A Study of Radiological Presentation of Pulmonary Tuberculosis Among Diabetic Patients
Sudesh Kumar
, Dr Kiranjit Sidhu , Dr Chaitanya Tapasvi , Dr Kuldeep Singh , Dr Husan pal
radiology of tb in diabetes, pulmonary tb and lower lung field involvement, cavitatory lung disease, DMTB, diabetes and tuberculosis
Background: Several Asian nations are more severely impacted by the dual burden of diabetes mellitus (DM) and tuberculosis (TB) than other regions. According to a global estimate, DM may be responsible for 15% of all TB cases, with 40% of those cases coming from China and India. The second-leading cause of death in the global population, behind HIV/AIDS, is tuberculosis, according to the WHO. With their high rates of TB, predicted increases in DM incidence, and size of populations, many additional South, East, and South-East Asian nations are a cause for concern. Many other countries of South, East, and South-East Asia are of particular concern given their TB burdens, large projected increases in DM prevalence, and population size.
Objective: To evaluate the impact of glycemic status on radiological findings of PTB in diabetic patients.
Method: Between January 2022 and December 2022 chest radiographs (CXRs) in consecutive 40 DM patients with culture proved PTB were enrolled. An equal number of non-DM patients with similar demographics was included as the control group. Glycemic status was assessed by glycosylated hemoglobin (HbA1c), and a cutoff of 7% was used to further investigate radiological features of diabetic PTB. One radiologist and one pulmonologist reviewed the chest images independently.
Results: Compared with non-DM patients, primary PTB pattern and extensive disease on CXRs as well as primary PTB pattern, large area of heterogeneous lesion, more than one cavity in a single lesion, unusual location, and all lobe involvement of lesions CXRs were more common in DM patients. Furthermore, diabetics with HbA1c > 7% were more likely to exhibit unusual findings.
Conclusion: Diabetes-related PTB's radiographic symptoms were impacted by glycemic status. Physicians should be vigilant and pay more attention to patients with poor glycemic control given the increased likelihood of atypical radiological manifestations of PTB in DM patients.
"A Study of Radiological Presentation of Pulmonary Tuberculosis Among Diabetic Patients", IJNRD - INTERNATIONAL JOURNAL OF NOVEL RESEARCH AND DEVELOPMENT (www.IJNRD.org), ISSN:2456-4184, Vol.8, Issue 3, page no.a919-a924, March-2023, Available :https://ijnrd.org/papers/IJNRD2303098.pdf
Volume 8
Issue 3,
March-2023
Pages : a919-a924
Paper Reg. ID: IJNRD_188363
Published Paper Id: IJNRD2303098
Downloads: 000118874
Research Area: Medical Science
Country: Faridkot, punjab, India
DOI: http://doi.one/10.1729/Journal.33276
ISSN: 2456-4184 | IMPACT FACTOR: 8.76 Calculated By Google Scholar | ESTD YEAR: 2016
An International Scholarly Open Access Journal, Peer-Reviewed, Refereed Journal Impact Factor 8.76 Calculate by Google Scholar and Semantic Scholar | AI-Powered Research Tool, Multidisciplinary, Monthly, Multilanguage Journal Indexing in All Major Database & Metadata, Citation Generator
Publisher: IJNRD (IJ Publication) Janvi Wave
