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

IF 1 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL World Journal of Clinical Cases Pub Date : 2024-09-26 DOI:10.12998/wjcc.v12.i27.6015
Tsvetelina Velikova, Anita Aleksandrova
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Abstract

In this editorial, we comment on an article published in a recent issue of the World Journal of Clinical Cases. 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 et al 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 Helicobacter pylori, 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.

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干扰素-γ释放测定作为鉴别诊断胃肠道结核病的工具。
在这篇社论中,我们对最近一期《世界临床病例杂志》上发表的一篇文章进行了评论。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步,但肺结核仍是一项全球性的健康挑战。阿里等人证实,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,后一种并发症经常在幽门螺旋杆菌等感染时出现,很少像本病例一样与结核病有关。有鉴于此,我们认为基于干扰素-γ释放测定的实验室检测可以成为诊断胃肠道潜伏肺结核的有用工具。诊断肺外潜伏/活动性肺结核的创新策略和方法对于早期确诊和加强治疗策略以减轻全球结核病负担至关重要。
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World Journal of Clinical Cases
World Journal of Clinical Cases Medicine-General Medicine
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期刊介绍: The World Journal of Clinical Cases (WJCC) is a high-quality, peer reviewed, open-access journal. The primary task of WJCC is to rapidly publish high-quality original articles, reviews, editorials, and case reports in the field of clinical cases. In order to promote productive academic communication, the peer review process for the WJCC is transparent; to this end, all published manuscripts are accompanied by the anonymized reviewers’ comments as well as the authors’ responses. The primary aims of the WJCC are to improve diagnostic, therapeutic and preventive modalities and the skills of clinicians and to guide clinical practice in clinical cases.
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