English Українська
  • Main
  • Useful links
  • Information for Contributors
  • About
  • Editorial board

  • Article
    A.A. Avramenko

    THE CASE OF FALSE NEGATIVE RESULT OF HELIK-TEST OF PATIENT WITH CHRONIC NON - ATROPHIC GASTRITIS WITH INTRACELLULAR "DEPOT" HELICOBACTER PYLORI INFECTION


    About the author: A.A. Avramenko
    Heading CLINICAL MEDICINE
    Type of article Scentific article
    Annotation The case of false negative result of HELIK test of 39-year old ill woman who has chronic non-atrophic gastritis was analyzed. In history, it was found that the current aggravation have arisen on the background of family stress, which lasted for 4 months. According to Order № 271 from 13.06.2005 of Ministry of HealthCare of Ukraine a patient took comprehensive examination (N 6459, 26.05.17), which included step-by-step рН-metry based on VN Chernobrovyi methods, esophagogastroduodenoscopy (EGDS) based on general techniques, helicobacter infection test (НР) (urease test and microscoping of stained smears with the determination of intracellular "Depot" HP on comparative characteristic) and histological investigations of the gastric stump mucous, biopsy material was taken from 4 topographical zones of the stomach (medial third part of antrum and body of the stomach through large and small curvature). Also further the breathing test was held to the patient (HELIK- test) to determine the level of HP infection using a generally accepted method and determination of the level of natural killers (CD-16) in the blood for the detection of intracellular "Depot" Helicobacter pylori infection. When conducting a comprehensive survey of the patient the presence of intracellular "Depot" Helicobacter pylori infection was found, confirmed by two different methods-comparative characteristic of the data of urease test and microscopy of smeared touch from 4 topographical zones of the stomach and on the level of natural killers (CD-16) in the blood. Thus, the intracellular "Depot" HP-infections are one of the factors that can lead to false- negative results of HELIK- test.
    Tags chronic non-atrophic gastritis, intracellular "Depot" Helicobacter pylori infection, HELIK-test
    Bibliography
    • Avramenko AO, inventor; Avramenko AO, patent holder. Sposib testuvannya vnutrishnioklitynnykh «depo» helikobakternoyi infektsiyi u khvorykh na khronichnyi helikobakterioz za Avramenkom AO. Patent of Ukraine, No. 96 920. February 2015. 25. [in Ukrainian]
    • Avramenko AA. Dostovernost stul-testa pri testirovaniyi bolnykh khronicheskim khelikobakteriozom pri nalichiyi aktivnykh i neaktivnykh form khelikobakternoy infektsii na slizistoy zheludka. Suchasna gastroyenterologíya. 2014; 3 (77): 22 – 26. [in Russian]
    • Vasilyev VI, Sedyshev SKH, Gorodetskiy VR, Probatova NA, Gayduk IV, Logvinenko OA, et al. Differentsialnaya diagnostika granulematoza Vegenera s ekstranodalnoy NK/T-kletochnoy limfomoy nazalnogo tipa.Terapevticheskiy arkhiv. 2012; 7: 79-83. [in Russian]
    • Isakov VA, Domaradskiy IV. Khelikobakterioz. M.: ID Medpraktika-M; 2003.412 p. [in Russian]
    • Kimakovych VY, Nikishayev VI, redaktor. Endoskopiya travnoho kanalu. Norma, patolohiya, suchasni klasyfikatsiyi. Lviv: Vydavnytstvo Medytsyna Svitu; 2008. 208 p., il. [in Ukrainian]
    • Mayev IV, Samsonov AA, Andreyev DN, Grechushnikov VB, Korovina TI. Klinicheskoye znacheniye infektsii Helicobacter pylori. Klinicheskaya meditsina. 2013;8: 4-12. [in Russian]
    • Order of MoH of Ukraine dated 13.06.2005 No. 271 “Pro zatverdzhennya protokoliv nadannya medychnoyi dopomohy za spetsialnistyu «Hastroenterolohiya»”. [in Ukrainian]
    • Perederiy VG. Yazvennaya bolezn ili pepticheskaya yazva? Kiyev; 1997. 158 p. [in Russian]
    • KHELPIL-test i KHELIK-test dlya diagnostiki khelikobakterioza. Posobiye dlya vrachey. S.-Peterburg: Izdatel'stvo SPbGMU; 2005. 1-20. [in Russian]
    • Tsimmerman YaS, Zakharova YuA, Vedernikov VYe. Sravnitelnaya otsenka diagnosticheskikh testov opredeleniya Helicobacter pylori i spektr mukoznoy mikroflory zheludka pri gastrite i yazvennoy bolezni. Klinicheskaya meditsina. 2013;4: 42-48. [in Russian]
    • Chubenko SS, Imanova IR, Chubenko DS. Opyt klinicheskogo ispol'zovaniya ekspress-opredeleniya antigenov H. Pylori v kale pri diagnostike khelikobakterioza. Suchasna gastroyenterologíya. 2009; 3 (47): 5 – 8. [in Russian]
    • Shukhtyna IM. Mekhanizm formuvannya vnutrishniotkanynnoho (vnutrishnioklitynnoho) ‹‹depo›› helikobakternoyi infektsiyi u khvorykh na khronichnyy helikobakterioz [author’s abstract]. Odesa: Odesa.State Med. Univ.; 2012. 20 p. [in Ukrainian]
    • Mobley HLT, Cortesia MJ, Rosenthal LE, Jones BD. Characterization of Urease from Campylobacter pylori. Journal of Clinical Microbiology. 1988; Vol.26, 5: 831-836.
    • Sach G, Weeks DI, Melchers K, Scott DR. The gastric biology of Helicobacter pylori. Annu.Rev.Physiol.2003;65: 349-69.
    • Strugatsky D, McNulty RM, Munson K. Structure of the proton-gated urea channel from the gastric pathogen Helicobacter pylori. Nature. 2013; Vol.493: 255-258.
    Publication of the article «World of Medicine and Biology» №2(64), 2018 year, 009-012 pages, index UDK 616.33-002.2-07:579.835.12
    DOI 10.26724/2079-8334-2018-2-64-9-12