A Study of Pulmonary Tuberculosis in the Elderly Population: Social, Clinical, Radiological and Microbiological Aspects

David Praveen Kumar, D (2006) A Study of Pulmonary Tuberculosis in the Elderly Population: Social, Clinical, Radiological and Microbiological Aspects. Masters thesis, Madurai Medical College, Madurai.

[img]
Preview
Text
200100306david_praveenkumar.pdf

Download (1MB) | Preview

Abstract

Studies on pulmonary tuberculosis in elderly are gaining importance globally, in view of increase in the longevity and their immunological susceptibility to tuberculosis. The present report deals with pulmonary tuberculosis in elderly with special emphasis on the socio-demographic, clinical and laboratory aspects. A total of ninety elderly (Males = 70 & Females = 20, mean age 63.7 years) subjects who satisfied a rigid set of inclusion and exclusion criteria were analyzed with respect to the objectives after obtaining institutional ethical clearance and informed consent. Data were analyzed statistically. It was observed from this study that elderly men suffered from tuberculosis more than the elderly women and about 90% of them were smokers. Most of the subjects were diagnosed to have tuberculosis only three months after the onset of illness with the commonest symptoms, being cough and breathlessness. About 75% of the study population had anemia with body mass index lower than the Indian standards. Involvement of both lungs was common with infiltrative pattern more frequently observed than cavitatory pattern in the X-ray chest. 5% of the study population had military tuberculosis. 21% of the study population had diabetes mellitus where these patients had significantly involvement of lower lobe of lung and infiltrative pattern. Radiological findings were not influenced by gender and smoking. Sputum positive status was observed in 53 % of cases. In view of the increased prevalence of pulmonary tuberculosis in the elderly and multiple reasons for the susceptibility, clinicians should suspect pulmonary tuberculosis in the elderly with cough and breathlessness and treat them accordingly after identifying associated co morbid status.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Pulmonary Tuberculosis ; Elderly Population ; Social ; Clinical ; Radiological ; Microbiological Aspects.
Subjects: MEDICAL > General Medicine
Depositing User: Subramani R
Date Deposited: 15 Mar 2018 02:19
Last Modified: 15 Mar 2018 02:19
URI: http://repository-tnmgrmu.ac.in/id/eprint/6210

Actions (login required)

View Item View Item