Kotaro Baba

Children with Adenoid Symptoms and Serum Immunoglobulin D

Children with adenoid symptoms reveal high levels of serum immunoglobulin D.Several cases such were always accompanied by recurrent rhinosinusitis, relapsing otitis media and cervical lymphatic swelling.We selected two such cases and described their clinical picture and course, and further demonstrated that the value of serum immunoglobulin D was remarkably decreased postoperatively by adenoidectomy.There was a quasi-coincidence of time between the decrease of value of immunoglobulin D and the mechanism of healing of various complicated factors in these two cases. Furthermore, the serum immunoglobulin D remained low unless there was a relapse of the adenoid-symptoms or recurrent infections.From these observations it is suggested that there is a close relation between the recurrent or relapsing infection (upper respiratory tract), adenoid tissue (Waldyers ring) and serum immunoglobulin D.

Pharyngeal Infection Due to Serratia Marcescens

A 24 year-old single female had been suffering from lassitude, low grade fever and a slight sore throat for several weeks.While under the care of local practioner a diagnosis of acute pharyngitis was made, however the fever did not subside and there was little change in other symptoms. We took smears and cultures from the fossa supratonsillaris and numerous Serratia marcescens were evident.The disc sensitivity test showed gentamycin to be the most sensitive, and she responded well to this treatment.