CLINICO-RADIOLOGICAL SPECTRUM OF PULMONARY TUBERCULOSIS IN DIABETICS AND NON-DIABETIC PATIENTS AT TERTIARY CARE CENTRE

Abstract

Background: Diabetic individuals have three times more risk of developing tuberculosis. Clinical presentation and response to treatment both have a different course in diabetic individuals in comparison with non-diabetes individuals. The aim of the study was to determine the clinic - radiological spectrum of pulmonary tuberculosis in diabetics and non-diabetic patients. Methods: The study was conducted in the department of General Medicine at R.L. JALAPPA hospital, Kolar. The study included two groups; one group consisted of diabetic patients with pulmonary tuberculosis, and another group comprised of non-diabetic pulmonary tuberculosis patients. Informed consent was obtained from all participants. Results: A total of 163 subjects were included in the final analysis, with 79 participants in the diabetic group and 84 participants in the non-diabetic group. The radiological appearance was Cavitary for 19% participants, Consolidation for 39.2% participants, Fibro cavitary for 13.9% participants in the diabetic group. Out of 84 participants in the non-diabetic group, the radiological appearance was Cavitary for 10.7% participants, Consolidation for 29.8% participants, Fibro cavitary for 9.5% participants Conclusion: This study found clinical presentation symptoms almost similar between diabetic patients with tuberculosis and non-diabetic patients with tuberculosis. The radiographic spectrum of tuberculosis was found to be different in diabetic patients. Diabetic patients were found to have more cavitation and involvement of lower lobe of lung as against upper lobe in non-diabetic patients