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Abdominal tuberculosis--a disease revived.

N V Addison

    Annals of the Royal College of Surgeons of England
    |March 1, 1983
    PubMed
    Summary
    This summary is machine-generated.

    Abdominal tuberculosis, once common, has re-emerged in the UK, primarily in immigrants. This resurgence is linked to Mycobacterium tuberculosis hominis, often reactivated years after initial exposure.

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    Area of Science:

    • Medical Microbiology
    • Infectious Diseases
    • Gastroenterology

    Background:

    • Abdominal tuberculosis was prevalent in the UK until the mid-20th century.
    • Improved sanitation, milk pasteurization, and new treatments led to its decline.
    • A resurgence has been observed in recent decades, particularly in immigrant populations.

    Observation:

    • A retrospective review of 68 abdominal tuberculosis cases is presented.
    • The study focuses on Mycobacterium tuberculosis hominis, prevalent in immigrants from the Indian subcontinent.
    • Cases suggest disease reactivation due to modified immune processes.

    Findings:

    • The re-emergence of abdominal tuberculosis is primarily associated with Mycobacterium tuberculosis hominis.
    • Immigrants may introduce the pathogen, with subsequent reactivation occurring later.

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  • Differential diagnosis between abdominal tuberculosis and Crohn's disease is crucial.

    • Implications:

    • Understanding the epidemiology of abdominal tuberculosis in immigrant populations is vital.
    • Public health strategies may need to address the specific risks in these groups.
    • Further research into immune system modifications and disease reactivation is warranted.