Radiographic Location of Pulmonary Tuberculosis in Diabetic Patients

Umut, Sema

doi:10.1378/chest.106.1.326

Cited by 19 publications

(20 citation statements)

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“…Some of the symp- toms should, therefore, be ascribed to DM itself (which was often untreated and poorly controlled). Similar to previous studies, we found a higher frequency of "atypical" images with fewer cavities in patients with DM [20][21][22], although other researchers have reported a higher frequency of pulmonary cavities in patients with DM [7,23,24].…”

Section: Discussionsupporting

confidence: 91%

The Effect of Type 2 Diabetes Mellitus on the Presentation and Treatment Response of Pulmonary Tuberculosis

Alisjahbana

Sahiratmadja

Nelwan

et al. 2007

Clinical Infectious Diseases

306

293

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Background. Diabetes mellitus (DM) is a known risk factor for tuberculosis (TB), and with the increasing prevalence of type 2 DM in less developed regions, many patients with TB will have concomitant DM. Presently, little is known about the effect of DM on the clinical presentation and treatment outcome of TB.Methods. In an urban setting in Indonesia, 737 patients with pulmonary TB were screened for DM and were followed up prospectively during TB treatment. Clinical characteristics and outcome were compared between patients with TB who had DM and patients with TB who did not have DM.Results. DM was diagnosed in 14.8% of patients with TB and was associated with older age and a greater body weight. On presentation, diabetic patients with TB had more symptoms but had no evidence of more-severe TB. After 2 months, results of sputum microscopic examination was more often positive in diabetic patients (18.1% vs. 10.0%). After 6 months, 22.2% of cultured sputum specimens from diabetic patients were positive for Mycobacterium tuberculosis (adjusted odds ratio, 7.65;). P p .004 Conclusion. DM seems to have a negative effect on the outcome of TB treatment. The underlying mechanisms for the different response to treatment in diabetic patients with TB must be explored. Screening for DM and subsequent glycemic control may improve the outcome of TB treatment.

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Section: Discussionsupporting

confidence: 91%

The Effect of Type 2 Diabetes Mellitus on the Presentation and Treatment Response of Pulmonary Tuberculosis

Alisjahbana

Sahiratmadja

Nelwan

et al. 2007

Clinical Infectious Diseases

306

293

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“…Considering our results and previous reports, there was a substantial similarity in the radiological findings between M. tuberculosis infection in patients with diabetes and NTM infection in the ICPs. In previous studies [32][33][34], it was seen that diabetic patients with tuberculosis had a higher number of multiple cavities than did patients without underlying disease. In our study, the ICP group included a large proportion of diabetic patients.…”

Section: -2 CMmentioning

confidence: 91%

CT findings of pulmonary non-tuberculous mycobacterial infection in non-AIDS immunocompromised patients: a case-controlled comparison with immunocompetent patients

Lee

Song²,

Chae³

et al. 2013

BJR

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“…Although some reported the opposite [28,46,49,51,55,56], it seems that cavitary lesions are more common among diabetic patients [29,41,44,53,57,58], especially cavitary nodular lesions [44]. Some have suggested this difference may be apparent among uncontrolled DM cases (HbA1c ≥ 7) [48,59].…”

Section: Introductionmentioning

confidence: 99%

Diabetes mellitus and tuberculosis facts and controversies

Baghaei

Marjani

Javanmard

et al. 2013

J Diabetes Metab Disord

127

115

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Tuberculosis (TB) and diabetes mellitus (DM) are both important health issues. A bidirectional association between them has been demonstrated by many researchers. The link of DM and TB is more prominent in developing countries where TB is endemic and the burden of diabetes mellitus is increasing. The association between diabetes and tuberculosis may be the next challenge for global tuberculosis control worldwide. Proper planning and collaboration are necessary to reduce the dual burden of diabetes and TB. One model similar to the TB-HIV program for prevention, screening and treatment of both diseases can be the best approach. In this paper, we review existing data and discuss the matters of controversy that would be helpful for determining research priorities in different countries.

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Radiographic Location of Pulmonary Tuberculosis in Diabetic Patients

Cited by 19 publications

References 0 publications

The Effect of Type 2 Diabetes Mellitus on the Presentation and Treatment Response of Pulmonary Tuberculosis

The Effect of Type 2 Diabetes Mellitus on the Presentation and Treatment Response of Pulmonary Tuberculosis

CT findings of pulmonary non-tuberculous mycobacterial infection in non-AIDS immunocompromised patients: a case-controlled comparison with immunocompetent patients

Diabetes mellitus and tuberculosis facts and controversies

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