Examining the Complex Relationship Between Tuberculosis and Other Infectious Diseases in Children
Identifieur interne : 000D49 ( Main/Merge ); précédent : 000D48; suivant : 000D50Examining the Complex Relationship Between Tuberculosis and Other Infectious Diseases in Children
Auteurs : Elizabeth Whittaker [Royaume-Uni] ; Elisa L Pez-Varela [Afrique du Sud] ; Claire Broderick [Royaume-Uni] ; James A. Seddon [Royaume-Uni, Afrique du Sud]Source :
- Frontiers in Pediatrics [ 2296-2360 ] ; 2019.
Abstract
Millions of children are exposed to tuberculosis (TB) each year, many of which become infected with
Url:
DOI: 10.3389/fped.2019.00233
PubMed: 31294001
PubMed Central: 6603259
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PMC:6603259Le document en format XML
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Examining the Complex Relationship Between Tuberculosis and Other Infectious Diseases in Children</title>
<author><name sortKey="Whittaker, Elizabeth" sort="Whittaker, Elizabeth" uniqKey="Whittaker E" first="Elizabeth" last="Whittaker">Elizabeth Whittaker</name>
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,<country>United Kingdom</country>
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<country xml:lang="fr">Royaume-Uni</country>
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<author><name sortKey="L Pez Varela, Elisa" sort="L Pez Varela, Elisa" uniqKey="L Pez Varela E" first="Elisa" last="L Pez-Varela">Elisa L Pez-Varela</name>
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<author><name sortKey="Broderick, Claire" sort="Broderick, Claire" uniqKey="Broderick C" first="Claire" last="Broderick">Claire Broderick</name>
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,<country>United Kingdom</country>
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<series><title level="j">Frontiers in Pediatrics</title>
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<front><div type="abstract" xml:lang="en"><p>Millions of children are exposed to tuberculosis (TB) each year, many of which become infected with <italic>Mycobacterium tuberculosis</italic>
. Most children can immunologically contain or eradicate the organism without pathology developing. However, in a minority, the organism overcomes the immunological constraints, proliferates and causes TB disease. Each year a million children develop TB disease, with a quarter dying. While it is known that young children and those with immunodeficiencies are at increased risk of progression from TB infection to TB disease, our understanding of risk factors for this transition is limited. The most immunologically disruptive process that can happen during childhood is infection with another pathogen and yet the impact of co-infections on TB risk is poorly investigated. Many diseases have overlapping geographical distributions to TB and affect similar patient populations. It is therefore likely that infection with viruses, bacteria, fungi and protozoa may impact on the risk of developing TB disease following exposure and infection, although disentangling correlation and causation is challenging. As vaccinations also disrupt immunological pathways, these may also impact on TB risk. In this article we describe the pediatric immune response to <italic>M. tuberculosis</italic>
and then review the existing evidence of the impact of co-infection with other pathogens, as well as vaccination, on the host response to <italic>M. tuberculosis</italic>
. We focus on the impact of other organisms on the risk of TB disease in children, in particularly evaluating if co-infections drive host immune responses in an age-dependent way. We finally propose priorities for future research in this field. An improved understanding of the impact of co-infections on TB could assist in TB control strategies, vaccine development (for TB vaccines or vaccines for other organisms), TB treatment approaches and TB diagnostics.</p>
</div>
</front>
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