Abstract

Occurrence of pulmonary tuberculosis in patients of Diabetes Mellitus (DM) is almost 2-3 times more common than normal population. There is paucity of literature on comprehensive understanding of clinical presentation of pulmonary tuberculosis in diabetics and effect of short-term chemotherapy in such individuals. Aims and Objectives: To study clinical symptoms and radiological findings in patients having both diabetes mellitus and pulmonary tuberculosis. To study effects of standard short-term chemotherapy in such individuals. Methodology: This case control, comparative, hospital based, interventional as well as observational study was carried out in department of pulmonary medicine. 50 patients suffering from pulmonary tuberculosis were consecutively selected into study from department of Pulmonary medicine. They were further divided into 2 groups- Group 1 cases – Pulmonary tuberculosis plus diabetes mellitus and Group 2- Pulmonary tuberculosis without diabetes. Diagnosis of Pulmonary tuberculosis was done on basis of clinical symptomatology, chest X-Ray PA view and microbiological examination of sputum smears. Diabetes was diagnosed on basis of fasting blood sugar on two consecutive days and urine examination for presence of glucose. Both groups were given short term chemotherapy of antitubercular drugs. Control for diabetes was done by using insulin and oral hypoglycemic agents. All patients were hospitalized for 4 to 6 weeks and follow ups were taken every month for 4 to 6 months. Clinical examination, blood and urine glucose estimation, sputum smear examination and Chest Xrays were done on completion of treatment

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