{"title":"老年患者痰阳性肺结核的临床分析","authors":"A. Ambali, P. Tomar, Pranay Kumar R P","doi":"10.18231/j.agems.2022.012","DOIUrl":null,"url":null,"abstract":"The Pulmonary Tuberculosis has been known to mankind to cause increased morbidity and mortality especially in elderly. There is delay in diagnosis of pulmonary tuberculosis which led to increased mortality. Hence, this study looks into the pattern of presentations of the pulmonary tuberculosis and the radiological features that these patients demonstrate, which may help in early diagnosis and effective management.A cross-sectional, descriptive study was conducted on seventy patients above 60 years of age, who attended the outpatient department or those who were admitted in the geriatric ward of BLDE DU, Shri B. M. Patil Medical College, Hospital and Research Centre with symptoms suggestive of pulmonary tuberculosis over a period of twenty-four months irrespective of sex. The patients who tested sputum positive by ZN Stain for Mycobacterium Tuberculosis irrespective of primary diagnosis, defaulters and reactivation of pulmonary tuberculosis were included in the study group. In our study male predominance was seen with 48% of elderly in age group of 60-65 years. Majority (67%) of patients had typical features like fever, cough, evening rise of temperature while 32% had atypical symptoms like decreased appetite, increased thirst, weight loss and breathlessness. The common comorbid was Hypertension (10%). The most common radiological feature was miliary mottling (21%), while there was 11% mortality reported.This study being carried on elderly with sputum positive have given insight on the various pattern of clinical presentations and radiological features in elderly. Importance of sputum examination cannot be undermined in elderly and high degree of suspicion will help reach the diagnosis.","PeriodicalId":129502,"journal":{"name":"Annals of Geriatric Education and Medical Sciences","volume":"1 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2023-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"A clinical profile of sputum positive pulmonary tuberculosis among elderly patients\",\"authors\":\"A. Ambali, P. Tomar, Pranay Kumar R P\",\"doi\":\"10.18231/j.agems.2022.012\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"The Pulmonary Tuberculosis has been known to mankind to cause increased morbidity and mortality especially in elderly. There is delay in diagnosis of pulmonary tuberculosis which led to increased mortality. Hence, this study looks into the pattern of presentations of the pulmonary tuberculosis and the radiological features that these patients demonstrate, which may help in early diagnosis and effective management.A cross-sectional, descriptive study was conducted on seventy patients above 60 years of age, who attended the outpatient department or those who were admitted in the geriatric ward of BLDE DU, Shri B. M. Patil Medical College, Hospital and Research Centre with symptoms suggestive of pulmonary tuberculosis over a period of twenty-four months irrespective of sex. The patients who tested sputum positive by ZN Stain for Mycobacterium Tuberculosis irrespective of primary diagnosis, defaulters and reactivation of pulmonary tuberculosis were included in the study group. In our study male predominance was seen with 48% of elderly in age group of 60-65 years. Majority (67%) of patients had typical features like fever, cough, evening rise of temperature while 32% had atypical symptoms like decreased appetite, increased thirst, weight loss and breathlessness. The common comorbid was Hypertension (10%). The most common radiological feature was miliary mottling (21%), while there was 11% mortality reported.This study being carried on elderly with sputum positive have given insight on the various pattern of clinical presentations and radiological features in elderly. 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引用次数: 0
摘要
众所周知,肺结核的发病率和死亡率都很高,尤其是在老年人中。肺结核的诊断延误导致死亡率增加。因此,本研究探讨了肺结核的表现模式和这些患者所表现出的放射学特征,这可能有助于早期诊断和有效的治疗。对70名60岁以上的患者进行了横断面描述性研究,这些患者在24个月的时间里,不论性别,都在BLDE DU、Shri B. M. Patil医学院、医院和研究中心的门诊部就诊,或在老年病房住院,有肺结核症状。痰液锌染色检测结核分枝杆菌阳性的患者,不论其最初诊断、肺结核的未确诊者和再激活者,均被纳入研究组。在我们的研究中,男性在60-65岁年龄组中占48%。大多数(67%)患者有典型的症状,如发烧、咳嗽、夜间体温升高,而32%的患者有非典型症状,如食欲下降、口渴加剧、体重减轻和呼吸困难。常见的合并症是高血压(10%)。最常见的放射学特征是军事斑驳(21%),同时有11%的死亡率报告。本研究对痰液阳性老年人的临床表现和影像学特征有了深入的了解。老年人不能忽视痰检的重要性,高度怀疑有助于诊断。
A clinical profile of sputum positive pulmonary tuberculosis among elderly patients
The Pulmonary Tuberculosis has been known to mankind to cause increased morbidity and mortality especially in elderly. There is delay in diagnosis of pulmonary tuberculosis which led to increased mortality. Hence, this study looks into the pattern of presentations of the pulmonary tuberculosis and the radiological features that these patients demonstrate, which may help in early diagnosis and effective management.A cross-sectional, descriptive study was conducted on seventy patients above 60 years of age, who attended the outpatient department or those who were admitted in the geriatric ward of BLDE DU, Shri B. M. Patil Medical College, Hospital and Research Centre with symptoms suggestive of pulmonary tuberculosis over a period of twenty-four months irrespective of sex. The patients who tested sputum positive by ZN Stain for Mycobacterium Tuberculosis irrespective of primary diagnosis, defaulters and reactivation of pulmonary tuberculosis were included in the study group. In our study male predominance was seen with 48% of elderly in age group of 60-65 years. Majority (67%) of patients had typical features like fever, cough, evening rise of temperature while 32% had atypical symptoms like decreased appetite, increased thirst, weight loss and breathlessness. The common comorbid was Hypertension (10%). The most common radiological feature was miliary mottling (21%), while there was 11% mortality reported.This study being carried on elderly with sputum positive have given insight on the various pattern of clinical presentations and radiological features in elderly. Importance of sputum examination cannot be undermined in elderly and high degree of suspicion will help reach the diagnosis.