Similaridades clinicopatológicas entre paratuberculosis y enfermedad de Crohn. ¿Posible vínculo zoonótico?

Similaridades clinicopatológicas entre paratuberculosis y enfermedad de Crohn. ¿Posible vínculo zoonótico?

Published 2008-01-01

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Calderón, J., & Góngora, A. (2008). Similaridades clinicopatológicas entre paratuberculosis y enfermedad de Crohn. ¿Posible vínculo zoonótico?. Journal MVZ Cordoba, 13(1). https://doi.org/10.21897/rmvz.414
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https://doi.org/10.21897/rmvz.414
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Johan Calderón
Agustín Góngora
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Johan Calderón

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Agustín Góngora

Universidad de los Llanos, Escuela de Medicina Veterinaria y Zootecnia, Grupo de Investigación en Reproducción y Genética Animal – GIRGA. Villavicencio, Colombia
EL artículo presenta a la luz de la literatura científica actual la asociación del Mycobacterium avium subespecie paratuberculosis con la enfermedad de Crohn, las principales similaridades clinicopatológicas. La revisión se limitó a las publicaciones contenidas en el programa HINARI de la WHO, en especial de Elservier Science, Bioline Internacional, Blackwell Publishing, BMJ Publishing, Lippincott Williams & Wilkins, Nature Publishing, PubMed, Springer Science y publicaciones de la Asociación Internacional para estudio de Paratuberculosis. Evidencias significativas apoyan un posible vinculo zoonótico entre las enfermedades. El aislamiento del Mycobacterium avium subespecie paratuberculosis en pacientes con enfermedad de Crohn desde muestras de intestino, leche, sangre periférica y nódulos linfáticos; de igual manera la respuesta inmune especifica a algunos antígenos de Mycobacterium en pacientes con la enfermedad; aunque estos hallazgos tienen cada uno sus propias controversias. La evidencia actualmente disponible no es suficiente para validar o negar al Mycobacterium avium subespecie paratuberculosis como agente causal de por lo menos algunos casos de enfermedad de Crohn. Los estudios son inconclusos en aceptar un vinculo zoonótico dada la naturaleza multifactorial de esta enfermedad. Se requieren estudios para determinar sí Mycobacterium es un agente espectador ó patogénico; paralelamente realizar estudios epidemiológicos a gran escala que permitan analizar la distribución geográfica y temporal de ambas enfermedades.

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