Content area
Abstract
BACK GROUND :Diabetes mellitus has been reported to modify the presenting features of pulmonary tuberculosis, but there are varying data, particularly regarding the association with lower lung field involvement.
OBJECTIVES: Clinical and radiological study of pulmonary tuberculosis in diabetic patients
METHODS:100 cases of diabetes mellitus with pulmonary tuberculosis were studied. Their clinical profile and chest radiograph results were analyzed.
RESULTS:The predominant clinical symptoms noted were anorexia (80%), cough (73%), fever (56%). 62.5% of male patients were smokers. Clubbing was noted in 10% of our patients. Average duration of diabetes was 6.6 years. 51% of patients were anemic and 52% of patients had an erythrocyte sedimentation rate above 50mm/hr. The average FBS value was 234.4 mg/dl. 81% of patients were sputum positive for acid fast bacilli under the age of 40 years. Cavitary lesions were noted in about 53% of patients. 38% of patients had infiltration. Fibrosis was noted in 37% of patients above 40 years. Lower lung field involvement was noted in 32% of patients and was more common in patients greater than 40 years.
INTERPRETATION AND CONCLUSION:Multiple cavities and multiple lobe involvement are more common in tuberculous diabetics and lower lung field is involved more commonly in older age group patients. Severe hyperglycemia appears to be a contributory factor to the development of pulmonary tuberculosis in diabetics. Diabetes appears to have no effect on the presenting features of pulmonary tuberculosis to a large extent.
