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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109
Volume 12, Issue 3, October 2014 pp 431-434
Diabetes mellitus in pulmonary tuberculosis
P S Gawali1, Sudhir Tungikar2
1Assistant Professor, 2Professor and Cardiologist, Department of Medicine, IIMS andR Aurangabad, Maharashtra, INDIA.
Introduction: To study a) Prevalence of Diabetes Mellitus in Pulmonary tuberculosis. b) Radiological picture in Pulmonary Tuberculosis when it is associated with diabetes Mellitus. c) Co-relation between extent of Pulmonary Tuberculosis and severity of Diabetes Mellitus. Material and Methods: sputum positive pulmonary tuberculosis patients admitted in medical college hospital for about one year irrespective of age and sex constituted material for this study. All 100 sputum positive tuberculosis patients were screened for diabetes mellitus. Extent of tuberculosis was decided by national tuberculosis association of USA criteria which were also adopted by national tuberculosis association of India. Severity of diabetes was decided by criteria used by Deshmukh et al (1966) and Nanda and Tripathi (1984). Results: out of 100 tuberculous patient studied 17 patients were found to have diabetes mellitus. However 5 patients were already known to have diabetes mellitus Thus, Prevalence of diabetes mellitus in pulmonary tuberculosis was 12.6 % (12 out of 95). Prevalence in Male was 13.7% and in Females was 10 %. Prevalence below age of 40 was 9.3 % and it was 15.1% above the age of 40 years of T.B. patients. Amongst 17 diabetes patients 47% had far advanced tuberculous lesions. Of those 35.53% had cavitatory lesions. Bilateral involvement of lungs was found in 70.6%. Of these patients 29.7% had far advanced tuberculosis and severe diabetes. Conclusions: The prevalence of diabetes mellitus is significantly high i.e. 12.6% in this study. Radiological lesions in patients of pulmonary tuberculosis complicated diabetes mellitus are bilateral, cavitatory, confluent and far advanced. The association of advanced pulmonary tuberculosis and severe diabetes millitus is far more common then association of minimal lesion pulmonary tuberculosis and mild diabetes mellitus.