The respiratory mucosal membrane that lines the middle-ear space and mastoid air cells is an immunologic defense consisting of constantly renewed mucus that contains lysozyme, a potent, bacteria-dissolving enzyme. In response to an invading organism, production of mucus is increased. Inflammatory dilation of vessels, white blood cell migration, and proteolytic enzyme and antibody deposition contribute to the formation of mucopurulent (containing both mucus and pus) secretions. All of the major classes of immunoglobulins have been identified in middle-ear effusions of patients with AOM. A significant type-specific antibody response in the serum to the bacteria responsible for AOM has been demonstrated. The presence of this type-specific antibody in middle-ear effusions is associated with clearance of mucopurulent secretions and an early return to normal middle-ear function.

The incidence of otitis media and attendant complications is higher in individuals with congenital or acquired immunologic deficiencies. The presence of a concomitant malignancy, the use of immunosuppressive drugs, uncontrolled diabetes, and previous irradiation are also associated with a higher risk of developing AOM and related complications.

Supplements For Diabetics

Supplements For Diabetics

All you need is a proper diet of fresh fruits and vegetables and get plenty of exercise and you'll be fine. Ever heard those words from your doctor? If that's all heshe recommends then you're missing out an important ingredient for health that he's not telling you. Fact is that you can adhere to the strictest diet, watch everything you eat and get the exercise of amarathon runner and still come down with diabetic complications. Diet, exercise and standard drug treatments simply aren't enough to help keep your diabetes under control.

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