A STUDY OF CLINICORADIOLOGICAL PROFILE OF ELDERLY PATIENTS OF PULMONARY TUBERCULOSIS

Dr. Pratik Mahendrabhai Patel; Dr. Vishakha Kapadia; Dr. Savita Jindal; Dr. Dharit P Shah; Dr. Darshan K Botadara; Dr Sanjay Tripathi

Volume : IX, Issue : VIII, August - 2020

A STUDY OF CLINICORADIOLOGICAL PROFILE OF ELDERLY PATIENTS OF PULMONARY TUBERCULOSIS

Dr. Pratik Mahendrabhai Patel, Dr. Vishakha Kapadia, Dr. Savita Jindal, Dr. Dharit P Shah, Dr. Darshan K Botadara, Dr Sanjay Tripathi

Abstract :

Atypical clinical manifestation of tuberculosis in elder persons can result in delay diagnosis and initiation of treatment. In this study we assessed clinical and radiological profile of 46 newly diagnosed drug sensitive sputum positive pulmonary tuberculosis aged ≥ 60 years. Detailed history, Chest x-ray (PA view) and all routine investigations (CBC, RFT, LFT, CRP, SERUM PROTEIN, etc) done. Follow up of patients weekly on 1st month of the treatment than monthly till the end of the treatment. All parameters like age, gender, BMI, co morbidities, radiological and clinical profile etc. Analyzed. All the patients had cough followed by 42 patients (91.30%) had anorexia and weight loss. Total 34 (73.91%) patients experienced ADR. Most common ADR was gastrointestinal. Patients in whom upper zone involvement and cavitory lesion in CxR (PA) showed statistically favourable outcome (P value = < 0.05). Patients with normal BMI had significant cured rate ( P value = < 0.05). Lower bacillary load showed higher cure rate though statistically not significant (P value = 0.5849).