Takenami Iukary, Loureiro Camila, Machado Almério, Emodi Krisztina, Riley Lee W, Arruda Sérgio
Advanced Laboratory of Public Health, Oswaldo Cruz Foundation, Gonçalo Moniz Research Center, 40296 710 Salvador, BA, Brazil.
ISRN Pulmonol. 2013;2013. doi: 10.1155/2013/256148.
The () infection is largely spread in world's population. Most infected individuals develop latent tuberculosis infection (LTBI). Tuberculin skin test (TST) and interferon-gamma release assays (IGRAs) are the available tests to detect the infection. It has been reported that some individuals take a longer period of time to develop the infection than others with the same exposure level. It is suggested that the innate immunity, in which neutrophils have an important protective role, is responsible for this. Many hematologic abnormalities have been described as common findings during severe disease. To investigate if these changes are related to LTBI development and if they interfere in TST and IFN- production, we recruited 88 household contacts of tuberculosis (TB) pulmonary patients and compared blood cell counts with these tests' results. There were no statistically significant changes in hemoglobin, hematocrit, platelets, global leukocyte, neutrophils, basophils, eosinophils, typical lymphocytes, atypical lymphocytes, and monocytes counts between infected and noninfected individuals. Also, there was no correlation between TST or IGRA and blood cell counts. These results suggest that blood cell counts are not LTBI markers and do not interfere in TST results or IFN- levels obtained by IGRA.
()感染在全球人群中广泛传播。大多数感染者会发展为潜伏性结核感染(LTBI)。结核菌素皮肤试验(TST)和干扰素-γ释放试验(IGRAs)是目前可用于检测该感染的方法。据报道,一些个体在相同暴露水平下比其他个体需要更长时间才会感染。有人认为,其中中性粒细胞起重要保护作用的先天免疫对此负责。许多血液学异常已被描述为严重疾病期间的常见表现。为了研究这些变化是否与LTBI的发展有关,以及它们是否干扰TST和干扰素的产生,我们招募了88名肺结核患者的家庭接触者,并将血细胞计数与这些检测结果进行比较。在感染个体和未感染个体之间,血红蛋白、血细胞比容、血小板、全白细胞、中性粒细胞、嗜碱性粒细胞、嗜酸性粒细胞、典型淋巴细胞、非典型淋巴细胞和单核细胞计数没有统计学上的显著变化。此外,TST或IGRA与血细胞计数之间也没有相关性。这些结果表明,血细胞计数不是LTBI的标志物,也不会干扰TST结果或IGRA获得的干扰素水平。