II. Distribution: Areas of dissemination
- Tuberculous Lymphadenitis (most common form)
- Pleural Tuberculosis (5%)
- Skeletal Tuberculosis (35%)
-
Tuberculous Meningitis
- CSF with moderate lymphcytosis
- Gastrointestinal Tuberculosis
- Genitourinary Tuberculosis
- Tuberculous Peritonitis
- Miliary Tuberculosis
- Tuberculous Pericarditis
- Miliary Tuberculosis (Disseminated tuberculosis)
- Seen in AIDS and untreated Tuberculosis
- Presents with fever, Night Sweats, weight loss
- PPD is positive in only 50% of cases
III. Management
- Duration of therapy (phase 1 and 2 combined)
- Most forms of Extrapulmonary Tuberculosis: 4-7 months
- CNS Tuberculosis: 9-12 months
- Musculoskeletal Tuberculosis: Extended duration
- Phase 1: First 2 months (altered if suspect resistance)
- Phase 2: Duration varies per guidelines above