Pulmonary tuberculosis in diabetic patients

In a retrospective study of 1566 cases of pulmonary tuberculosis, 136 were found to have diabetes mellitus for a prevalence of 8.7%. There were 100 males and 36 females, and the average patient age was 52 years. Saudis accounted for 94 [69%] of the cases. The prevalence of diabetes was 13% for Saudi patients as compared with 5% for non-Saudis [P < 0.005]. Sputum conversion took an average of 46 days. There was a 19% prevalence of lower lung field lesions. Ninety-three [68.4%] patients were on insulin therapy, 25 [18.9%] were on oral hypoglycemics, and 18 [13.2%] were managed on diet alone. Of 104 patients who were sputum positive, 100 showed conversion after treatment with first-line antitubercular drugs. There was no statistically significant difference in the sputum conversion between diabetic and nondiabetic patients

Lower-lung-field tuberculosis in Saudi Arabia

One hundred sixty-one patients were found to have lower-lung tuberculosis in a retrospective study of 1566 cases of pulmonary tuberculosis admitted to Sahary Chest Hospital, Riyadh. This represents 10.3% of the total admissions over a period of four years. Lowerlung-filed tuberculosis is more common in females. Twenty-six percent of the patients had previous antitubercular treatment. Sputum conversion took 40.4 days. Average hospital stay was 50 days. Hemoptysis was found in 46% of cases and diabetes mellitus was discovered in 13%. Chest x-ray studies showed right lung involvement in 46% of cases, bilateral involvement in 29%, and left lung involvement in 25% of cases. A cavitary lesions was found in 49%