Application value of tissue tuberculosis antigen combined with Xpert MTB/RIF detection in differential diagnosis of intestinal tuberculosis and Crohn’s disease

Abstract Abstract Background: The purpose of this study was to evaluate the value of Xpert MTB/RIF detection and tuberculosis antigen detection of Mycobacterium tuberculosis (MTB) in intestinal tissues for differentiating intestinal tuberculosis (ITB) from Crohn’s disease (CD). Materials and Methods: A total of 110 patients who were clinically diagnosed with CD or ITB were monitored. Several specimens of intestinal tissue from endoscopic biopsy or surgical excision were used for MTB culture and Xpert MTB/RIF detection, respectively. Four antigens (38KDa, ESAT-6, MPT64, Ag85 complex) of MTB in intestinal tissue were detected by immunohistochemistry. Results: A total of 42 cases of intestinal tuberculosis and 46 cases of CD were included in the experimental analysis. Perianal lesions and longitudinal ulcers were more common in CD patients (p < 0.05), while caseous granuloma and annular ulcers were more common in ITB patients (P < 0.05). The positive rate of M. tuberculosis detected by Xpert MTB/RIF in intestinal tissue samples of ITB patients was 33.33%, which was significantly higher compared to CD patients (p < 0.05) and compared to acid-fast staining smears (9.52%) (p < 0.05). The positive MPT64 expression rate in patients with intestinal tuberculosis was 40.48%, which was significantly higher than that observed in CD patients, which was 19.56% (p<0.05). Conclusions: The detection of Xpert MTB/RIF in intestinal tissue was conducive to the quick and early diagnosis of intestinal tuberculosis. Xpert MTB/RIF and MPT64 antigen in intestinal tissues had certain value in the differential diagnosis of intestinal tuberculosis and Crohn’s disease. The combination of these two methods could improve detection sensitivity.

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Application value of tissue tuberculosis antigen combined with Xpert MTB/RIF detection in differential diagnosis of intestinal tuberculosis and Crohn’s disease

10.21203/rs.2.12435/v4 ◽

2020 ◽

Author(s):

Baoying Fei ◽

Lin Zhou ◽

Yu Zhang ◽

Linhe Luo ◽

Yuanyuan Chen

Keyword(s):

Differential Diagnosis ◽

Crohn’S Disease ◽

Crohn's Disease ◽

Intestinal Tuberculosis ◽

Surgical Excision ◽

Endoscopic Biopsy ◽

Detection Sensitivity ◽

Intestinal Tissue ◽

Tissue Samples ◽

Tuberculosis Antigen

Abstract Background: The purpose of this study was to evaluate the value of Xpert MTB/RIF detection and tuberculosis antigen detection of Mycobacterium tuberculosis cluster (MTBC) in intestinal tissues for differentiating intestinal tuberculosis (ITB) from Crohn’s disease (CD). Methods: A total of 110 patients who were clinically diagnosed with CD or ITB were monitored. Several specimens of intestinal tissue from endoscopic biopsy or surgical excision were used for culture and Xpert MTB/RIF for detection of MTBC, respectively. Four antigens (38KDa, ESAT-6, MPT64, Ag85 complex) of MTBC in intestinal tissue were detected by immunohistochemistry. Results: A total of 42 cases of intestinal tuberculosis and 46 cases of CD were included in the experimental analysis. Perianal lesions and longitudinal ulcers were more common in CD patients (p < 0.05), while caseous granuloma and annular ulcers were more common in ITB patients (P < 0.05). The positive rate of MTBC detected by Xpert MTB/RIF in intestinal tissue samples of ITB patients was 33.33%, which was significantly higher compared to CD patients (p < 0.05) and compared to acid-fast staining smears (9.52%) (p < 0.05). The positive MPT64 expression rate in patients with intestinal tuberculosis was 40.48%, which was significantly higher than that observed in CD patients, which was 19.56% (p<0.05). Conclusions: The detection of Xpert MTB/RIF in intestinal tissue is a rapid and useful method for establishing an early diagnosis of intestinal tuberculosis. The detection of Xpert MTB/RIF and MPT64 antigen in intestinal tissues have definitive value in the differential diagnosis of intestinal tuberculosis and Crohn’s disease. The combination of these two methods could improve detection sensitivity.

