Correlation between Pulmonary Tuberculosis, Bronchiectasis and Chronic obstructive pulmonary disease in Burdwan District of West Bengal, India
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 9
Abstract
Introduction: Tuberculosis is very prevalent in India .According to WHO TB statistics about40%popoulatin of India having tuberculosis infection till 2016. Inspite of having complete course of anti-tuberculosis therapy patients has to continue treatment for post tubercular complications like restrictive and obstructive lung disease and bronchiectasis. This leads to increased treatment cost, increased morbidity and mortality. Materials & Methods: This study was done on90 patients of chronic obstructive pulmonary disease above 40 years of age with FEV1/FVC of 0.7 or less with associated symptoms of cough with expectoration and breathlessness and history of Tuberculosis noted and 40 cases of bronchiectasis with history of Pulmonary Tuberculosis. Bronchiectasis is diagnosed by HRCT in patients admitted for COPD. Results: In this study it was found that 61.11% of patients having chronic obstructive pulmonary disease by were found to have a history of tuberculosis treatment. Post tubercular obstructive airway disease was more common in males(M: F26:14). More than 50% of these patients were smokers. Among these cases of post tubercular bronchiectasis 34% had chronic obstructive pulmonary disease. Mean age of these patients of bronchiectasis associated with COPD was 59±7. This combination of patients had more exacerbations, less serum albumin levels and more mortality. Conclusion: Tuberculosis causes bronchiectasis and chronic obstructive and restrictive lung disease similar to COPD. Chronic obstructive pulmonary disease and Tuberculosis can coexist. Chronic obstructive pulmonary disease is associated with bronchiectasis in a significant number of patients. Chronic obstructive pulmonary disease patients are more prone to develop secondary bacterial infections including tuberculosis. Bronchiectasis is associated with airway disease. The triad increases the complications, morbidity and mortality.
Authors and Affiliations
Manish Kumar Munda, Suvendu Pal, niranjan Kumar Sit
Keywords
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