Crohn's Disease: Retrospective Study In Algerian Patients

Background: Inflammatory disease of Crohn affects the entire digestive tract, with extra-intestinal manifestations and immune disorders. Objectives: This work aims to represent the histopathological aspects of Crohn‘s disease and the establishment of pathogenic bacteria as causal agents. Meth...

Full description

Bibliographic Details
Main Authors: Hassina Guetarni, Meriem Aissou
Format: Article
Language:English
Published: Jinnah University for Women 2023-02-01
Series:RADS Journal of Biological Research & Applied Science
Subjects:
Online Access:http://jbas.juw.edu.pk/index.php/JBAS/article/view/565
_version_ 1797893886024089600
author Hassina Guetarni
Meriem Aissou
author_facet Hassina Guetarni
Meriem Aissou
author_sort Hassina Guetarni
collection DOAJ
description Background: Inflammatory disease of Crohn affects the entire digestive tract, with extra-intestinal manifestations and immune disorders. Objectives: This work aims to represent the histopathological aspects of Crohn‘s disease and the establishment of pathogenic bacteria as causal agents. Methodology: The histopathological aspects of the disease were studied on a colonic resection specimen and on intestinal biopsies with colorations topographic staining. Pathogenic bacteria responsible for Crohn‘s disease have also been isolated and identified. The study is continued to establish a correlation between the disease and exposure to infections by unusual bacteria, particularly pathogens (Salmonella, Shigella, Streptococcus pyogenes, Klebsiella). Results : The macroscopic appearance of the disease presented transmural involvement and can be complicated by abscesses and fistulas, microscopic appearance indicated the infiltrate of inflammatory cells (lymphocytes, plasma cells) and lymphoid follicles after topographic staining. Crohn’s disease is an idiopathic disease, it is assumed that it is a deregulation of the immune system due to an infectious agent in genetically predisposed people. In our work, we studied the microbiota of intestine and stool of Crohn’s patients in which we found certain bacteria including Proteus mirabilis with a predominance of E. coli. Other pathogenic bacteria were found like Salmonella spp., Shigella spp., Klebsiella spp. and Streptococcus pyogenes. Two cases which tested positive on Ziehl Neelsen stain represented Mycobacterium avium paratuberculosis. Conclusion: The histopathological aspect of CD can be better visualized and identified on surgical specimens than on endoscopic biopsies, which helps to monitor the evolution of the disease and must be accompanied by clinical, serological and radiological exploration.
first_indexed 2024-04-10T07:00:02Z
format Article
id doaj.art-f9779b9b8f4d42279ec884c86199876b
institution Directory Open Access Journal
issn 2305-8722
2521-8573
language English
last_indexed 2024-04-10T07:00:02Z
publishDate 2023-02-01
publisher Jinnah University for Women
record_format Article
series RADS Journal of Biological Research & Applied Science
spelling doaj.art-f9779b9b8f4d42279ec884c86199876b2023-02-28T02:53:17ZengJinnah University for WomenRADS Journal of Biological Research & Applied Science2305-87222521-85732023-02-0113210.37962/jbas.v13i2.565Crohn's Disease: Retrospective Study In Algerian PatientsHassina Guetarni0Meriem Aissou1Faculty of Natural Sciences, University Bounaama Djilali of Khemis Miliana, Ain Defla, Algeria.Faculty of Natural Sciences, University Bounaama Djilali of Khemis Miliana, Ain Defla, Algeria. Background: Inflammatory disease of Crohn affects the entire digestive tract, with extra-intestinal manifestations and immune disorders. Objectives: This work aims to represent the histopathological aspects of Crohn‘s disease and the establishment of pathogenic bacteria as causal agents. Methodology: The histopathological aspects of the disease were studied on a colonic resection specimen and on intestinal biopsies with colorations topographic staining. Pathogenic bacteria responsible for Crohn‘s disease have also been isolated and identified. The study is continued to establish a correlation between the disease and exposure to infections by unusual bacteria, particularly pathogens (Salmonella, Shigella, Streptococcus pyogenes, Klebsiella). Results : The macroscopic appearance of the disease presented transmural involvement and can be complicated by abscesses and fistulas, microscopic appearance indicated the infiltrate of inflammatory cells (lymphocytes, plasma cells) and lymphoid follicles after topographic staining. Crohn’s disease is an idiopathic disease, it is assumed that it is a deregulation of the immune system due to an infectious agent in genetically predisposed people. In our work, we studied the microbiota of intestine and stool of Crohn’s patients in which we found certain bacteria including Proteus mirabilis with a predominance of E. coli. Other pathogenic bacteria were found like Salmonella spp., Shigella spp., Klebsiella spp. and Streptococcus pyogenes. Two cases which tested positive on Ziehl Neelsen stain represented Mycobacterium avium paratuberculosis. Conclusion: The histopathological aspect of CD can be better visualized and identified on surgical specimens than on endoscopic biopsies, which helps to monitor the evolution of the disease and must be accompanied by clinical, serological and radiological exploration. http://jbas.juw.edu.pk/index.php/JBAS/article/view/565Crohn disease, inflammatory granulomas, lymphoid follicle, Ziehl Neelsen staining, Hematoxylin eosin staining, Mycobacterium avium paratuberculosis.
spellingShingle Hassina Guetarni
Meriem Aissou
Crohn's Disease: Retrospective Study In Algerian Patients
RADS Journal of Biological Research & Applied Science
Crohn disease, inflammatory granulomas, lymphoid follicle, Ziehl Neelsen staining, Hematoxylin eosin staining, Mycobacterium avium paratuberculosis.
title Crohn's Disease: Retrospective Study In Algerian Patients
title_full Crohn's Disease: Retrospective Study In Algerian Patients
title_fullStr Crohn's Disease: Retrospective Study In Algerian Patients
title_full_unstemmed Crohn's Disease: Retrospective Study In Algerian Patients
title_short Crohn's Disease: Retrospective Study In Algerian Patients
title_sort crohn s disease retrospective study in algerian patients
topic Crohn disease, inflammatory granulomas, lymphoid follicle, Ziehl Neelsen staining, Hematoxylin eosin staining, Mycobacterium avium paratuberculosis.
url http://jbas.juw.edu.pk/index.php/JBAS/article/view/565
work_keys_str_mv AT hassinaguetarni crohnsdiseaseretrospectivestudyinalgerianpatients
AT meriemaissou crohnsdiseaseretrospectivestudyinalgerianpatients