COMPARATIVE STUDY OF CLINICAL PROFILE AND OUTCOME OF CASES OF PULMONARY TUBERCULOSIS WITH AND WITHOUT DIABETES MELLITUS UNDER RNTCP IN RURAL AND SEMIURBAN AREAS, MEDAK DISTRICT
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 84
Abstract
BACKGROUND A comparative study of clinical profile and outcome of 50 cases of pulmonary tuberculosis with diabetes mellitus and 50 cases without diabetes mellitus was done. The aim of this study is to know the differences in clinical lab and radiological profiles of pulmonary tuberculosis in patients with and without diabetes mellitus. The differences in the outcomes of treatment of both groups under RNTCP are to be analysed. MATERIALS AND METHODS Study Design- Descriptive comparative study. Method of Collection of Data- 1. Pulmonary tuberculosis was diagnosed by detailed history, sputum examination for AFB and chest x-ray; 2. Diabetes mellitus was diagnosed using the national diabetes data group and WHO diagnostic criteria. Adult patients who fulfilled the above criteria were included in the study. After taking consent, patients were examined in detail and subjected to relevant laboratory and radiological investigations. RESULTS Results show cough as main symptoms in 72% PTB with DM and only 58% has this symptom among PTB without DM. Fever, more or equal number of people have it among both groups at 56%/50%. Haemoptysis is an important symptom, much less at 12% among without DM over other group at 48%. Loss of weight and anorexia are opposite range with the percentages and most people have some anorexia. Chest pain at 46% in DM group, non-DM has 36%. Night sweats is another important symptom at 30% DM and 24% non-DM group. CONCLUSION In the present study, the prevalence of haemoptysis in the diabetic pulmonary group was significantly higher 13 (26%) compared to the prevalence of haemoptysis in the non-diabetic pulmonary tuberculosis group 6 (12%). In the present study, 32% of cases had isolated lower lung fields involved in DM PTB group compared to the 18% of cases with isolated lower lung fields involved in non-DM PTB group. Our study results are reporting that 62% of the cases in the PTB-DM group had cavitary lesions on CXR, a percentage much higher than 30% reported in the non-diabetic group. In the present study, 60% of cases had sputum positivity in DM PTB group compared to 40% of cases with sputum positivity in non-DM PTB group. In the present study, the cure rate was low and failure rate was high in the DM PTB group compared to non-DM PTB group.
Authors and Affiliations
Vijaya Chandra P, Rafi S. A
Keywords
Related Articles
- EP ID EP276821
- DOI 10.14260/jemds/2017/1276
- Views 67
- Downloads 0
SEROPOSITIVITY OF H. PYLORI AMONG DYSPEPTIC PATIENTS
BACKGROUND H. pylori infection affects nearly half of the world’s population. In developing countries, the prevalence of infection is as high as 90%. Various diagnostic tests (invasive and non-invasive) are available to...
COMPARITIVE STUDY OF EJECTION FRACTION BETWEEN MIDDLE AGED AND ELDERLY MALES AND FEMALES (AGE GROUP 40-70 YEARS)
[b] BACKGROUND[/b]: Although gender-specific criteria are common for defining cardiac traits such as left ventricular hypertrophy, left ventricular ejection fraction (LVEF) thresholds widely used in clinical prac...
IRREDUCIBLE INGUINAL HERNIA IN A FEMALE WITH INTRA-VAGINAL FOREIGN BODY: A CASE REPORT
Inguinal hernia is the most common hernia seen in females. Only independent risk factors for inguinal hernia in females are positive family history and obstipation. Here we present a case of 60yr old female with...
TENSION FREE ONLAY VENTRAL HERNIA REPAIR BY POLYPROPYLENE MESH- A NEWER APPROACH
BACKGROUND Ventral Hernia repair remains one of the most commonly performed surgical procedure. Operations for ventral hernia were notorious, because of high failure rate. With continued improvement of the materials and...
EVALUATION OF HER2/neu EXPRESSION IN OVARIAN EPITHELIAL TUMOURS
BACKGROUND Ovarian cancers are most lethal of all gynaecological malignancies and becoming a leading cause of death due to malignancy in female. This may be attributed to its late clinical presentation and poor response...