Actinomyces status and inflammatory biomarkers in post-tonsillectomy hemorrhage cases.

AbstractBackgroundAimsMaterial and methodsResultsConclusion and significanceThe presence of <italic>Actinomyces</italic> can be associated with complications.This study aimed to determine the frequency of post-tonsillectomy hemorrhage (PTH), the presence of <italic>Actinomyces</italic> in palatine tonsils and serum inflammatory biomarker levels in PTH.The cases who underwent tonsillectomy at a single center were included in the study. Neutrophil to lymphocyte ratio (NLR), platelet to lymphocyte ratio (PLR), systemic immune inflammation index (SII) and systemic inflammation response index (SIRI) values were calculated from the complete blood count test. The presence of <italic>Actinomyces</italic> was recorded from histopathological tonsillectomy material.A total of 1137 patients were included in the study. <italic>Actinomyces</italic> was detected in 93 (8.18%) patients. Bleeding complications were encountered in 65 cases (5.72%). No relationship was detected between the presence of <italic>Actinomyces</italic> and PTH rates (<italic>p</italic> = 0.433). While a relationship was found between age, NLR, and SIRI values and Actinomyces status (respectively, <italic>p</italic> < 0.001, <italic>p</italic> = 0.017, <italic>p</italic> = 0.038), no statistically significant relationship was found between tonsil size, PLR, and SII (<italic>p</italic> > 0.05).According to the data in our study, NLR and SIRI values were elevated in subjects with <italic>Actinomyces</italic>. Our findings suggest that this entity has a systemic manifestation. Serum inflammatory biomarkers and the presence of <italic>Actinomyces</italic> were not found to be associated with PTH. [ABSTRACT FROM AUTHOR]