian).
11. Working Group IAP / APA Acute Pancreatitis Guidelines. IAP / APA evidence-based guidelines for the management of acute pancreatitis / M. Besselink [et al.] // Pancreatology. – 2013. – 13. – R. 1-15
12. Dunaevskaya, S.S. The importance of homocysteinemia in assessing the severity of acute pancreatitis / SS. Dunaevskaya, Yu.S. Vinnik, D.A. Antyufrieva // ENI Transbaikal Medical Herald. – 2015. – № 3. – P. 13 – 16 (in Russian).
13. Yunkerov, V.I. Mathematico – statistical processing of medical research data. Yunkerov, S.G. Grigoryev. – SPb .: VMEDA, 2005. – 292 p (in Russian).
14. Skripchenko, N.V. Clinical and radiation diagnosis of cerebral vasculitis in neuroinfections in children / N.V. Skripchenko, TN. Trofimova, E.S. Egorova, N.V. Morgatsky, E.A. Kosmacheva // Russian herald of perinatology and pediatrics. – 2010. – №1. – P.101-106 (in Russian).
15. Skripchenko, N.V. Infectious vasculitis: their role in organ pathogens / N.V. Skripchenko, TN. Trofimova, E.S. Egorova // Journal of Infectology. – 2010. – Т.2, №1. – P. 7 – 17 (in Russian).
Review
For citations:
Berezovskaya T.S., Miromanova N.A. DIAGNOSTIC MEANING OF DETERMINATION OF HOMOCYSTEIN IN THE BLOOD SERUM IN CHILDREN WITH NEUROINFECTIONS. Journal Infectology. 2018;10(1):42-46. (In Russ.) https://doi.org/10.22625/2072-6732-2018-10-1-42-46