Controlled trial of antituberculous chemotherapy in Crohn's disease: a five year follow up study.

Abstract:

BACKGROUND:It has been suggested that Mycobacterium paratuberculosis is the cause of Crohn's disease. In a previous report the immediate effect of two years treatment with antituberculous chemotherapy showed no clinical benefit. AIMS:To assess both the immediate and longer term effect of treatment on the disease. METHODS:Patients were followed for five years from their date of entry to the study. One hundred and thirty patients entered the initial study, and of these 111 (81%) were followed regularly. RESULTS:Overall, there was no evidence of consistent benefit or disadvantage from antituberculous chemotherapy in any of the assessments made, including the number of acute relapses, surgical episodes, hospital admissions, disease activity, blood tests, or medication required for Crohn's disease during the follow up period. CONCLUSION:The absence of any benefit at the end of the initial two year trial period, and during the three year subsequent follow up, fails to support the hypothesis that mycobacteria play an important part in the pathogenesis of Crohn's disease, or that antituberculous chemotherapy may be of benefit.

journal_name

Gut

journal_title

Gut

authors

Thomas GA,Swift GL,Green JT,Newcombe RG,Braniff-Mathews C,Rhodes J,Wilkinson S,Strohmeyer G,Kreuzpainter G

doi

10.1136/gut.42.4.497

subject

Has Abstract

pub_date

1998-04-01 00:00:00

pages

497-500

issue

4

eissn

0017-5749

issn

1468-3288

journal_volume

42

pub_type

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