Korean J Hematol 1994; 29(2):

Published online June 30, 1994

© The Korean Society of Hematology

심한 세균감염증에서의 혈소판 증가에 관한 고찰

이은경, 고재욱, 이명익, 안돈희

국립의료원 소아과

Evaluation of Thrornbocytosis in Severe Bacterial Infection

Eun Kyung Lee, Jae Wook Ko, Myung Ik Lee, Don Hee Ahn

Department of Pediatrics, National Medical Center, Seoul, Korea

Abstract

Background: Ine childhood, thrombocytosis is noted commonly and most cases are associated with diseases such as infections, hemorrhage and iron deficiency anemia. And,
it is said that this reactive thrombocytosis is more common and severe in infectious diseases of the lung and severe bacterial infections.
Methods: Medical records were reviewed and analysis was done with 49 cases of sepsis, osteomyelitis and empyema among in-patients of the pediatric department of
National Medical Center from January 1986 to December 1990. And, additional 165 cases of pneumonia hospitalized from January 1990 to December 1990 were includied.
Results: The associated diseases with platelet count more than 400×10 3/㎣(115 cases) on admission were as follows, in the order of frequency; pneumonia(92 cases, 80.0%), sepsis(10 cases, 8.7%), empyema(7 cases, 6.1%), and
osteomyelitis(6 cases, 5.2%). Although the mean platelet count on admission were slightly higher in cases with empyema(457.0±264.3×10 3㎣) and sepsis(458.7±220.1×10 3㎣) than with pneumonia (425.4±167.1×10 3㎣), and it was also higher in cases with diseases of the lung(empyems, pneumonia) than with osteomyelitis, there was no statistical significance.
It seems like that at the higher level of the platelet count, the level of the white blood cell count was higher too, and the level of the hemoglobin was lower. These findings, however, were not significant. There was no complications of thrombocytosis.
Conclusion: In this study, we could not see that reactive thrombocytosis is more common or severe in severe bacterial infections or infections of the lung.

Keywords Thronbocytosis; Infections;

Article

Korean J Hematol 1994; 29(2): 193-198

Published online June 30, 1994

Copyright © The Korean Society of Hematology.

심한 세균감염증에서의 혈소판 증가에 관한 고찰

이은경, 고재욱, 이명익, 안돈희

국립의료원 소아과

Evaluation of Thrornbocytosis in Severe Bacterial Infection

Eun Kyung Lee, Jae Wook Ko, Myung Ik Lee, Don Hee Ahn

Department of Pediatrics, National Medical Center, Seoul, Korea

Abstract

Background: Ine childhood, thrombocytosis is noted commonly and most cases are associated with diseases such as infections, hemorrhage and iron deficiency anemia. And,
it is said that this reactive thrombocytosis is more common and severe in infectious diseases of the lung and severe bacterial infections.
Methods: Medical records were reviewed and analysis was done with 49 cases of sepsis, osteomyelitis and empyema among in-patients of the pediatric department of
National Medical Center from January 1986 to December 1990. And, additional 165 cases of pneumonia hospitalized from January 1990 to December 1990 were includied.
Results: The associated diseases with platelet count more than 400×10 3/㎣(115 cases) on admission were as follows, in the order of frequency; pneumonia(92 cases, 80.0%), sepsis(10 cases, 8.7%), empyema(7 cases, 6.1%), and
osteomyelitis(6 cases, 5.2%). Although the mean platelet count on admission were slightly higher in cases with empyema(457.0±264.3×10 3㎣) and sepsis(458.7±220.1×10 3㎣) than with pneumonia (425.4±167.1×10 3㎣), and it was also higher in cases with diseases of the lung(empyems, pneumonia) than with osteomyelitis, there was no statistical significance.
It seems like that at the higher level of the platelet count, the level of the white blood cell count was higher too, and the level of the hemoglobin was lower. These findings, however, were not significant. There was no complications of thrombocytosis.
Conclusion: In this study, we could not see that reactive thrombocytosis is more common or severe in severe bacterial infections or infections of the lung.

Keywords: Thronbocytosis, Infections,

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