Abdominal tuberculosis--a disease revived.
Abdominal tuberculosis--a disease revived.
复制标题
腹部结核——一种死灰复燃的疾病。
DOI：
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发表时间：
1983
影响因子：
1.4
通讯作者：
N. V. Addison
中科院分区：
文献类型：
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作者：
N. V. Addison
腹部结核病在18、19世纪和世纪上半叶的英国很常见。在20世纪50年代，对克罗恩病的认识，链霉素和其他药物的使用，以及牛奶的巴氏消毒，导致腹部结核病在西方世界几乎消失。在过去的二十年中，一种新的类型，结核分枝杆菌人，主要出现在移民人口，特别是那些来自印度次大陆。回顾性分析68例腹部结核患者的临床资料。这些案件的病理，诊断和管理进行了讨论，连同克罗恩病的鉴别诊断。这表明，移民带来的疾病进入英国在他的肠系膜腺体和疾病被重新激活或“复活”在以后的某个日期，由于一些修改的免疫过程。
Abdominal tuberculosis was common in the United Kingdom in the 18th and 19th centuries and in the first half of the 20th century. During the 1950's the recognition of Crohn's disease, the use of streptomycin and other drugs, and the pasteurisation of milk led to the virtual disappearance of abdominal tuberculosis in the western world. During the last two decades a new type, mycobacterium tuberculosis hominis, has appeared mainly in the immigrant population, especially in those from the Indian subcontinent. A retrospective review of 68 patients with abdominal tuberculosis is presented. The pathology, diagnosis and management of these cases is discussed, together with the differential diagnosis of Crohn's disease. It is suggested that the immigrant brings the disease into the United Kingdom in his mesenteric glands and that the disease is reactivated or 'revived' at some later date due to some modification of the immune process.