[Genitourinary tuberculosis in Germany: diagnosis and treatment]. / Urogenitaltuberkulose in Deutschland : Diagnose und Behandlung.
Urologe A
; 50(12): 1619-27, 2011 Dec.
Article
em De
| MEDLINE
| ID: mdl-22120191
ABSTRACT
Genitourinary tuberculosis (GUTB) usually results from the reactivation of old, dormant tuberculous diseases by pathogens of the Mycobacterium tuberculosis complex. The diagnosis of tuberculosis of the urinary tract is based on the case history, the finding of pyuria in the absence of infection as judged by culture on routine media and by radiological imaging. A positive yellow egg culture and/or histological analysis of biopsy specimens possibly combined with the polymerase chain reaction (PCR) is still required in most patients to establish a definitive diagnosis of GUTB. Antituberculous drug treatment is based on an initial 2 month intensive phase with three or four drugs daily followed by a 4 month continuation phase with only two drugs. Surgery as a treatment option in GUTB might be indicated in complicated urinary tuberculosis. After antituberculous treatment of GUTB a follow-up surveillance over 5 years is recommended. Although the incidence of GUTB in Germany is relatively low, it is still necessary to impart and deepen scientific knowledge of the diagnosis and therapy of GUTB.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Tuberculose Urogenital
/
Antituberculosos
Tipo de estudo:
Diagnostic_studies
/
Prevalence_studies
/
Risk_factors_studies
Limite:
Humans
País/Região como assunto:
Europa
Idioma:
De
Revista:
Urologe A
Ano de publicação:
2011
Tipo de documento:
Article