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The relationship between tuberculosis and Diabetes Mellitus in patients | ||
| Magazine of Al-Kufa University for Biology | ||
| Article 1, Volume 3, Issue 1, 2011, Pages 185-192 | ||
| Abstract | ||
| Diabetes Mellitus is associated with higer risk of lower respiratory tract infection including pulmonary tuberculosis with features which differ from that observed in the general non-diabetic population.To assess the effect of diabetes mellitus on the clinical ,bacteriological and radiological presentation of pulmonary tuberculosis diabetic population. This is a cross sectional study that enrolled 50 patients with diabetes mellitus and pulmonary tuberculosis . the patients included in this study had been randomly selected from those attending AL-Hilla Teaching Hospital in Babylon Province – iraq during the period between the 1st of May, 2006 to the 31st of May , 2007. All of the patients had been subjected to thorough physical examination and laboratory investigations .This study revealed male to femaIe ratio of 5:1. Sixteen percent of the sample ( 4 patients ) was of type 2 diabetes . mellitus. 56% of those with diabetes and pulmonary tuberculosis (14 patients) were diabetic for 0-10 years. 38 patients (76% of the sample ) had sputum smear positive , the remaining 12 patients (24 % of the sample) were smear negative / culture positive .Multiple lobe involvement was obvious in 64% of (32 patients ). lower lung field involvement had been detected in 32% of the sample ( 36 patients ) . Caviary lesions had been diagnosed in 30 patients (60% of the sample).This study revealed that diabetes modifies the clinical and radiological picture of pulmonary tuberculosis . Diabetic patients are at higher risk of recurrence and extensive pulmonary involvement . Tuberculosis is associated with poor glycemic control . Diabetes changes the male : female ratio toward the side of male predominance . Lower lung field involvement is more common in diabetics who had pulmonary tubrcu1osis. | ||
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