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免疫功能正常儿童由牛分枝杆菌引起的乳恒牙脓肿。

Primary tooth abscess caused by Mycobacterium bovis in an immunocompetent child.

机构信息

First Department of Pediatrics, P and A Kyriakou Children's Hospital, 11527 Athens, Greece.

出版信息

Eur J Pediatr. 2010 Sep;169(9):1143-5. doi: 10.1007/s00431-010-1162-2. Epub 2010 May 4.

DOI:10.1007/s00431-010-1162-2
PMID:20437277
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2908448/
Abstract

Bovine tuberculosis is a zoonotic disease, and although its incidence has dramatically decreased in developed countries where effective control measures are applied, it still remains a potential health hazard in the developing world. Tuberculosis of the oral cavity is extremely rare and is usually secondary to pulmonary involvement. We present the unusual case of an immunocompetent 6-year-old child residing in an urban area with primary oral tuberculosis due to Mycobacterium bovis, which was confirmed by the application of a molecular genetic approach. M. bovis belongs to Mycobacterium tuberculosis complex which comprises species with close genetic relationship, and for this reason, the use of new molecular techniques is a useful tool for the differentiation at species level of the closely related members of this complex.

摘要

牛型结核病是一种人畜共患疾病,尽管在发达国家采取了有效的控制措施,其发病率已经大幅下降,但在发展中国家仍然是一个潜在的健康危害。口腔结核极为罕见,通常是肺部受累的继发症。我们报告了一例不常见的病例,一名居住在城市地区的免疫功能正常的 6 岁儿童,由于感染牛分枝杆菌而患有原发性口腔结核,这通过分子遗传方法得到了证实。牛分枝杆菌属于结核分枝杆菌复合群,该复合群包括具有密切遗传关系的物种,因此,新的分子技术的使用是区分该复合群中密切相关成员的物种水平的有用工具。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/43d6/2908448/9141bb6313dd/431_2010_1162_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/43d6/2908448/9141bb6313dd/431_2010_1162_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/43d6/2908448/9141bb6313dd/431_2010_1162_Fig1_HTML.jpg

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本文引用的文献

1
Clinical practice: diagnosis of childhood tuberculosis.临床实践:儿童结核病的诊断
Eur J Pediatr. 2009 Nov;168(11):1285-90. doi: 10.1007/s00431-009-0988-y. Epub 2009 Apr 25.
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Proposed management of childhood tuberculosis in low-incidence countries.低发病率国家儿童结核病的拟议管理办法。
Eur J Pediatr. 2008 Aug;167(8):927-38. doi: 10.1007/s00431-008-0730-1. Epub 2008 May 10.
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Primary oral tuberculosis: report of two cases.原发性口腔结核:两例报告。
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Usefulness of the GenoType MTBC assay for differentiating species of the Mycobacterium tuberculosis complex in cultures obtained from clinical specimens.GenoType MTBC检测在鉴别从临床标本中培养出的结核分枝杆菌复合群菌种方面的实用性。
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