Analysis of Cases of Tuberculosis in Patients Visiting the Department- A Clinical Study
Journal Title: Journal of Advanced Medical and Dental Sciences Research - Year 2018, Vol 6, Issue 4
Abstract
Background: The mycobacterium tuberculosis complex (MTBC) comprises nine bacterial species that causes tuberculosis (TB) in mammals such as human beings. Almost one-third of the world’s population is infected with TB infection and/or at the risk of TB infection. The present study was conducted to analyze the cases of tuberculosis visiting the department. Materials & Methods: This study was conducted in the department of Chest & TB. It included 120 cases which were confirmed by initial screening for standard TB symptoms (cough for > 2 wk, fever for > 2 wk, chest pain, and haemoptysis), have both smear (for acid-fast bacilli, AFB) and culture tests done on the sputum samples collected. A positive case for TB is defined as being positive either by smear and or culture; and reported an outcome measure – the TB prevalence based on smear and/or culture results. In all patients detailed clinical history and clinical examination was done. Liver function tests, viral markers, USG, CT, MRI and histopathology/microbiology & culture for mycobacteria were done as and when required. Results: Out of 120 patients, males were 80 and females were 40. The difference was significant (P< 0.05). Hepatic TB was seen in 50 males and 25 females and biliary TB was seen in 30 males and 15 females. The difference was significant (P< 0.05). Common symptoms were fever, weight loss, jaundice, abdominal pain, hepatomegaly and splenomegaly. The difference was non- significant (P> 0.05). Bilirubin was 2 fold high in 12 cases of hepatic TB and 6 cases of biliary TB. ALT was 2 fold high in 8 cases each in biliary TB and 4 cases of hepatic TB. AST was 2 fold high in 5 cases of hepatic TB and 8 cases of biliary. ALP was 3 fold high in 25 cases of hepatic TB and 10 cases of biliary TB. Conclusion: Cases of tuberculosis have declined over the few years. Common symptoms are fever, weight loss, jaundice, abdominal pain, hepatomegaly and splenomegaly. The level of bilirubin, ALT, AST and ALP was many times raised in hepatic and biliary TB cases.
Authors and Affiliations
Devesh Prasad Mishra
ADVERTISEMENT
ADVERTISEMENT
Effect of low level laser therapy (LLLT) on post extraction wound healing
Background: The impaction is define as any tooth that is prevented to reaching its normal position by tissue, bone and another tooth or unerupted tooth, partially erupted tooth in the position of the against another toot...
Phytodynamic Therapy in Dental Perspective: A Review
Photodynamic therapy is an innovative technology that utilizes two non-toxic components, a photo-activating liquid and an LED light source to preferentially mark and destroy cariogenic bacteria and periodontal pathogens....
OSTEOSARCOMA OF MANDIBLE – A RARE CASE REPORT
Background & Objectives –Osteosarcomas are malignant neoplasms of the bone which commonly affect the long bones. The involvement of the jaws are rarely noticed. Mandibular and maxillary osteosarcomas account for 6% to 9...
Comparative Assessment of Nutritional Status of Patients using Conventional Complete Denture and Implant Supported Overdenture
Background: The satisfaction rate of completely edentulous patients has been reported to be 70%. The rest 30% patients have complaints with their dentures regarding inadequate stability and retention especially for lower...