Evaluating the non-tuberculous mycobacteria effect in the tuberculosis infection diagnosis

Eur Respir J. 2010 Feb;35(2):338-42. doi: 10.1183/09031936.00196608.

Abstract

The aim of the present study was to determine the role of previous non-tuberculous mycobacteria sensitisation in children as a factor of discordant results between tuberculin skin test (TST) and an in vitro T-cell based assay (T-SPOT.TB; Oxford Immunotec, Oxford, UK). We enrolled 21 non-bacille Calmette-Guérin-vaccinated paediatric patients for suspicious of latent tuberculosis infection (LTBI). These patients yielded a positive TST and a negative T-SPOT.TB. Cells were stimulated with Mycobacterium avium sensitin (having cross-reaction with Mycobacterium intracellulare and Mycobacterium scrofulaceum) and the presence of reactive T-cells was determined by an ex vivo ELISPOT. From the 21 patients, in 10 cases (47.6%), we obtained a positive ELISPOT result after stimulation with M. avium sensitin, in six (28.6%) cases, the result was negative and in the remaining five (23.8%) cases, the result was indeterminate. In conclusion, previous non-tuberculous mycobacteria sensitisation induces false-positive results in the TST for diagnosing LTBI and the use of gamma-interferon tests could avoid unnecessary chemoprophylaxis treatment among a child population.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Bacterial Infections
  • Case-Control Studies
  • Child
  • Child, Preschool
  • Female
  • Humans
  • Interferon-gamma / metabolism
  • Latent Tuberculosis
  • Male
  • Mycobacterium / metabolism*
  • Mycobacterium avium / immunology*
  • Retrospective Studies
  • Tuberculin Test / methods
  • Tuberculosis / diagnosis*
  • Tuberculosis / microbiology*

Substances

  • Interferon-gamma