Clinical profile of tuberculosis cases among young adult and elderly people in a tertiary care hospital
Journal Title: MedPulse -International Medical Journal - Year 2016, Vol 3, Issue 8
Abstract
Background: Tuberculosis continues to be the most important communicable disease in the world, with a major burden in developing countries like India. Tuberculosis should be considered as part of the differential diagnosis in both young and elderly subjects equally. The present study was an effort to find out whether clinical presentation of tuberculosis differ in young and elderly subjects. Material and Methods: The study subjects included 100 patients above 12 years of age without co-morbidities of newly diagnosed cases of pulmonary and extra pulmonary tuberculosis diagnosed. Data was collected pertaining to demographics and past history of contact with, or treatment for TB, Skin test results, bacteriologic studies, radiographic reports, and symptoms upon presentation were also assessed for each subject. Results: Of the 100 patients, 63 (63%) were under 40 years of age (range 12 to 39), whereas, 37 (37%) were more or equal to 40 years of age (range 40 to 78). Hemoptysis was present in very few elderly patients, whereas, breathlessness was significant presentation in elderly subjects. Age-related differences in radiographic presentation of disease included the more frequent occurrence of right lower lobe pneumonia in those patients 40 years of age and older. Discussion: Although, the presentation of pulmonary TB in young and elderly subjects is remarkably similar, age-associated physiologic change might also predict the manner in which pulmonary TB presents clinically and radiographically as evidenced by the study.
Authors and Affiliations
Laxmikant Chavan, Saket Kumar Mandal, Sanjiv Kamble
Keywords
Related Articles
- EP ID EP207602
- DOI -
- Views 85
- Downloads 0
A study of the benefits and complications after ORIF (open reduction and internal fixation) with proximal humerus locking plate in fracture proximal humerus
Background: The major goal in the treatment of the proximal humerus fracture is to promote a pain free, mobile, and stable functional shoulder joint. ORIF can offer excellent outcomes when performed in the appropriate pa...
Traumatic complete transection of pancreas – a case report and review of literature contributors
Introduction: Blunt Abdominal trauma cases are increasing every day because of rising vehicular traffic accidents. Isolated Pancreatic trauma is not seen commonly. The most commonly affected organs are liver and spleen....
Awareness about the state health insurance scheme among rural population in Raigad district of Maharashtra
Health systems are undergoing profound change in many countries. Various health insurance scheme have introduced to lessen the burden of out of pocket expenditure. Pre–payment of small amount by individuals can finance h...
Introduction of Objective Structured Practical Examination for Osteology
Abstract: Background: The objective structured practical examination is a new concept to assess the students. The traditional method of examination had many drawbacks. Objectives: To introduce OSPE as a method of evaluat...
A study of recurrence of pterygium after excision with bare sclera method and excision with beta radiation
Introduction: Pterygium is one of the clinical conditions met with commonly in tropical countries especially in India. Etiology is not certain but sunlight (ultra violet rays) supposed to be the main cause. Irrespective...