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Osteological and Biomolecular Evidence of a 7000-Year-Old Case of Hypertrophic Pulmonary Osteopathy Secondary to Tuberculosis from Neolithic Hungary

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Title
Osteological and Biomolecular Evidence of a 7000-Year-Old Case of Hypertrophic Pulmonary Osteopathy Secondary to Tuberculosis from Neolithic Hungary
Published in
PLOS ONE, October 2013
DOI 10.1371/journal.pone.0078252
Pubmed ID
Authors

Muriel Masson, Erika Molnár, Helen D. Donoghue, Gurdyal S. Besra, David E. Minnikin, Houdini H. T. Wu, Oona Y-C. Lee, Ian D. Bull, György Pálfi

Abstract

Seventy-one individuals from the late Neolithic population of the 7000-year-old site of Hódmezővásárhely-Gorzsa were examined for their skeletal palaeopathology. This revealed numerous cases of infections and non-specific stress indicators in juveniles and adults, metabolic diseases in juveniles, and evidence of trauma and mechanical changes in adults. Several cases showed potential signs of tuberculosis, particularly the remains of the individual HGO-53. This is an important finding that has significant implications for our understanding of this community. The aim of the present study was to seek biomolecular evidence to confirm this diagnosis. HGO-53 was a young male with a striking case of hypertrophic pulmonary osteopathy (HPO), revealing rib changes and cavitations in the vertebral bodies. The initial macroscopic diagnosis of HPO secondary to tuberculosis was confirmed by analysis of Mycobacterium tuberculosis complex specific cell wall lipid biomarkers and corroborated by ancient DNA (aDNA) analysis. This case is the earliest known classical case of HPO on an adult human skeleton and is one of the oldest palaeopathological and palaeomicrobiological tuberculosis cases to date.

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Geographical breakdown

Country Count As %
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Poland 1 1%
Czechia 1 1%
Germany 1 1%
Unknown 91 96%

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Readers by professional status Count As %
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Student > Master 14 15%
Researcher 13 14%
Student > Bachelor 7 7%
Other 6 6%
Other 20 21%
Unknown 15 16%
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Arts and Humanities 12 13%
Biochemistry, Genetics and Molecular Biology 11 12%
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Other 13 14%
Unknown 18 19%