Incipient tuberculosis: a comprehensive overview.

In the context of the evolving global health landscape shaped by the COVID-19 pandemic, tuberculosis (TB) is gaining renewed attention as a reemerging threat even in low-endemic countries. Immunological tests such as the tuberculin skin test (TST) and interferon-gamma release assay (IGRA) are pivota...

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Publicado en:Infection Vol. 52; no. 4; pp. 1215 - 1223
Autores principales: Rotundo, Salvatore, Tassone, Maria Teresa, Serapide, Francesca, Russo, Alessandro, Trecarichi, Enrico Maria
Formato: review tables/charts Journal Article
Publicado: Springer Nature Aug2024
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
      place: New York, New York
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        atl: Incipient tuberculosis: a comprehensive overview.
      aug:
        au:
          Rotundo, Salvatore
          Tassone, Maria Teresa
          Serapide, Francesca
          Russo, Alessandro
          Trecarichi, Enrico Maria
        affil: Department of Medical and Surgical Sciences, "Magna Graecia" University, Catanzaro, Italy
      sug:
        subj:
          COVID-19 Pandemic Italy
          Tuberculosis
          Mycobacterium Tuberculosis
          Tuberculosis Diagnosis
          Tuberculosis Radiography
          Tuberculosis Epidemiology
          Tuberculosis Pathology
          Tuberculosis Etiology
          Tuberculosis Familial and Genetic
          Biological Markers
          Sequence Analysis
          Tuberculosis Therapy
          Italy
          Tuberculin Test
          Interferon-gamma Release Tests
      ab: In the context of the evolving global health landscape shaped by the COVID-19 pandemic, tuberculosis (TB) is gaining renewed attention as a reemerging threat even in low-endemic countries. Immunological tests such as the tuberculin skin test (TST) and interferon-gamma release assay (IGRA) are pivotal in identifying tuberculosis infection (TBI). However, their inability to distinguish between past and ongoing infection poses a diagnostic challenge, possibly leading to the unnecessary treatment of a significant portion of the population with potential side effects. This review delves into the concept of incipient tuberculosis (ITB), a dynamic, presymptomatic stage characterized by heightened Mycobacterium tuberculosis complex (MTC) metabolic activity and replication that result in minimal radiological changes, signifying a transitional state between TBI and TB. Key focus areas include epidemiological factors, underlying pathogenesis, imaging findings, and the ongoing challenges in the identification of individuals with ITB through the development of new biomarkers and the use of whole-genome sequencing-based analyses to implement early treatment strategies.
      pubtype: Academic Journal
      doctype:
        review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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