Tuberculosis ulcerosa mucosae et cutis
Last Updated: 2019-08-26
Tuberculous infestation of the mucous membranes occurring with pronounced immunosuppression.
Men from the middle age are preferably afflicted.
The disease occurs when the immunity situation is unfavourable.
- Enoral, perioral.
The term infectious tuberculosis refers to the infection of the sites through which secretions rich in tubercle bacteria are excreted (anus, rectum, kidney, lung).
Enoral (from larynx to lips) and perioral dolent, ulcerating papules and pustules.
CAVE: The contact density is particularly high due to the high number of tubercle bacteria in the skin lesions.
- Travel medical history
The tuberculin test is often false negative (due to the usually poor immune situation).
- Quantiferon test.
To exclude system involvement:
- Thorax X-ray or CT thorax.
Sonography of the abdomen and kidneys.
In the morning (fasting up to 4h) on 3 consecutive days sputum must be collected.
In the morning on 3 consecutive days urine must be given (fluid restriction the evening before!).
Bronchoalveolar lavage (BAL).
Non-specific, cellular proliferating, partly necrotizing inflammation, tuberculoid granulomas.
In most cases, disseminated organ infestation occurs.
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