E-ISSN 2231-3206 | ISSN 2320-4672
 

Original Research 


Diabetes among pulmonary tuberculosis cases – An impact of glycemic control on clinic-radiological profile

K. Prasanna Kumar Reddy.

Abstract
Background: Pulmonary tuberculosis and diabetes mellitus are major public health concerns in India. Pulmonary tuberculosis in cases with diabetes shows an unusual radiographic pattern and higher frequency for cavitation.

Aim and Objectives: To evaluate the impact of glycemic control on the clinico-radiological profile of pulmonary tuberculosis in cases with diabetes mellitus.

Materials and Methods: A total of 126 cases clinically confirmed and microbiologically diagnosed as pulmonary tuberculosis above 21 years of age were recruited. Based on the blood glucose levels cases were divided into prediabetics, newly diagnosed diabetics, and known diabetics. Clinical and radiological examinations were conducted.

Results: Cough was the most prevalent clinical symptom followed by fever, loss of appetite, loss of weight, and dyspnea. In the radiographic examination, lower lung field was most commonly involved in newly diagnosed and known diabetes cases. Cavitary lesions were commonly noticed in multiple zone implication, multiple cavities, and bilateral cavity involvement was observed more often in newly diagnosed and known diabetic cases. Among the diabetic cases (94), satisfactory glycemic control was observed in 39 cases and poor glycemic control was seen in 55 cases. The mean symptom score in the cases with satisfactory glycemic control was 3.87 and in poor glycemic control was 3.99.

Conclusion: Diabetic cases with lower lung field lesions may be an indication of tuberculosis which needs immediate diagnosis and management. In this study, poor glycemic control influence the radiological manifestations of pulmonary tuberculosis cases with diabetes.

Key words: Pulmonary Tuberculosis; Diabetes Mellitus; Radiographic Manifestations; Glycemic Control


 
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Pubmed Style

K. Prasanna Kumar Reddy. Diabetes among pulmonary tuberculosis cases – An impact of glycemic control on clinic-radiological profile. Natl J Physiol Pharm Pharmacol. 2022; 12(5): 703-706. doi:10.5455/njppp.2022.12.11395202103112021


Web Style

K. Prasanna Kumar Reddy. Diabetes among pulmonary tuberculosis cases – An impact of glycemic control on clinic-radiological profile. https://www.njppp.com/?mno=137080 [Access: May 02, 2022]. doi:10.5455/njppp.2022.12.11395202103112021


AMA (American Medical Association) Style

K. Prasanna Kumar Reddy. Diabetes among pulmonary tuberculosis cases – An impact of glycemic control on clinic-radiological profile. Natl J Physiol Pharm Pharmacol. 2022; 12(5): 703-706. doi:10.5455/njppp.2022.12.11395202103112021



Vancouver/ICMJE Style

K. Prasanna Kumar Reddy. Diabetes among pulmonary tuberculosis cases – An impact of glycemic control on clinic-radiological profile. Natl J Physiol Pharm Pharmacol. (2022), [cited May 02, 2022]; 12(5): 703-706. doi:10.5455/njppp.2022.12.11395202103112021



Harvard Style

K. Prasanna Kumar Reddy (2022) Diabetes among pulmonary tuberculosis cases – An impact of glycemic control on clinic-radiological profile. Natl J Physiol Pharm Pharmacol, 12 (5), 703-706. doi:10.5455/njppp.2022.12.11395202103112021



Turabian Style

K. Prasanna Kumar Reddy. 2022. Diabetes among pulmonary tuberculosis cases – An impact of glycemic control on clinic-radiological profile. National Journal of Physiology, Pharmacy and Pharmacology, 12 (5), 703-706. doi:10.5455/njppp.2022.12.11395202103112021



Chicago Style

K. Prasanna Kumar Reddy. "Diabetes among pulmonary tuberculosis cases – An impact of glycemic control on clinic-radiological profile." National Journal of Physiology, Pharmacy and Pharmacology 12 (2022), 703-706. doi:10.5455/njppp.2022.12.11395202103112021



MLA (The Modern Language Association) Style

K. Prasanna Kumar Reddy. "Diabetes among pulmonary tuberculosis cases – An impact of glycemic control on clinic-radiological profile." National Journal of Physiology, Pharmacy and Pharmacology 12.5 (2022), 703-706. Print. doi:10.5455/njppp.2022.12.11395202103112021



APA (American Psychological Association) Style

K. Prasanna Kumar Reddy (2022) Diabetes among pulmonary tuberculosis cases – An impact of glycemic control on clinic-radiological profile. National Journal of Physiology, Pharmacy and Pharmacology, 12 (5), 703-706. doi:10.5455/njppp.2022.12.11395202103112021