Diagnostik und Therapie von Tuberkulose unter Immuntherapien für Multiple Sklerose. Aktueller Stand und Empfehlungen in Deutschland

Bittner, Stefan; Engel, Sinah; Lange, Christoph; Weber, Martin S.; Haghikia, Aiden; Luessi, Felix; Korn, Thomas; Klotz, Luisa; Bayas, Antonios; Paul, Friedemann; Heesen, Christoph; Stangel, Martin; Wildemann, Brigitte; Bergh, Florian Then; Tackenberg, Björn; Trebst, Corinna; Warnke, Clemens; Linker, Ralf; Kerschensteiner, Martin; Zettl, Uwe; Tumani, Hayrettin; Brueck, Wolfgang; Meuth, Sven G.; Kuempfel, Tanja; Hemmer, Bernhard; Wiendl, Heinz; Gold, Ralf and Zipp, Frauke (2019): Diagnostik und Therapie von Tuberkulose unter Immuntherapien für Multiple Sklerose. Aktueller Stand und Empfehlungen in Deutschland. In: Nervenarzt, Vol. 90, No. 12: pp. 1245-1253

Abstract

After years of low incidence, a large increase of new tuberculosis (TB) cases has been reported in Germany since 2015. New immunotherapies for the treatment of multiple sclerosis (MS) are associated with a reduced immune competence and a potential increased risk for infections. Most neurologists lack specific experiences with TB infections. This article summarizes specific recommendations for the diagnostics and treatment of TB under MS immunotherapies with a focus on the situation in Germany. Due to low case numbers and little experience with the risk of TB under the new immunotherapies, the clinical competence network for MS (KKNMS) consensus recommendations have a low grade of evidence.

• Item Type: Journal article
• Faculties: Medicine; Medicine > Munich Cluster for Systems Neurology (SyNergy)
• Subjects: 600 Technology > 610 Medicine and health
• ISSN: 0028-2804
• Language: English
• DFG: Gefördert durch die Deutsche Forschungsgemeinschaft (DFG) - 390857198