Characteristics and differential diagnosis of intestinal flora in Crohn's disease and intestinal tuberculosis.
10.3969/j.issn.1672-7347.2010.11.014
- Author:
Xiaowei LIU
1
;
Yi CUI
;
Chunhui OUYANG
;
Xuefeng LI
;
Fanggen LU
;
Xiaoping WU
Author Information
1. Department of Gastroenterology, Second Xiangya Hospital, Central South University, Changsha 410011, China.
- Publication Type:Journal Article
- MeSH:
Adult;
Bacteroides;
isolation & purification;
Crohn Disease;
diagnosis;
microbiology;
Diagnosis, Differential;
Escherichia coli;
isolation & purification;
Feces;
microbiology;
Female;
Humans;
Male;
Tuberculosis, Gastrointestinal;
diagnosis;
microbiology
- From:
Journal of Central South University(Medical Sciences)
2010;35(11):1196-1200
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To analyze the characteristics of intestinal flora in Crohn's disease (CD) and intestinal tuberculosis (ITb), and to find potential identification features to differentiate these 2 diseases.
METHODS:Fifteen CD patients, 23 ITb patients, and 21 healthy volunteers (controls) were enrolled from June 2007 to November 2009. Selective culturing was used for the enumeration of bacteria count.
RESULTS:The intestinal flora was mainly composed of Bifidobacteria, Bacteroids, Escherichia coli and Staphylococcus aureus both in CD and ITb patients. Lactobacillus and Bifidobacteria decreased obviously but Bacteroid increased in CD patients compared with the control (P<0.01). Lactobacillus, Bifidobacteria and Escherichia coli decreased obviously (P<0.05), but Bacteroid increased in ITb patients compared with the control (P<0.01). Bacteroid increased in ITb patients compared with CD patients (P<0.05). No difference in Enterococcus, Staphylococcus aureus and Saccharomycete was found among the 3 groups (P>0.05).
CONCLUSION:Intestinal flora disorder occurred in either CD or ITb patients. The alteration of Bacteroid and Escherichia coli can help differentiate the 2 diseases.