PULMONARY TUBERCULOSIS SCREENING IN PATIENTS WITH DIABETES MELLITUS

  • Adela-Gabriela Firănescu Department of Diabetes, Nutrition and Metabolic Diseases, Calafat Municipal Hospital, Romania
  • Maria Moța
Keywords: pulmonary tuberculosis, diabetes mellitus

Abstract

Background and aims: Diabetes mellitus (DM) is a risk factor for pulmonary tuberculosis (TB), increasing the risk of progression of latent tuberculosis infection (LTBI) to active TB threefold, threatening the TB control, especially in developing countries. The aim of this study was to assess active and latent TB infection frequency in patients with DM. Material and method: There were enrolled in this study 503 adult DM patients. Active TB screening was performed through anamnestic data, clinical examination and chest X-ray and latent TB infection screening was evaluated using the tuberculin skin tests (TST). Results: A number of 63 (12.5%) patients had type 1 DM and 440 (87.5%) had type 2 DM. Personal history of TB was present in 21 (4.2%) subjects, 5 (8.1%) with type 1 DM and 16 (3.6%) with type 2 DM. The TST was positive in 258 (51.5%) patients and 54 (10.7%) presented cough for more than two weeks at the time of examination. The chest X-ray revealed suggestive lesions for active TB in 4 (1%) subjects and lesions of inactive TB in 90 (22.4%) subjects. Conclusions: TB screening must receive proper attention in patients with DM, being essential for diagnosis in those with nonspecific symptoms.

Published
2019-06-30
How to Cite
Firănescu, Adela-Gabriela, and Maria Moța. 2019. “PULMONARY TUBERCULOSIS SCREENING IN PATIENTS WITH DIABETES MELLITUS”. Romanian Journal of Diabetes Nutrition and Metabolic Diseases 26 (2), 159-68. http://rjdnmd.org/index.php/RJDNMD/article/view/611.
Section
Original Research Articles