Sánchez HJG, Martínez VRT, Elizondo RG, Álvarez DS

Language: Spanish
References: 21
Page:
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ABSTRACT

In order to know the radiological manifestations the pulmonary tuberculosis in the patient with diabetes mellitus, xrays of thorax of 25 patients with diagnoses confirmed for both clinical organizations were evaluated; the patients received medical attention in units of first dependent level of attention of Sanitary Jurisdiction No. 4 of the Secretariat of Health in Nuevo Leon (México). 68% of the sample were conformed by patients of masculine sex, the affected group of age but was located between the 60 and 70 years with a 40%. The affection of the superior lobe and the presence of cavitations were findings in 80% of the studied patients. 68% showed affection in but of a lobe, 20% presented/displayed affection of the superior, average and inferior lobe. It excels the presence of affection of the inferior lobe with a 48%. If it is considered that the establishment of the diagnosis of the pulmonary tuberculosis is carried out frequently in a first level of attention; and that in this process the radiological evaluation is fundamental; the necessity that is emphasized knowledge of the different radiological manifestations with the purpose of suspecting and establishing the diagnosis and the opportune treatment before the concomitante presence of so important problems of public health is had.

REFERENCES

1. Root HF.1934. The association of diabetes and tuberculosis; New Eng J Med; 210: 1,78,127.

2. Silver H. and PN Oscarsson 1958. Incidence and coincidence of diabetes mellitus and pulmonary tuberculosis in a Swedish County. Acta Med Scand; 161 (Supplement 335, P.S.)

3. Edsall J,.JG. Collins and JAC Gray 1970. The reactivation of tuberculosis in New York City in 1967. Am Rev Res Dis; 102: 725-736.

4. Sosman M C and J.H. Steidl 1927. Diabetic Tuberculosis. Am J Roentgenol; 17:625.

5. Parmer M. 1967. Lower lung field tuberculosis. Am Rev Res Dis; 96:310-313.

6. Berger H .1974. Lower lung field tuberculosis. Chest; 65: 522-526.

7. Weaver RA 1974. Unusual radiographic presentation of pulmonary tuberculosis in diabetic patients. Am Rev Respir Dis; 109:162-163.

8. Doost JY. and K. Vessal 1975. Pulmonary tuberculosis in diabetes mellitus. Trop Geogr Med; 27(4):351-353.

9. 9.Hadlock FP, SK Park, RJ Awe and M Rivera 1980. Unusual radiographic findings in adult pulmonary tuberculosis. Am J Roentgenol; 134(5): 1015-1018.

10. 10.Morris JT, BJ Seaworth and CK McAllister 1992. Pulmonary tuberculosis in diabetics. Chest: Aug; 102(2):539- 41.

11. Umut S, GA Tosun and N Yildirim 1994. Radiographic location of pulmonary tuberculosis in diabetic patients. Chest: Jul; 106(1):326.

12. Perez-Guzman C, A. Torres-Cruz, H. Villarreal-Velarde and MH Vargas 2000 Progresive age-related changes in pulmonary tuberculosis images and the effect of diabetes. Am J Respir Crit Care Med; 162(5): 1738-1740. United States -- Recommendations of the Advisory Committee for Elimination of Tuberculosis. Am Journal Public Health; 87(4):574-579.

13. Pablos-Mendez A, J. Blustein and CA Knirsch 1997.Tuberculosis among foreign-born persons entering the United States -- Recommendations of the Advisory Committee for Elimination of Tuberculosis. Am Journal Public Health; 87(4):574-579.

14. Epi-Morbi –SUIVE; 2002, SSNL.

15. Perez-Guzman C, A. Torres-Cruz, H. Villarreal-Velarde, MA Salazar-Lezama, and MH Vargas 2000. Atipical radiological images of pulmonary tuberculosis in 192 diabetic patients: a comparative study. Int J Tuberc Lung Dis; 5(5):455-461.

16. 16.Durán Varela B, E. Franco Gallegos, E. Tufiño Olivares y A. Perea Sánchez 2002. Diabetes mellitrus tipo 2 en adultos con tuberculosis pulmonar. Imágenes radiográficas. Rev Med IMSS; 40(6): 473-476.

17. 17.Pérez-Guzmán et. al. Op.Cit.

18. Umut S, et. al. Op.Cit

19. Parmer M. Op.Cit

20. Berger H. Op.Cit

21. Hadlock F. P. et. al. Op.Cit