A study of clinical findings among newly diagnosed TB patients who are diagnosed diabetics under medications
Journal Title: International Archives of Integrated Medicine - Year 2019, Vol 6, Issue 2
Abstract
Background: Tuberculosis remains a leading cause of death globally. In 2014 there were an estimated 12.8 million new cases of tuberculosis worldwide. The incidence of tuberculosis is greatest among those with conditions impairing immunity such as HIV infection and diabetes. Type 2 Diabetes mellitus amongst Indians occur a decade earlier when compared to the western population. Indians have more abdominal obesity and the waist-hip ratio. Aim of the study: Clinical findings Among Newly Diagnosed Tb Patients who are diagnosed Diabetics under Medications. Materials and methods: 100 cases of newly diagnosed sputum positive pulmonary tuberculosis with diabetes were fitting the inclusion criteria admitted over the period of 2 years from 2016-2017. Subjects were selected from medicine ward, pulmonology ward andTuberculosis ward under DTC. The diagnosis of Pulmonary tuberculosis was made with clinical presentation and verification by detection of acid-fast bacilli under a microscope. Results: Among the study population, 33(33.00%) were smokers, 38 (38.00%) were alcoholics and 9 (9.00%) were habituated to pan chewing. Among the study population, 53 (53.00%) had dyspnoea, 41 (41.00%) had chest pain, 66(66.00%) had a loss of appetite, 60 (60.00%) had an evening rise of temperature, 81(81.00%) had a loss of weight, 32 (32.00%) had hemoptysis, 78(78.00%) had a cough. Conclusion: DM was associated with more symptoms but not with increased severity of TB and had a negative effect on the outcome of anti-TB treatment. The findings of this study underline the need to improve the care of patients with concomitant DM and TB, especially in developing countries. Therefore, we advocate screening patients with TB for DM, especially those aged >35 years. Prospective studies are needed to determine the effects of tighter glycemic control on TB treatment and outcome.
Authors and Affiliations
Dr. Vijayaraju, JA Elanchezhian
Keywords
Related Articles
- EP ID EP673613
- DOI -
- Views 154
- Downloads 0
A study of the ECG changes associated with Organophosphorous compound poisoning
Introduction: Estimates from the World Health Organisation (WHO) indicate that 1 million accidental poisoning and 2 million suicide attempts involving pesticides occur the world over. Large proportion present to the ICU...
Dental caries and calculus status in children studying in Government and Private Schools in Malappuram, Kerala, India
Background: Dental caries status in children is influenced by a number of risk factors such as sex, age, socioeconomic status, diet, and oral hygiene practices. The objective of the study was to assess and compare the pr...
Comparative study of Laparoscopic Nissen fundoplication Vs Posterior fundoplication in Gastroesophageal reflux disease
Background: Gastroesophageal reflux Disease is a highly prevalent gastrointestinal (GI) disorder and is one of the most common GI illnesses encountered in clinical practice. Gastroesophageal reflux disease (GERD) is one...
Additional root of median nerve: A case report
Anomalies of the brachial plexus and its terminal branches are common. During routine dissection in an adult male cadaver in the right upper limb a rare variation in the formation of median nerve was observed. Median ner...
Prevalence of Geriatric Dermatosis – A Study
Background: Geriatric age is generally taken as the age beyond 65 years. Geriatric skin has a high risk of toxicity due to increased surface area to volume, decreased subcutaneous fat, and high ambient temperature and hu...