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IMPACT OF DIABETES MELLITUS ON THE CLINICAL METHODS OF PULMONARY TUBERCLOSIS AND THEIR ASSOCIATION

Dr Muhammad Mohsin Farooq, Dr Nabeela Habib, Dr Muhammad Farhan Hanif

Objectives: The aim of this research work is to assess the impact of DM (diabetes mellitus) on clinical & detection procedures and feature of radiology of pulmonary tuberculosis as compared to the patients suffering from pulmonary tuberculosis with no diabetes mellitus in Faisalabad, Pakistan. Methodology: This was a retroactive transverse research work conducted from 2014 to 2018. We reviewed the medical records of the diagnosed patients of pulmonary tuberculosis. We also studied the data about demography, diagnostic and clinical procedures as well as findings from radiology. Two different radiologist completed the radiological information and HRCT (High Resolution Computed Tomographic Scan) of lungs. SPSS was in use for the data entry and statistical analysis of the collected information, we used the Fischer-exact test & Chi square test for the comparison of both groups of study. P value of less than 0.050 was the significant. Results: Out of total 180 patients suffering from pulmonary tuberculosis, 38.0% (n: 60) patients were available with tuberculosis and coexisting diabetes mellitus making the PT-DM group. There was not much disparity in the average age of the patients in both groups. Co-existing TB & DM was highly available in females as compared to the male patients. There was much disparity between the patients of both groups about as regards fever, loss of body weight, dyspnea & hemoptysis. The most common diagnostic procedure in both groups was positive sputum smear, no important disparity was available. There were more multi-lobar cavities in the group of diabetics. We saw no significant disparities between the patients of both groups through radiology. Conclusion: Tb can be highly invasive in the patients suffering from diabetes mellitus particularly female patients hence they should be a special preference towards their treatment. Key Words: Diabetes Mellitus, Tuberculosis, Radiology, Smear, Invasive, Dyspnea, Methodology, Disparity.

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