STUDY OF ASSOCIATION OF PULMONARY TUBERCULOSIS AND DIABETES MELLITUS IN A TERTIARY CARE CENTRE
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2019, Vol 6, Issue 12
Abstract
BACKGROUND Tuberculosis continues to be one of the most prevalent infection in the world despite all efforts to eliminate it. Patients with diabetes are more susceptible to infections as hyperglycaemia decreases the ability of many types of immune cells to function properly which leads to infections in these patients. In a developing nation like India, the growing burden of diabetes is contributing to the sustained high levels of tuberculosis in the community. MATERIALS AND METHODS The present study was conducted in the inpatient wards of department of General Medicine, S. Nijalingappa Medical College and Hanagal Shri Kumareshwar Hospital and Research Centre, Bagalkot, Karnataka. From December 1 st 2016 to June 30 th 2018. 85 subjects who were admitted and had given informed consent, with history of diabetes and were on treatment & who had signs and symptoms of tuberculosis were studied. 59 patients (69%) were male and 26 patients (31%) were females with male to female ratio was 2.26:1 RESULTS The mean age of patients was 49.09 years. Also, we found that majority in this study 38 (44.70%), were in the age group of 41-60 years. In our study of 85 participants, 17 patients (20%) were found to have pulmonary tuberculosis; in that 15 patients (88%) had Type 2 DM & 2 patients (12%) had Type 1 DM among whom male patients 15 (17.64%) had a higher incidence than female patients 2 (2.35%). In this study, we found that among diabetics with pulmonary tuberculosis, most were in the age group of 30-40 (35.29%) years, in whom the duration of DM was more in 10 patients (58.82%) with a time period between 5- 10 years. CONCLUSION As evidenced in our study, age is no bar for patients with diabetes to develop pulmonary tuberculosis. So, all patients with diabetes specially with type 2 DM, with history for more than 6.5 year and with HbA1c levels of more than 8.5% should be screened for pulmonary tuberculosis on a routine basis.
Authors and Affiliations
Krishna Tulasi S, Aditya Lajami
Keywords
Related Articles
- EP ID EP615645
- DOI 10.18410/jebmh/2019/201
- Views 86
- Downloads 0
MULTILOCULAR THYMIC CYST FROM ECTOPIC SUPERIOR MEDIASTINAL THYMIC TISSUES: A RARE CASE REPORT
The incidence of thymic cystic lesion is rare and its occurrence from ectopic thymic tissue is rarer. We report a case of multilocular thymic cyst from an ectopic superior mediastinal thymic tissue. This 24 years young m...
HIGH VAGINAL SWAB STUDY IN PRETERM LABOUR AND PRETERM PREMATURE RUPTURE OF MEMBRANES AND ITS RELATIONSHIP WITH NEONATAL SEPSIS
BACKGROUND Preterm labour is one of the most challenging obstetric complications encountered by obstetricians. Preterm delivery affects one in ten births (11%) and even greater in developing countries. In the United Stat...
CERVICAL CANCER SCREENING: KNOWLEDGE, ATTITUDE AND PRACTICES IN A PRIMARY HEALTH CENTRES IN RURAL INDIA
Cervical cancer is the most common preventable cancer noted in Indian women, having a major impact on their lives. Approximately, 70% of people reside in villages in India. Hence, the objectives of this study were to fin...
A CASE OF ANGLE-CLOSURE GLAUCOMA SECONDARY TO CHRONIC ANTERIOR UVEITIS
Elevation of intraocular pressure secondary to intraocular inflammation frequently presents a diagnostic & therapeutic challenge. Secondary glaucoma is more common in chronic anterior uveitis. We present a case of the sa...
SEMI-QUANTITATIVE PROCALCITONIN KIT FOR EVALUATING SEVERITY AND PREDICTING MORTALITY IN SEPSIS
BACKGROUND Sepsis is a life-threatening condition that arises when the body's response to infection causes injury to its own tissues and organs. Sepsis is caused by an immune response triggered by an infection. Most comm...