Vasáková M
Klinika pneumologie a hrudní chirurgie, 3, lékarská fakulta Univerzity Karlovy, Fakultní nemocnice na Bulovce, Praha.
Epidemiol Mikrobiol Imunol. 1998 Feb;47(1):23-6.
Extrapulmonary tuberculosis has a lower incidence than pulmonary tuberculosis. Almost always postprimary tuberculosis is involved, i.e. tuberculosis which develops with a certain latency after primoinfection with Mycobacterium tuberculosis. The latency period in different organs and systems differs, it is shortest in tuberculous pleuritis and basilar meningitis-3 months, and longest in affections of the urogenital tract-up to 10 years. The serious character of extrapulmonary tuberculosis is frequently due to its late diagnosis as extrapulmonary tuberculosis is usually not assumed and also because detection of a specific inflammation in poorly accessible parts is difficult, and last not least, also due to the complicated course of the disease, which frequently calls for a multidisciplinary approach.
肺外结核病的发病率低于肺结核。几乎总是继发性肺结核受累,即感染结核分枝杆菌后有一定潜伏期才发病的结核病。不同器官和系统的潜伏期不同,结核性胸膜炎和结核性脑膜炎最短——3个月,泌尿生殖道感染最长——可达10年。肺外结核病病情严重往往是因为诊断较晚,这通常是由于未考虑到肺外结核病,也因为难以检测到难以触及部位的特异性炎症,最后但同样重要的是,还由于疾病病程复杂,这往往需要多学科方法。