Nutritional effect, care and support for patients with tuberculosis among diabetes: a study from Warangal district

Objective: Tuberculosis is one of the important infections among the diabetes as per our study and survey reports. Diabetes mellitus has been reported to modify the presenting features of pulmonary tuberculosis, but there are varying data, particularly regarding the association with lower lung field involvement. In our study we would like to determine whether diabetes mellitus alters the clinical and radiographic manifestations of tuberculosis in hosts and to define the determinants of lower lung field involvement due to effect of nutrition supply.Methods: A total of 500 diabetes were identified from both rural and urban population and were confirmed the diabetic status based on questioner and consent of patients. Off 500 patients 200 suspects with bronchial infections was tested for other bacterial and Tuberculosis infections by Grams staining, and culture on Nutrient and blood Agar for bacterial infections based on the staining and culture they were identified to be grams positive or Grams negative bacterial infections.Results: We had conducted a survey and study in Warangal and adjoing districts of Telangana state during 2014- 2017 period, in the study we had counseled approximately 1000 -2000 populations off which 500 were suspects for early diabetes based on the symptoms and clinical investigations off 500 were able to found 200 diabetic type 2 causes. Off 200 55 were positive for tuberculosis all the suspects were counseled for their nutritional status and other prevailing side effects with treatment. Conclusions: Based on this study we had tried to evaluate the effect, care and support of nutritional among diabetic TB patients.

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Metastatic choriocarcinoma with multiple neoplastic intracranial microaneurysms

Journal of Neurosurgery ◽

10.3171/jns/2008/108/5/1014 ◽

2008 ◽

Vol 108 (5) ◽

pp. 1014-1017 ◽

Cited By ~ 18

Author(s):

In Bok Chang ◽

Byung Moon Cho ◽

Se Hyuck Park ◽

Dae Young Yoon ◽

Sae Moon Oh

Keyword(s):

Ct Scan ◽

Cerebral Arteries ◽

Lung Field ◽

Necrotizing Vasculitis ◽

Cerebral Angiogram ◽

Lower Lung Field ◽

Metastatic Lesions ◽

Middle Cerebral Arteries ◽

Lower Lung ◽

Chest Ct Scan

✓The authors report on a case of a metastatic choriocarcinoma that mimicked systemic necrotizing vasculitis on a cerebral angiogram. A 35-year-old woman presented with right hemiplegia and a drowsy mental state. A computed tomography (CT) scan revealed an intracerebral hemorrhage in the left frontal region. A cerebral angiogram showed multiple microaneurysms arising from the bilateral anterior cerebral arteries and middle cerebral arteries, and the renal angiogram showed multiple microaneurysms arising from the left distal renal artery. A chest CT scan revealed multiple metastatic lesions in the left lower lung field. The hematoma and microaneurysms were surgically removed. Choriocarcinoma was diagnosed after histological examination. Despite receiving postoperative chemotherapy, the patient died 1 month after the operation.

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A Clinical Study on the Lower Lung Field Tuberculosis

Tuberculosis and Respiratory Diseases ◽

10.4046/trd.1985.32.2.86 ◽

1985 ◽

Vol 32 (2) ◽

pp. 86-92

Author(s):

Hee Young Sohn ◽

Eun Kyun Woo ◽

Sang Ho Chang ◽

Sung Kyu Kim ◽

Won Young Lee ◽

...

Keyword(s):

Clinical Study ◽

Lung Field ◽

Lower Lung Field ◽

Lower Lung

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Lower Lung Field Tuberculosis

Tuberculosis ◽

10.5005/jp/books/10992_15 ◽

2009 ◽

pp. 227-227

Author(s):

SK Sharma ◽

G Ahluwalia

Keyword(s):

Lung Field ◽

Lower Lung Field ◽

Lower Lung

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Clinicoradiological Profile of Lower Lung Field Tuberculosis Cases among Young Adult and Elderly People in a Teaching Hospital of Madhya Pradesh, India

Journal of Tropical Medicine ◽

10.1155/2015/230720 ◽

2015 ◽

Vol 2015 ◽

pp. 1-7 ◽

Cited By ~ 2

Author(s):

Saurabh Kumar Singh ◽

Kamlesh Kumar Tiwari

Keyword(s):

Renal Disease ◽

End Stage Renal Disease ◽

Clinical Feature ◽

Lung Field ◽

X Rays ◽

Lower Lung Field ◽

Radiological Features ◽

Lower Lung ◽

Stage Renal Disease ◽

End Stage

Aim. To study the clinical and radiological features of lower lung field tuberculosis (LLFTB) in relation to the patients of nonlower lung field tuberculosis (non-LLFTB).Material and Methods. All the patients of lower lung field tuberculosis defined by the lesions below an arbitrary line across the hila in their chest X-rays were included in the study. Their sputum for acid fast bacilli, HIV, blood sugar, and other relevant investigations were performed.Results. The total of 2136 cases of pulmonary tuberculosis was studied. Among them 215 (10%) cases of patients were diagnosed as the case of lower lung field tuberculosis. Females (62%) were more commonly affected. Most common clinical feature in non-LLFTB was cough (69%) followed by fever (65%), chest pain (54.7%), and weight loss (54.4%). Chest X-ray showed predominance of right side (60.9%) in cases of LLFTB. The relative risk of having the LLFTB in diabetes patients, HIV seropositive patients, end stage renal disease patients, and patients on corticosteroid therapy was high.Conclusion. Lower lung field tuberculosis is not an uncommon entity. It is more common in diabetes, HIV positive, end stage renal disease, and corticosteroid treated patients. Clinical and radiological features are different from upper lobe tuberculosis patients.

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