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Application value of tissue tuberculosis antigen combined with Xpert MTB/RIF detection in differential diagnosis of intestinal tuberculosis and Crohn’s disease

10.21203/rs.2.12435/v1 ◽

2019 ◽

Cited By ~ 1

Author(s):

Baoying Fei ◽

Lin Zhou ◽

Yu Zhang ◽

Linhe Luo ◽

Yuanyuan Chen

Keyword(s):

Differential Diagnosis ◽

Crohn’S Disease ◽

Crohn's Disease ◽

Intestinal Tuberculosis ◽

Surgical Excision ◽

Endoscopic Biopsy ◽

Detection Sensitivity ◽

Intestinal Tissue ◽

Tissue Samples ◽

Tuberculosis Antigen

Abstract Background: The purpose of this study was to evaluate the value of Xpert MTB/RIF detection and tuberculosis antigen detection of Mycobacterium tuberculosis (MTB) in intestinal tissues for differentiating intestinal tuberculosis (ITB) from Crohn’s disease (CD). Materials and Methods: A total of 110 patients who were clinically diagnosed with CD or ITB between January 2016 and March 2018 were initially enrolled in this study. The patients were monitored and their clinical, endoscopic and histopathological characteristics were followed up until their final diagnosis was clearly made. Several specimens of intestinal tissue from endoscopic biopsy or surgical excision were collected. One piece was used as paraffin specimen, and the other two pieces were used for MTB culture and Xpert MTB/RIF detection, respectively. Four antigens (38KDa protein, ESAT-6 protein, MPT64, Ag85 complex) of MTB in intestinal tissue were detected by immunohistochemistry. Results: A total of 42 cases of intestinal tuberculosis and 46 cases of CD were included in the experimental analysis. Perianal lesions and longitudinal ulcers were more common in CD patients (p < 0.05), while caseous granuloma and annular ulcers were more common in ITB patients (P < 0.05). The positive rate of M. tuberculosis detected by Xpert MTB/RIF in intestinal tissue samples of ITB patients was 33.33%, which was significantly higher compared to CD patients (p < 0.05) and compared to acid-fast staining smears (9.52%) (p < 0.05). The positive MPT64 expression rate in patients with intestinal tuberculosis was 40.48%, which was significantly higher than that observed in CD patients, which was 19.56% (X2=4.61, p<0.05). Conclusions: The detection of Xpert MTB/RIF in intestinal tissue was conducive to the quick and early diagnosis of intestinal tuberculosis. Xpert MTB/RIF and MPT64 antigen in intestinal tissues had certain value in the differential diagnosis of intestinal tuberculosis and Crohn’s disease. The combination of these two methods could improve detection sensitivity.

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Application value of tissue tuberculosis antigen combined with Xpert MTB/RIF detection in differential diagnosis of intestinal tuberculosis and Crohn’s disease

10.21203/rs.2.12435/v2 ◽

2019 ◽

Author(s):

baoying fei ◽

lin zhou ◽

yu zhang ◽

Linhe Luo ◽

Yuanyuan Chen

Keyword(s):

Differential Diagnosis ◽

Crohn’S Disease ◽

Crohn's Disease ◽

Intestinal Tuberculosis ◽

Surgical Excision ◽

Endoscopic Biopsy ◽

Detection Sensitivity ◽

Intestinal Tissue ◽

Tissue Samples ◽

Tuberculosis Antigen

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Application value of tissue tuberculosis antigen combined with Xpert MTB/RIF detection in differential diagnoses of intestinal tuberculosis and Crohn’s disease

BMC Infectious Diseases ◽

10.1186/s12879-021-06210-8 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Baoying Fei ◽

Lin Zhou ◽

Yu Zhang ◽

Linhe Luo ◽

Yuanyuan Chen

Keyword(s):

Crohn’S Disease ◽

Crohn's Disease ◽

Intestinal Tuberculosis ◽

Immunohistochemical Analysis ◽

Surgical Excision ◽

Endoscopic Biopsy ◽

Detection Sensitivity ◽

Intestinal Tissue ◽

Tissue Samples ◽

Caseating Granuloma

Abstract Background The purpose of this study was to examine the value of Xpert MTB/RIF assay and detection of additional Mycobacterium tuberculosis complex (MTBC) species antigens from intestinal tissue samples in differentiating intestinal tuberculosis (ITB) from Crohn’s disease (CD). Methods Several clinical specimens of intestinal tissue obtained by either endoscopic biopsy or surgical excision were used for mycobacteriologic solid cultures,Xpert MTB/RIF assays, immunohistochemistry, and histological examinations. Four antigens (38KDa, ESAT-6, MPT64, and Ag85 complex) of MTBC in the intestinal tissue were detected by immunohistochemical analysis. Results The study included 42 patients with ITB and 46 with CD. Perianal lesions and longitudinal ulcers were more common in patients with CD, while caseating granuloma and annular ulcers were more common in patients with ITB. The positive rate of MTBC detected by Xpert MTB/RIF in intestinal tissues of patients with ITB was 33.33%, which was significantly higher than that in patients with CD and that detected using acid-fast staining smears. It was also higher than that detected by tissue MTBC culture, but the difference was not statistically significant. The positive MPT64 expression rate in patients with ITB was 40.48%, which was significantly higher than that observed in patients with CD. The sensitivity of parallelly combined detection of tuberculosis protein MPT64 and Xpert MTB/RIF in diagnosing ITB was 50.0%. Conclusions The detection of Xpert MTB/RIF in intestinal tissue is a rapid and useful method for establishing an early diagnosis of ITB. The detection of MTBC using Xpert MTB/RIF and MPT64 antigen in intestinal tissues has a definitive value in the differential diagnosis ofITB and CD. The combination of these two methods can improve the detection sensitivity.

