ABSTRACT
Nowadays, patients suffering from this disease are mostly elderly people, especially women. Antituberculous chemotherapy is used as therapy of choice. The rate of recurrence is very low. Only in rare cases surgery becomes necessary to remove glands containing caseous (necrotic) tissue. Those operations are difficult due to many crossing vessels and nervs (facial-, Hypoglossal- and Abducens nerv) and should only be performed experienced surgeons.
Subject(s)
Tuberculosis, Lymph Node , Adolescent , Adult , Aged , BCG Vaccine/adverse effects , Child , Child, Preschool , Diagnosis, Differential , Female , Germany, East , History, 19th Century , History, 20th Century , Humans , Infant , Infant, Newborn , Male , Middle Aged , Neck , Tuberculosis, Lymph Node/diagnosis , Tuberculosis, Lymph Node/epidemiology , Tuberculosis, Lymph Node/etiology , Tuberculosis, Lymph Node/historyABSTRACT
Problems of metaphylaxis, the care of disabled and impairments by extrapulmonary tuberculosis need special attention in the care of patients by the Policlinical Department for lung-diseases and tuberculosis. In order to realise and to approve the specific control recommendations for the follow-up and examination of impairments are given by which the work of care-services and the execution of control-measure on the appointed day in their daily activities is facilitated. Bacteriological control by culture and special X-ray-examination must be performed with superior rank. The assessment of impairments and the protection of the disabled correspond to the opinion of experts in these special fields where extrapulmonary tuberculosis has any importance.
Subject(s)
Disabled Persons , Tuberculosis/diagnosis , Disability Evaluation , Female , Germany, East , Humans , Male , Rehabilitation , Specimen Handling , Tuberculosis/pathologySubject(s)
Tuberculosis/epidemiology , Epidemiologic Methods , Female , Germany, East , Humans , Male , Sex Factors , Tuberculosis, Cutaneous/epidemiologyABSTRACT
The chemotherapy of all forms of tuberculosis is basically performed according to homogeneous principles. Different opinions exist within the extrapulmonary forms particularly with regard to the duration of the treatment. Here, the so-called long-term therapy is frequently still postulated with 18--24 months. But newly developed, highly effective antituberculotic medicaments do not only allow but actually demand a shortening of the time of treatment in interest of the patient. Apparantly rifampicin and also pyrazin amide are able to effect on the germs in rest -- the persisters. Up to now the last mentioned gave the actual rise for the long-term application. Under the notion short-term therapy on the one hand by the application of the preparations mentioned and on the other hand basing on the experiences in the medicamentous treatment of the pulmonary tuberculosis now in the same measure the possiblity of a total duration of the therapy of on an average twelve months develops for the extrapulmonary manifestations of tuberculosis. Here, the two-phase regime is preferred with a continuous application of medicaments lasting for three months and following controlled phase with intermitting application of antituberculotics twice a week. The duration of application for rifampicin in these cases should neither trandgress nor be below three months.
