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Clinical and Radiological Presentation of Patients with Smear Positive Pulmonary Tuberculosis
S M Noor1, M M Ahmad, K M R Anwar
1Dr Sayeda Mubina Noor, Consultant, Department of Endocrinology, Ibn Sina Diagnostic and Imaging centre, 9/A Dhanmondi, Dhaka, Bangladesh;
Mymensingh Medical Journal : MMJ
|October 1, 2024
Summary
This study details the clinical and radiological patterns of sputum-positive pulmonary tuberculosis (TB) in adults in Bangladesh. Findings highlight common symptoms like cough and fever, and radiological signs such as upper zone consolidation on chest X-rays.
Area of Science:
- Pulmonary Medicine
- Radiology
- Infectious Diseases
Background:
- Pulmonary tuberculosis (TB) diagnosis often relies on chest X-rays and sputum microscopy.
- Limited research exists on the clinical and radiological features of sputum-positive pulmonary TB in adults within Bangladesh.
- Understanding these patterns is crucial for accurate diagnosis and patient management.
Purpose of the Study:
- To investigate the clinical and radiological presentation of sputum-positive pulmonary tuberculosis (TB) in adult patients in Bangladesh.
- To provide data that can aid healthcare professionals in identifying common TB manifestations.
- To contribute to the existing literature on pulmonary TB in the South Asian region.
Main Methods:
- A descriptive, cross-sectional study involving 50 newly diagnosed adult smear-positive pulmonary TB patients.
- Data collection included face-to-face interviews for clinical information and chest X-rays for radiological assessment.
- Patients were recruited from Directly Observed Treatment Short-course (DOTS) corners at a tertiary care hospital.
Main Results:
- The average patient age was 41 years, with a male predominance (78.0%).
- Common symptoms included cough (80.0%), weight loss (72.0%), and fever (70.0%), with wasting observed in 60.0%.
- Chest X-rays frequently showed upper zone involvement (66.0%), with consolidation (46.0%) being the predominant pattern, followed by fibrosis (26.0%).
Conclusions:
- The study identifies key clinical and radiological features of sputum-positive pulmonary TB in Bangladeshi adults.
- Findings emphasize the importance of chest X-ray in conjunction with sputum microscopy for TB diagnosis.
- This information can enhance the recognition of pulmonary TB presentations in clinical practice.
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