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Resolution of Crohn’s disease and complex regional pain syndrome following treatment of paratuberculosis
作者姓名:J Todd Kuenstner  William Chamberlin  Saleh A Naser  Michael T Collins  Coad Thomas Dow  John M Aitken  Stuart Weg  Grzegorz Telega  Kuruvilla John  David Haas  Torsten M Eckstein  Maher Kali  Christine Welch  Thomas Petrie
作者单位:Department of Pathology,Charleston Area Medical Center,Charleston,WV 25304,United States;Department of Gastroenterology,Mountain View Regional Hospital,Las Cruces,NM 88011,United States;Burnett School of Biomedical Sciences,UCF College of Medicine,Orlando,FL 32816,United States;Department of Pathobiological Sciences,the University of Wisconsin School of Veterinary Medicine,Madison,WI 53706,United States;5 Damon Street,Eau Claire,WI 54701,United States;Otakaro Pathways Ltd.,63 Bibiana Street,Christchurch 8011,New Zealand;Patients Medical,Alternative Pain Management,800 Second Avenue Suite 900,New York City,NY 10017,United States;Children’s Hospital of Wisconsin,8915 W.Connell Ave.,Milwaukee,WI 53226,United States;Department of Neurosciences,Charleston Area Medical Center,Charleston,WV 25304,United States;Department of Chemistry,University of Charleston,Charleston,WV 25304,United States;Department of Microbiology,Colorado State University,Immunology and Pathology,CO 80523,United States;CAMC Clinical Trials Center,3100 Mac Corkle Avenue S.E.,Suite 806,Charleston,WV 25304,United States;CAMC Clinical Trials Center,Charleston,WV 25304,United States;AVIcure Bioscience LLC,Superior Quartz Products,Bethlehem,PA 18020,United States
摘    要:A cohort of family members with various chronic diseases including Crohn’s disease, asthma, complex regional pain syndrome, hypothyroidism, type 1 diabetes mellitus, and lymphangiomatosis and/or evidence of infection by Mycobacterium avium subsp. paratuberculosis(MAP) are described in this series of case reports. MAP was cultured from the blood of three members affected by the first five diseases and there was accompanying elevated anti-MAP Ig G in two members. The patient affected by the sixth disease has a markedly elevated anti-MAP titer. The two patients affected by the first four diseases have been treated with a combination of anti-MAP antibiotics and ultraviolet blood irradiation therapy with resolution of the disease symptomatology and inability to culture MAP in post treatment blood samples. These case reports of patients with MAP infections provide supportive evidence of a pathogenic role of MAP in humans.

关 键 词:Crohn’s disease  Complex regional pain syndrome  Lymphangiomatosis  Mycobacterium avium paratuberculosis  Cure
收稿时间:2014-10-22
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