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Clinical Investigation of Tuberculous Pneumonia / 결핵및호흡기질환
Tuberculosis and Respiratory Diseases ; : 19-24, 2004.
Article in Korean | WPRIM | ID: wpr-95354
ABSTRACT

BACKGROUND:

It is difficult to differentiate between tuberculous pneumonia and Community Acquired Pneumonia, so the diagnosis and treatment of tuberculous pneumonia can be delayed frequently. In this study, we attempted to retrospectively evaluate the clinical and radiologic characteristics of tuberculous pneumonia.

METHODS:

We conducted a retrospective analysis of clinical characteristics of 58 patients diagnosed with tuberculous pneumonia from Nov. 1997 to May 2001 at Korea university kuro hospital.

RESULT:

The male to female ratio was 11 and the mean age at diagnosis was 54.5+/-18.6 years. Fifty five patients were confirmed microbiologically and three patients pathologically. There were 20 patients(34.5%) who had diabetes mellitus(8cases), chronic obstructive pulmonary disease(3cases), malignancy(3cases), bronchiectasis(2cases), chronic renal failure(1cases) or long term history of corticosteroid treatment(3cases). Many patients had multilobar infiltration in chest X-ray, dominantly in the lower lobe. thirty two patients(55.2%) had infiltration in more than 2 lobes and 5 patients in more than 4 lobes. The significant correlation between the diabetes mellitus and the infiltrated Rt lower lobe(RLL) was found on the borders of confidence limit.(P=0.07<0.1). There was significant correlation between woman and infiltrated lobe(RML, RLL, LLL) excluding the both upper lobe(P=0.029).

CONCLUSION:

We must consider tuberculous pneumonia when lobar pneumonia with consolidation resistant to antibiotics, especially in the patients who have diabetes mellitus, chronic obstructive pulmonary disease, malignancy, bronchiectsis, chronic renal failure or long term history of corticosteroid treatment.
Subject(s)

Full text: Available Index: WPRIM (Western Pacific) Main subject: Pneumonia / Thorax / Retrospective Studies / Pulmonary Disease, Chronic Obstructive / Diabetes Mellitus / Diagnosis / Kidney Failure, Chronic / Korea / Anti-Bacterial Agents Type of study: Diagnostic study / Observational study Limits: Female / Humans / Male Country/Region as subject: Asia Language: Korean Journal: Tuberculosis and Respiratory Diseases Year: 2004 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Pneumonia / Thorax / Retrospective Studies / Pulmonary Disease, Chronic Obstructive / Diabetes Mellitus / Diagnosis / Kidney Failure, Chronic / Korea / Anti-Bacterial Agents Type of study: Diagnostic study / Observational study Limits: Female / Humans / Male Country/Region as subject: Asia Language: Korean Journal: Tuberculosis and Respiratory Diseases Year: 2004 Type: Article