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KMID : 0378019820250010119
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New Medical Journal
1982 Volume.25 No. 1 p.119 ~ p.123
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Clinical Study of Diabetes Mellitus in Pulmonary Tuberculous Patients
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조동일/Cho, Dong Il
정혜영/유남수/배성근/권동원/김재원/Chung, Hae Young/Rhu, Nam Soo/Bae, Seung Kun/Kwon, Dong Won/Kim, Jae Won
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Abstract
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Fifty patients with diabetes mellitus were found in a series of 9833 patients with active pulmonary tuberculosis who were diagnosed at the National Medical Center from March 1975 to March 1981, an incidence of 0.51 -per cent.
1) Male (38 cases) and female (12 cases) ratio of the patients was 3.2:1. The highest incidence was seen inr the fifth decade, and the next in the sixth decade.
2) Far advanced pulmonary tuberculosis was most common on chest roentgenograms. Cavitation occurred in 74% of all cases. Radiological patterns of pulmonary infiltrates were patchy or confluent, pneumonic, and parenchymal destruction in the order of frequency.
3) The prevalence rate of pulmonary tuberculosis in patients with diabetes mellitus was 3 times greater than that of diabetes mellitus in patients with pulmonary tuberculosis.
4) It did not seem that the degree of severity in diabetes mellitus affected the course of pulmonary tuberculosis when treated with antituberculous medications. However, the outcome of antituberculous therapy was much poorer in the Rifampin-resistant group than in the other resistant groups.
Judging by the above results, it is most likely that diabetes mellitus may be predisposing or aggravating factor of pulmonary tuberculosis, but does not affect the course of pulmonary tuberculosis when managed with sensitive and potent drugs.
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