Pulmonary Tuberculosis in Elderly - Peculiarities and Dissimilarities: A Geriatic Clinic Experience
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 4
Abstract
Introduction: Pulmonary tuberculosis (TB) is caused by the organism’s mycobacterium TB complex, the most widespread and serious of all human infections, still a major infectious disease worldwide. Despite the implementation of strong TB initiatives, this highly infectious disease continues to affect all vulnerable populations, including the elderly population. Aim of the Study: The aim of this study is to find out the difference in manifestation of pulmonary TB in between adults and geriatric population. Material and Methods: A total of 50 patients in the age group of 18-59 years and 56 patients aged 60 years or above who were diagnosed to have and treated for pulmonary TB were prospectively studied during the period December 2014 to November 2015. Results: Majority patients were male in both adult and geriatric arms. Cough, dyspnea, chest pain, night sweats, and nonspecific presentations seen more in geriatric group of the patients in comparison to adult patients. Sputum smear examination showed positive in 29/56 geriatric patients and 31/50 adult patients aged 18-59 years. In geriatric group, out of 56 pulmonary TB patients, 18 cases detected in upper lobe and 19 cases found in lower lobe lung, whereas, in adult group, out of 50 pulmonary TB patients, 24 cases detected in upper lobe and only 2 cases detected in lower lobe lung. Among geriatric patients, a significantly less proportion of patients were cured compared to adults aged 18-59 years (38/56 versus 46/50; P = 0.019). Conclusion: TB in geriatric population is a bigger problem with regards to its presentation and treatment. Lower lobe TB is more common in the elderly population and there are more chances of multidrug resistance TB in the geriatric population.
Authors and Affiliations
Sandhyarani Moharana, M Lipika, Dhirendra Nath Moharana, Subhransu Sekhar Pattnaik, Santanu Padhy, Tapan Kumar Sahoo
Keywords
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