Correlation between serum tumor necrosis factor alpha levels and clinical severity of tuberculosis

This study verified the correlation between the serum levels of TNF alpha and different clinical forms of tuberculosis. We described a group of 24 patients presenting several clinical forms of tuberculosis and a control group of 13 healthy individuals. The levels of TNF alpha were measured by bioass...

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Veröffentlicht in:The Brazilian journal of infectious diseases 2008-06, Vol.12 (3), p.226-233
Hauptverfasser: Andrade Júnior, Dahir Ramos de, Santos, Sânia Alves dos, Castro, Isac de, Andrade, Dahir Ramos de
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Castro, Isac de
Andrade, Dahir Ramos de
description This study verified the correlation between the serum levels of TNF alpha and different clinical forms of tuberculosis. We described a group of 24 patients presenting several clinical forms of tuberculosis and a control group of 13 healthy individuals. The levels of TNF alpha were measured by bioassay method. The levels of TNF-alpha had significant differences between the tuberculosis and control groups. The patients with abnormal chest X-Ray findings had higher TNF alpha levels (15328.48 +/- 4602.19 pg/mL) when compared to patients with normal X-Rays (3353.18 +/- 1495.29 pg/mL) (p
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We described a group of 24 patients presenting several clinical forms of tuberculosis and a control group of 13 healthy individuals. The levels of TNF alpha were measured by bioassay method. The levels of TNF-alpha had significant differences between the tuberculosis and control groups. The patients with abnormal chest X-Ray findings had higher TNF alpha levels (15328.48 +/- 4602.19 pg/mL) when compared to patients with normal X-Rays (3353.18 +/- 1495.29 pg/mL) (p&lt;0.05). Patients that lost weight had higher TNF alpha levels (15468.54 +/- 4580.54 pg/mL) than those that didn't loose weight (2904.98 +/- 1367.89) (p&lt;0.05). The levels of TNF alpha were higher in patients with a positive PPD skin test than in those with a negative PPD test (p&lt;0.05). There was a positive correlation between patients' clinical severity and the serum levels of TNF alpha. In patients with successive measurements of TNF alpha, we observed that there was a drop in cytokine levels, and also a clinical improvement concomitantly. We concluded that there was a correlation between serum TNF alpha levels and chest X-Ray alterations, loss of weight, positive PPD skin test and clinical severity in patients with tuberculosis. 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We described a group of 24 patients presenting several clinical forms of tuberculosis and a control group of 13 healthy individuals. The levels of TNF alpha were measured by bioassay method. The levels of TNF-alpha had significant differences between the tuberculosis and control groups. The patients with abnormal chest X-Ray findings had higher TNF alpha levels (15328.48 +/- 4602.19 pg/mL) when compared to patients with normal X-Rays (3353.18 +/- 1495.29 pg/mL) (p&lt;0.05). Patients that lost weight had higher TNF alpha levels (15468.54 +/- 4580.54 pg/mL) than those that didn't loose weight (2904.98 +/- 1367.89) (p&lt;0.05). The levels of TNF alpha were higher in patients with a positive PPD skin test than in those with a negative PPD test (p&lt;0.05). There was a positive correlation between patients' clinical severity and the serum levels of TNF alpha. In patients with successive measurements of TNF alpha, we observed that there was a drop in cytokine levels, and also a clinical improvement concomitantly. We concluded that there was a correlation between serum TNF alpha levels and chest X-Ray alterations, loss of weight, positive PPD skin test and clinical severity in patients with tuberculosis. 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In patients with successive measurements of TNF alpha, we observed that there was a drop in cytokine levels, and also a clinical improvement concomitantly. We concluded that there was a correlation between serum TNF alpha levels and chest X-Ray alterations, loss of weight, positive PPD skin test and clinical severity in patients with tuberculosis. There was evidence of a worse clinical outcome in patients with tuberculosis that presented higher TNF alpha serum levels.</abstract><cop>Brazil</cop><pub>Contexto</pub><pmid>18833408</pmid><doi>10.1590/s1413-86702008000300013</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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subjects Adult
Aged
Biomarkers - blood
Case-Control Studies
clinical severity
cytokines
Diagnosis
Female
Humans
INFECTIOUS DISEASES
Male
Middle Aged
Mycobacterium
Physiological aspects
Severity of Illness Index
TNF alpha
Tuberculosis
Tuberculosis - blood
Tumor necrosis factor
Tumor Necrosis Factor-alpha - blood
Young Adult
title Correlation between serum tumor necrosis factor alpha levels and clinical severity of tuberculosis
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