Published in:
01-04-2015 | Original Article
Serum Lysozyme (Muramidase) Levels in Intra-Abdominal Abscesses: An Experimental Study
Authors:
Mathew P. Daniel, Vinay Gaikwad, Mohan Verghese, Rebecca Abraham, Rajeev Kapoor
Published in:
Indian Journal of Surgery
|
Issue 2/2015
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Abstract
The role of serum lysozyme in the presence of intra-abdominal sepsis was studied to act as an adjunct to various other modalities used for diagnosing intra-abdominal abscesses. Lysozyme (muramidase) is a bacteriolytic enzyme located within phagocytic cells including leukocytes. We measured serum concentrations of lysozyme by a standard turbidimetric method on three groups of murine models. One group underwent caecal ligation and puncture (CLP), the second group underwent a sham operation, and the third group was used as controls. In mice with intra-abdominal abscesses secondary to caecal ligation and perforation (n = 30), the serum lysozyme levels were increased compared to the sham-operated mice (n = 30) and controls (n = 30) (p = <0.001). In this study, serum lysozyme levels have a high sensitivity and specificity related to the presence of an intra-abdominal abscess in mice. Clinical studies are required to demonstrate its role in humans.