Abordagem diagnóstica da tuberculose pleural, ganglionar, renal e de sistema nervoso central / Diagnostic Approach to Tuberculosis in the Pleura, Lymph Nodes, Kidneys, and Central Nervous System

RESUMO

O objetivo do presente artigo foi relatar a abordagem diagnóstica da tuberculose pleural, ganglionar, renal e do sistema nervoso central. A forma mais frequente entre essas formas de tuberculose no Brasil é a tuberculose pleural, cujo diagnóstico na prática clínica baseia-se no exame histopatológico, com uma alternativa relatada nos últimos anos: a dosagem da enzima adenosina desaminase. A maioria dos achados laboratoriais encontrados implica na condição paucibacilar dessas formas extrapulmonares

ABSTRACT

The objective of this study was to report the diagnostic approach to tuberculosis of the pleura, lymph nodes, kidneys, and central nervous system. In Brazil, the most common extrapulmonary form of tuberculosis is that afecting the pleura. In clinical practice, pleural tuberculosis is typically diagnosed on the basis of the histopathological examination. However, in recent years, the determination of adenosine deaminase levels has been used as an alternative. Most laboratory indings indicate that these extrapulmonary forms are paucibacillary