[Tuberculosis in patients with alcoholism, peptic ulcer, diabetes mellitus or mental disorders]

Tuberculosis is coexistent with pneumoconioses, alcoholism, ulcer disease, renal failure, malignancies and immunosuppression. The aim of the study was to determine the incidence rates of tuberculosis and therapeutical efficacy in patients with coexistent alcoholism, ulcer disease, diabetes and mental disturbances. In Wroclaw in the years 1982-1986 1,454 patients were recorded with fresh tuberculosis; 164 (11%) were alcoholics, 52 (3%) had ulcer disease, 32 (2%)-diabetes mellitus and 16 (1%) with mental disturbances. The remaining 1,105 patients made up the control. The diagnosis of tuberculosis in patients with mental disturbances and alcoholics is usually made during a medical check-up, while in patients with the other diseases basing on clinical findings. Recurrences were found only in patients with coexistent diabetes mellitus and tuberculosis. The results of treatment did not differ from that of the control. Sputum conversion was found in 96%, 3% died and 1% was moved to the group of patients with chronic disease.