Clinical profile of tuberculosis cases among young adult and elderly people in a tertiary care hospital
Journal Title: MedPulse -International Medical Journal - Year 2016, Vol 3, Issue 8
Abstract
Background: Tuberculosis continues to be the most important communicable disease in the world, with a major burden in developing countries like India. Tuberculosis should be considered as part of the differential diagnosis in both young and elderly subjects equally. The present study was an effort to find out whether clinical presentation of tuberculosis differ in young and elderly subjects. Material and Methods: The study subjects included 100 patients above 12 years of age without co-morbidities of newly diagnosed cases of pulmonary and extra pulmonary tuberculosis diagnosed. Data was collected pertaining to demographics and past history of contact with, or treatment for TB, Skin test results, bacteriologic studies, radiographic reports, and symptoms upon presentation were also assessed for each subject. Results: Of the 100 patients, 63 (63%) were under 40 years of age (range 12 to 39), whereas, 37 (37%) were more or equal to 40 years of age (range 40 to 78). Hemoptysis was present in very few elderly patients, whereas, breathlessness was significant presentation in elderly subjects. Age-related differences in radiographic presentation of disease included the more frequent occurrence of right lower lobe pneumonia in those patients 40 years of age and older. Discussion: Although, the presentation of pulmonary TB in young and elderly subjects is remarkably similar, age-associated physiologic change might also predict the manner in which pulmonary TB presents clinically and radiographically as evidenced by the study.
Authors and Affiliations
Laxmikant Chavan, Saket Kumar Mandal, Sanjiv Kamble
Keywords
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