The energy metabolism in maxillary sinus mucosa and secretion from 41 patients with, in most cases, recurrent or chronic sinusitis was studied and compared with that in mucosal samples from patients with no previous history of sinus abnormality or infection.

In freeze-dried samples, glucose and lactate were measured by enzymatic assays and adenine nucleotides by HPLC. In chronic sinu…

Lactic acid can be formed as a "blind alley" in the metabolic degradation of glucose, especially under anaerobic conditions.

The presence of bacterial infection in a closed body cavity induces elevated levels of lactic acid, as is evident in bacterial and fungal infections in the meninges, joints, peritoneum, and pleura. Although measurement of lactate levels is not a test …

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