Resolution of Crohn's disease and complex regional pain syndrome following treatment of paratuberculosis

World J Gastroenterol. 2015 Apr 7;21(13):4048-62. doi: 10.3748/wjg.v21.i13.4048.

Abstract

A cohort of family members with various chronic diseases including Crohn's disease, asthma, complex regional pain syndrome, hypothyroidism, type 1 diabetes mellitus, and lymphangiomatosis and/or evidence of infection by Mycobacterium avium subsp. paratuberculosis (MAP) are described in this series of case reports. MAP was cultured from the blood of three members affected by the first five diseases and there was accompanying elevated anti-MAP IgG in two members. The patient affected by the sixth disease has a markedly elevated anti-MAP titer. The two patients affected by the first four diseases have been treated with a combination of anti-MAP antibiotics and ultraviolet blood irradiation therapy with resolution of the disease symptomatology and inability to culture MAP in post treatment blood samples. These case reports of patients with MAP infections provide supportive evidence of a pathogenic role of MAP in humans.

Keywords: Complex regional pain syndrome; Crohn’s disease; Cure; Lymphangiomatosis; Mycobacterium avium paratuberculosis.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Antitubercular Agents / therapeutic use*
  • Bacteriological Techniques
  • Biopsy
  • Child
  • Colonoscopy
  • Combined Modality Therapy
  • Complex Regional Pain Syndromes / diagnosis
  • Complex Regional Pain Syndromes / microbiology
  • Complex Regional Pain Syndromes / therapy*
  • Crohn Disease / diagnosis
  • Crohn Disease / microbiology
  • Crohn Disease / therapy*
  • Female
  • Humans
  • Male
  • Mycobacterium avium subsp. paratuberculosis / drug effects*
  • Mycobacterium avium subsp. paratuberculosis / isolation & purification
  • Mycobacterium avium subsp. paratuberculosis / radiation effects*
  • Paratuberculosis / diagnosis
  • Paratuberculosis / microbiology
  • Paratuberculosis / therapy*
  • Paratuberculosis / transmission
  • Remission Induction
  • Treatment Outcome
  • Ultraviolet Therapy / methods*
  • Young Adult

Substances

  • Antitubercular Agents

Supplementary concepts

  • Pediatric Crohn's disease