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A STUDY ON THE MISDIAGNOSIS OF TUBERCULOSIS IN THE PATIENTS SUFFERING FROM INTERSTITIAL LUNG DISEASE

Dr Tayyaba Fatima, Dr Rabiya Fatima, Dr M. Bilal Jehangir

Objective: The objective of this research work was to find out the rate of occurrence of misdiagnosis of Tuberculosis among patients suffering from Interstitial Lung Disease. Methodology: This study was a prospective research work and conducted in Mayo hospital Lahore in March to May of 2017. We confirmed the Tuberculosis Diagnosis only when we found the bacteriological proofs of TUBERCULOSIS at diagnosis time or if we found the betterment in the symptoms after the therapy among patients identified as having tuberculosis on medical findings. Results: There were total 73 patients in this research work, there were 70.4% (n: 53) female patients & 25.36% (n: 20) patients were males. The treatment of the tuberculosis was in progress before appearance in 36.33% (n: 28) patients suffering from Interstitial Lung Disease. Excluding only 2 patients with silicosis who were present with the smear positive Tuberculosis, there was misdiagnosis of all remaining patients of having Tuberculosis. Conclusion: This is very frequent for the abnormalities of Interstitial Lung Disease to be misidentified & misdiagnosed. The most frequent confusion of this disease is with tuberculosis. Compete awareness about the Interstitial Lung Disease is necessary for the physicians of the primary care, particularly in various countries with very high burden of the tuberculosis, to limit the mistreatment with the medicines of anti-tuberculous drugs when there is no need of those medicines and in time referrals to the concern departments. Keywords: Mistreatment, Diagnosis, Misdiagnosis, Tuberculosis, Silicosis, Abnormalities.

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