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γ-干扰素释放试验作为胃肠道结核鉴别诊断的工具

Interferon-gamma release assays as a tool for differential diagnosis of gastrointestinal tuberculosis.

作者信息

Velikova Tsvetelina, Aleksandrova Anita

机构信息

Medical Faculty, Sofia University Street Kliment Ohridski, Sofia 1407, Bulgaria.

Department of Immunology, Medical-diagnostic laboratory Ramus, Simitli 6000, Bulgaria.

出版信息

World J Clin Cases. 2024 Sep 26;12(27):6015-6019. doi: 10.12998/wjcc.v12.i27.6015.

Abstract

In this editorial, we comment on an article published in a recent issue of the . There is a pressing need for reliable tools for diagnosing tuberculosis (TB) of the gastrointestinal tract. Despite advancements in the diagnosis and treatment, TB remains a global health challenge. Ali demonstrated that TB may mimic gastrointestinal conditions, such as gastric outlet obstruction, causing a delay in the diagnosis. Furthermore, the latter complication is frequently observed during infections, including , and rarely is related to TB, as in the presented case. In line with this, we think that laboratory tests based on interferon-gamma release assays can be a helpful tool for diagnosing latent TB paced in the gastrointestinal tract. Innovative strategies and approaches for diagnosing latent/active extra pulmonary TB are crucial for establishing the diagnosis early and enhancing treatment strategies to mitigate the global burden of TB.

摘要

在这篇社论中,我们对近期某期刊上发表的一篇文章进行评论。目前迫切需要可靠的工具来诊断胃肠道结核病(TB)。尽管在诊断和治疗方面取得了进展,但结核病仍然是一项全球性的健康挑战。阿里证明,结核病可能会模仿胃肠道疾病,如胃出口梗阻,从而导致诊断延误。此外,后一种并发症在包括……在内的感染过程中经常出现,而与结核病相关的情况很少见,就像本病例一样。与此一致的是,我们认为基于干扰素-γ释放试验的实验室检测可以成为诊断潜伏在胃肠道的结核病的有用工具。诊断潜伏性/活动性肺外结核病的创新策略和方法对于早期确诊以及加强治疗策略以减轻全球结核病负担至关重要。

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