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Application value of tissue tuberculosis antigen combined with Xpert MTB/RIF detection in differential diagnoses of intestinal tuberculosis and Crohn’s disease

10.21203/rs.2.12435/v5 ◽

2020 ◽

Author(s):

Baoying Fei ◽

Lin Zhou ◽

Yu Zhang ◽

Linhe Luo ◽

Yuanyuan Chen

Keyword(s):

Crohn’S Disease ◽

Crohn's Disease ◽

Intestinal Tuberculosis ◽

Immunohistochemical Analysis ◽

Surgical Excision ◽

Endoscopic Biopsy ◽

Detection Sensitivity ◽

Intestinal Tissue ◽

Tissue Samples ◽

Caseating Granuloma

Abstract Background: The purpose of this study was to examine the value of Xpert MTB/RIF assay and detection of additional Mycobacterium tuberculosis complex (MTBC) species antigens from intestinal tissue samples in differentiating intestinal tuberculosis (ITB) from Crohn’s disease (CD).Methods: Several clinical specimens of intestinal tissue obtained by either endoscopic biopsy or surgical excision were used for mycobacteriologic solid cultures ,Xpert MTB/RIF assays , immunohistochemistry, and histological examinations. Four antigens (38KDa, ESAT-6, MPT64, and Ag85 complex) of MTBC in the intestinal tissue were detected by immunohistochemical analysis.Results: The study included 42 patients with ITB and 46 with CD. Perianal lesions and longitudinal ulcers were more common in patients with CD, while caseating granuloma and annular ulcers were more common in patients with ITB. The positive rate of MTBC detected by Xpert MTB/RIF in intestinal tissues of patients with ITB was 33.33%, which was significantly higher than that in patients with CD and that detected using acid-fast staining smears. It was also higher than that detected by tissue MTBC culture, but the difference was not statistically significant.The positive MPT64 expression rate in patients with ITB was 40.48%, which was significantly higher than that observed in patients with CD. The sensitivity of parallelly combined detection of tuberculosis protein MPT64 and Xpert MTB/RIF in diagnosing ITB was 50.0%.Conclusions: The detection of Xpert MTB/RIF in intestinal tissue is a rapid and useful method for establishing an early diagnosis of ITB. The detection of MTBC using Xpert MTB/RIF and MPT64 antigen in intestinal tissues has a definitive value in the differential diagnosis ofITB and CD. The combination of these two methods can improve the detection sensitivity.

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MORPHOMETRIC DIFFERENTIAL DIAGNOSIS OF INTESTINAL TUBERCULOSIS AND CROHN’S DISEASE

Science and Innovations in Medicine ◽

10.35693/2500-1388-2018-0-3-57-60 ◽

2018 ◽

Vol 3 (3) ◽

pp. 57-60

Author(s):

TA A Fedorina ◽

GV V Nedugov

Keyword(s):

Differential Diagnosis ◽

Crohn’S Disease ◽

Crohn's Disease ◽

Intestinal Tuberculosis ◽

Endoscopic Biopsy ◽

Biopsy Specimens ◽

Morphometric Methods ◽

Tuberculosis Therapy ◽

The Given ◽

Granulomatous Disorders

Intestinal tuberculosis and Crohn’s disease are chronic granulomatous disorders that are difficult to differentiate histologically. Aim - to describe the case of erroneous establishment of Crohn's disease in a patient with intestinal tuberculosis by the results of pathomorphological examination of biopsy specimens of the colon. The absence of anti-tuberculosis therapy led to the progression of the tuberculosis process with the development of tuberculosis of the larynx, lungs and ileum, followed by disability of the patient. Conclusions. The given observation shows the necessity of introduction in the practice of clinical morphologist the morphometric methods of study of endoscopic biopsy specimens, allowing to differentiate between intestinal tuberculosis and Crohn's disease.

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