Tuberc Respir Dis.  1988 Dec;35(4):241-245. 10.4046/trd.1988.35.4.241.

A Clinical Study of Pulmonary Tuberculosis Associated with Diabetes Mellitus

Abstract

During the last 20 months from January 1987 to August 1988, We studied 400 patients with pulmonary tuberculosis including 30 patients combined with diabetes mellitus on the effect of the diabetes mellitus on the progression and treatment of pulmonary tuberculosis. The results were as follows: 1) The incidence of patients with pulmonary tuberculosis combined with diabetes mellitus was 7.5%. The male patients predominate and the sex ratio was 3.4 to 1. The highest incidence was the 6th decade, then the 5th decade was the second. 2) On chest roentgenograms of patients combined with diabetes mel1itus, far advanced tuberculosis was 64%, and moderate advanced tuberculosis was 46%. Cavity was showed on 40% of patients combined with diabetes mellitus. The results were not so different from non diabetes mellitus combined group. 3) Mean duration form negative conversion was 2.5 months for diabetes mellitus combined tuberculosis group and 2.1 months for non diabetes mellitus combined tuberculosis group. 4) The rate of negative conversion was 90% for diabetes mellitus combined tuberculosis group, and 92% for non diabetes mellitus combined tuberculosis group. 5) We could find that diabetes mellitus prolonged the duration of treatment of pulmonary tuberculosis. 6) Although diabetes mellitus combined, as physician treats patients about diabetes mellitus as well as pulmonary tuberculosis, the outcome of treatment of diabetes mellitus combined patients was not different from non diabetes mellitus combined group.

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