Comparative assessment of Helicobacter pylori colonization in children tonsillar tissues

Int J Pediatr Otorhinolaryngol. 2009 Sep;73(9):1199-201. doi: 10.1016/j.ijporl.2009.05.005. Epub 2009 Jun 12.

Abstract

Objective: The objective was to survey the results of RUT (rapid urease test) in children tonsillar tissues.

Methods: In a prospective clinical study 285 children (4-14 years) tonsillar tissue tested with RUT (rapid urease test) and histopathologic biopsy and simultaneously serum IgG Helicobacter pylori level was measured for all patients.

Results: One hundred and thirteen patients (39.6%) were positive to H. pylori in histopathologic examination. Forty patients (14%) had positive RUT and 15 patients had positive serum IgG anti-H. pylori level. In 40 patients the results in both histopathology and RUT were positive (P=0.000) although in 172 patients the results in both histopatologhic and RUT were negative (P=0.000).

Conclusions: This study showed that H. pylori was present in tonsillar tissue and RUT is not sensitive enough for diagnosis of H. pylori in tonsillar tissue. Indicating that H. pylori has a possible role in reservoir of H. pylori in children.

Publication types

  • Comparative Study

MeSH terms

  • Adolescent
  • Biopsy
  • Breath Tests / methods
  • Child
  • Child, Preschool
  • Helicobacter Infections / diagnosis*
  • Helicobacter Infections / microbiology*
  • Helicobacter pylori / immunology
  • Helicobacter pylori / isolation & purification*
  • Humans
  • Immunoglobulin G
  • Palatine Tonsil / microbiology*
  • Palatine Tonsil / pathology
  • Prospective Studies
  • Sensitivity and Specificity
  • Serologic Tests / methods
  • Urease / metabolism

Substances

  • Immunoglobulin G
  • Urease