Die extrapulmonale Tuberkulose ist in Deutschland eine seltene Erkrankung und stellt
die Behandler*innen bei Diagnostik und Therapie immer wieder vor große Herausforderungen.
In dieser Übersicht werden die extrapulmonalen Manifestationen der Tuberkulose vorgestellt
sowie ihre Diagnostik und Therapie diskutiert.
Abstract
Extrapulmonary tuberculosis (TB) presents unique diagnostic and therapeutic challenges.
The site of involvement can vary widely, with common sites including the lymph nodes,
pleura, skin, ear, nose and throat, genitourinary system, pericardium, gastrointestinal
tract, bones and joints, and central nervous system. Clinical manifestations of extrapulmonary
TB are diverse and often non-specific. Diagnosis is based on a combination of clinical
suspicion, imaging, histopathology, and microbiology. Treatment of extrapulmonary
TB generally follows similar principles to pulmonary TB, but the duration of treatment
depends on the site of involvement and the extent of the disease. Increased awareness
among healthcare providers is essential for the timely recognition and effective management
of extrapulmonary TB cases.
Schlüsselwörter
Tuberkulose - extrapulmonal - Lymphknoten - Urogenital - Knochen - Diagnosik - Therapie
Keywords
Tuberculosis - Lymph nodes - urogenital - bones - diagnosis - therapy - extrapulmonary