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Impaired glucose tolerance in pulmonary tuberculosis
1Atatürk Chest Diseases and Thoracic Surgery Centre, Department of Pulmonary Medicine, Ankara, Turkey.
Summary
Impaired glucose tolerance (IGT) is more common in active pulmonary tuberculosis. This glucose intolerance often resolves with chemotherapy, indicating a link to the active disease phase.
Area of Science:
- Endocrinology
- Infectious Diseases
- Pulmonology
Background:
- Pulmonary tuberculosis (TB) is a significant global health concern.
- Metabolic disturbances, including glucose metabolism, can be affected by infectious diseases.
Purpose of the Study:
- To investigate the prevalence of impaired glucose tolerance (IGT) in patients with active pulmonary tuberculosis.
- To assess if IGT in TB patients is reversible with treatment.
Main Methods:
- Glucose tolerance tests were conducted on 80 participants: 30 with active pulmonary TB, 24 with nonspecific pulmonary infection, and 26 healthy controls.
- New diagnostic criteria were applied to identify IGT.
Main Results:
- Impaired glucose tolerance was diagnosed in 4 TB patients and 3 patients with nonspecific pulmonary infection.
- No IGT was observed in the control group.
- Three TB patients showed normalized glucose tolerance after 2 months of chemotherapy.
Conclusions:
- Active pulmonary tuberculosis is associated with a higher incidence of impaired glucose tolerance.
- The observed IGT in TB patients appears to be transient and linked to the active phase of the disease, resolving with effective treatment.