Cavallo G
Minerva Med. 1984 Mar 17;75(11):531-4.
Author points out the reduced virulence of M. tuberculosis, that shows itself in a lower number of sputum smears and cultures positive for acid-fast bacilli and in a quick bacteriologic conversion of these cases. The most important test is again sputum smear with demonstration by microscope. No doubt that the use of antitubercular chemotherapy helped this paradoxical return to experimental methods employed by Koch, but on the other hand this use aided in forming some bacterial resistances. Author reminds that M. tuberculosis is supplied with particular characteristics, partly connected with its high lipidic contents. From this diversity as regards other bacteria rises also the difficult discovery of new efficacious antitubercular drugs.
作者指出结核分枝杆菌毒力降低,表现为痰涂片和抗酸杆菌培养阳性数量减少,以及这些病例的细菌学快速转阴。最重要的检测仍是显微镜下的痰涂片检查。毫无疑问,抗结核化疗的使用促成了这种向科赫所采用的实验方法的反常回归,但另一方面,这种使用也有助于形成一些细菌耐药性。作者提醒,结核分枝杆菌具有特殊特征,部分与其高脂质含量有关。与其他细菌相比,这种多样性也增加了发现新的有效抗结核药物的难度。