Pulmonary Tuberculosis with Diabetes Mellitus: A Profile Study
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2019, Vol 4, Issue 2
Abstract
Aim & Objective: To study the clinical profile and radiological patterns of 60 pulmonary tuberculosis patients with Diabetes mellitus. Materials & Methods: 60 consecutive patients with pulmonary tuberculosis and Diabetes mellitus attending department of pulmonary medicine, Andhra Medical college, Visakhapatnam, from January 2017 to October 2017. Results: Most of the diabetics are above the age of 40 years (91.66%) with peak incidence in age group of 40-60 years. Male preponderance observed in the study with a total of 44(73.33%) males. Cough in 58 cases (96.66%) and breathlessness in 33 cases (55%) along with fever in 49 cases (81.66%) and haemoptysis in 5 cases (8.33%) are the most common symptoms. 35% are smokers, 21.66% are ex-smokers and 43.33% are non- smokers. New cases are more than relapses accounting for 71.66% and 28.33% respectively. Radiologically, infiltrates are the most commonly observed accounting for 88.33%. Cavitatory lesions are seen in 51.66%, consolidation seen in 5%. 16 cases were diagnosed with Diabetes mellitus de-novo and remaining 44 cases were already on treatment for previously diagnosed diabetes mellitus. Of 60 sputum smear for AFB positive cases, 50 had sputum smear conversion at the end of intensive phase. Successful treatment outcome was observed in 52 cases of which 46 were cured and 6 completed the treatment. Conclusion: In the present study most of the patients with pulmonary tuberculosis and diabetes patients are males, smokers, with cough, breathlessness, fever as the most common symptoms. Most common radiological findings noticed are infiltrates and cavities. Most of the patients had successful treatment outcomes.
Authors and Affiliations
Chakradhar Lingampalli
Keywords
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