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- W3137599067 abstract "BACKGROUND Tuberculosis (TB) remains a major public health problem in India. TB worsens glycaemic control in patients with diabetes mellitus (DM), complicating the treatment for each condition leading to poor treatment outcomes and increase in morbidity / mortality. Human immunodeficiency virus - tuberculosis (HIV-TB) coinfections are on the rise. The objectives of the study were to describe various comorbidities in patients with tuberculosis, determine expected radiological presentations in these patients and to determine prognosis altering metabolic indicators in patients with TB. METHODS A prospective cross-sectional study using data of 40 microbiologically diagnosed TB patients admitted in wards of C.G. Hospital, JJM Medical College, Davangere, from January to March 2020 was done. Chest x-rays, clinical and haematological tests were analysed. RESULTS TB patients with DM, kidney disease, HIV presented with higher count of fibrosis, cavities and infiltrates on chest radiographs, and was worse with renal function. Hospitalisation was prolonged in patients with anaemia, multidrug-resistance tuberculosis (MDR-TB), urosepsis, and HIV as compared to patients with no comorbidities. MDR-TB showed more fibrosis. Patients with urosepsis had higher incidence of multiple lesions and effusion by 4 times. CONCLUSIONS Increased HbA1c and sugar levels lead to increase in lesions on chest x-ray in tuberculosis. Good glycaemic control in TB is a must to achieve good control of DM and reduce hospitalisation. KEYWORDS Tuberculosis, Diabetes Mellitus, HbA1c, Chest X-Ray" @default.
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- W3137599067 date "2021-02-22" @default.
- W3137599067 modified "2023-09-27" @default.
- W3137599067 title "Spectrum and Correlation of Clinical, Radiological and Biochemical Parameters in Tuberculosis in a Hospital in South India" @default.
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- W3137599067 doi "https://doi.org/10.18410/jebmh/2021/80" @default.
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