Diabetes and Tuberculosis: The Study of Clinical-radiological Profile in Tertiary Care Hospital
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 2
Abstract
Background - DM is a well known risk factor for TB in the past 1,2. Patient with diabetes mellitus type-2 are in particular more prone to getting into infections, including TB, which are more difficult to treat because of their inherent weak immune system, the high prevalence of diabetes could adversely affect global TB control effort 3,4. Historically, the incidence of tuberculosis in patients with diabetes has been high, 5, 6,7. The incidence of TB showing it to be two to five time higher in diabetic patients Than in non-diabetic patients 8,9-11. TB in diabetic patients has been reported to have more cavitatry lesion, less sputum positivity and paucity of symptoms and signs compared to TB in non-diabetic patients 10 . Method - The study was carried out on patients attending the OPD/IPD of department of General Medicine, SRMS-IMS, Bareilly, U.P. between Jan’2013 to Jan-2015. After a detailed history and thorough examinations all patient were subjected to sputum smear for AFB examination, X-ray chest PA view and hematological investigation. Result - A total 58 proven cases of pulmonary tuberculosis, who were known diabetics were included in this study. Out of 58 cases, 34(58.6%) were male and 24(41.4%) were female. Male to female ratio was (1.4:1). The mean age of was 48.2 + 12.3 yrs. The majority of patients were between 41-60 years of age followed by 61-80 and 20-40 years i.e. 31,12,12 respectively. Out of 58 patients, 32 (55.2%) cases were sputum positive, rest of them were sputum negative. In 32 cases 19 cases were male and 13 cases were female. Conclusion - DM is a known risk factor for TB in endemic area, and this risk increases with age. In general, TB is a disease that should be considered in diabetic patients with an atypical clinical and radiological presentation.
Authors and Affiliations
Rawal Divyant
Keywords
Related Articles
- EP ID EP274152
- DOI -
- Views 61
- Downloads 0
Epidemiological Study of Cutaneous Manifestations in Patients with Chronic Kidney Disease
Background: Chronic kidney disease (CKD) is associated with a varied cutaneous manifestations both due to its underlying etiology as well as treatment modalities. We evaluated the prevalence of dermatological manifestati...
Prevalence of Anemia and Its Causative Factors among Dental Undergraduate Students In A Dental College In South India
A healthy diet defines life in terms of sustainability and longevity. Nutrition forms an integral part of a healthy life style.1without a nourishing diet, it is impossible to perform for an individual. It not only affect...
Clinical Pregnancy Rate in Intra Uterine Insemination (IUI) is not Affected by the type of Catheter Used
Objective: To compare the clinical pregnancy rate of IUI with the Gynetics catheter (Gynetics Medical Products, Hamont-Achel, Belgium) or the Labotect catheter (labotect insemination catheter, Germany). Design: Prospecti...
Serum CRP: A Marker of Bowel Gangrene in Acute Intestinal Obstruction
Acute Intestinal Obstruction remains one of the most common intra-abdominal problem faced by General Surgeon Its early recognition and aggressive treatment can prevent irreversible ischaemia and trans-mural necrosis, the...
An observational study on Prevalence and various risk factors of Anaemia in Pregnant Women in rural area of District Katihar, Bihar, India
Objectives: This study was to evaluate the prevalence and risk factors of anaemia in pregnancy in rural area of Katihar, Bihar, India. Methodology: Total 120 pregnant women in any trimester of pregnancy with irrespective...