Role of Mycobacterium paratuberculosis in Crohn's disease

Autor: Michael E. Presti, Paul E. Zachary, W. X. Fan, Paul F. Petersen, Walter E. Longo, Wendell K. Clarkston, Craig L. Leonardi, John M. Kreeger, Anthony M. Vernava
Rok vydání: 1998
Předmět:
Zdroj: Diseases of the Colon & Rectum. 41:195-199
ISSN: 0012-3706
DOI: 10.1007/bf02238248
Popis: PURPOSE:Mycobacterium paratuberculosis has been proposed as a causative agent in patients with Crohn's disease. The purpose of this study was to determine whetherM. paratuberculosis was present in tissue from patients with Crohn's disease in a defined geographic area. METHODS: We prospectively evaluated, using polymerase chain reaction and culture, whetherM. paratuberculosis was present in 44 specimens (37 from intestinal mucosal biopsies and 7 from surgical resections) from patients with Crohn's disease, ulcerative colitis, or normal colonic mucosa. RESULTS: Of the 25 specimens tested from the 21 Crohn's patients, only 1 positive specimen was noted, whereas the 8 specimens from the 5 ulcerative colitis patients and the 11 specimens from the 11 control patients failed to demonstrate a positive result with polymerase chain reaction. Cultures of all specimens revealed no growth ofM. paratuberculosis. CONCLUSION:M. paratuberculosis was only rarely detected in biopsy or surgical specimens from patients with Crohn's disease. These results do not support a common causative role ofM. paratuberculosis in Crohn's disease.
Databáze: OpenAIRE