Chest X Ray findings in New Sputum Positive Pulmonary Tuberculosis
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 2
Abstract
Background: Tuberculosis remains a worldwide public health problem. The guidelines of RNTCP suggest sputum as the initial diagnostic test for Tuberculosis. If sputum test is positive in patients who are receiving Anti tubercular therapy (ATT), without undergoing chest X-Ray. The sequel of tuberculosis of Lung can have a chronic affect on patients. Aim: The aim of this study was to determine whether new sputum positive pulmonary tuberculosis (PTB) patients must undergo chest X-Ray as a part of the initial diagnosis and treatment of PTB. Materials and Methods: 100 patients who attended our OPD with cough and sputum for two weeks with and without HIV infection underwent sputum AFB. The diagnosis of PTB was made on the basis of clinical history, physical examination, Ziehl-Neelsen microscopy (AFB stain) on two sputum samples. Chest X-Ray was done for the sputum positive patients. The findings were recorded for each radiograph. Results: Among the 70 sputum positive patients, 55 (78.57%) were male, 15 (21.42%) were female. Out of 70 patients with Tuberculosis 67 have Chest radiograph appearances in this group the cavitation, miliary pattern, t statistical trend towards less pleural effusion as well as hilar lymphadenopathy. Conclusion: Our observations suggest that normal finding in CXR is an exception and implementing chest x-ray as an additional test in new sputum positive patients will be helpful in extent of damage of lungs and the future complications that results if patient is not compliant ATT in the Indian setting
Authors and Affiliations
Dr. S. Chandra Babu, Dr. C. Venkata Ravi kumar, Dr. M. Pramod, Dr. Kavitha, Dr. S. Parveen, S. Deva sree, K. Bhargavi
Keywords
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- EP ID EP465350
- DOI 10.9790/0853-1802044851.
- Views 108
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