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Related Experiment Videos

Pulmonary tuberculosis in diabetics.

J T Morris1, B J Seaworth, C K McAllister

  • 1Infectious Disease Service, Brooke Army Medical Center, Fort Sam Houston, Tex.

Chest
|August 1, 1992
PubMed
Summary

In diabetic patients with pulmonary tuberculosis, multiple lung lobes were commonly affected, not just the lower lobes. Clinicians should suspect tuberculosis in diabetics with chest abnormalities and initiate prompt treatment.

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Area of Science:

  • Pulmonology
  • Infectious Diseases
  • Diabetology

Background:

  • Pulmonary tuberculosis typically affects lung apices.
  • A hypothesis suggests tuberculosis in diabetics predominantly occurs in lower lung lobes.
  • Diabetes and tuberculosis frequently coexist in at-risk populations.

Purpose of the Study:

  • To investigate the presenting chest roentgenographic location of pulmonary tuberculosis in diabetic patients.
  • To compare tuberculosis distribution in diabetics versus non-diabetics.

Main Methods:

  • Retrospective chart review of patients with diabetes and pulmonary tuberculosis.
  • Analysis of chest roentgenographic findings to determine tuberculosis location.

Main Results:

  • Multiple lobe involvement was the predominant finding in both diabetic and non-diabetic patients.
  • The hypothesis of lower lobe predominance in diabetics was not supported by this study.

Conclusions:

  • Pulmonary tuberculosis in diabetics shows a similar lobe distribution to non-diabetics, with frequent multiple lobe involvement.
  • Clinicians must maintain a high index of suspicion for tuberculosis in diabetics presenting with chest roentgenogram abnormalities.
  • Prompt diagnosis and aggressive, monitored chemotherapy are crucial for treating pulmonary tuberculosis in diabetic patients.

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