PMID- 18516824
OWN - NLM
STAT- MEDLINE
DCOM- 20080919
LR  - 20161124
IS  - 0019-5707 (Print)
IS  - 0019-5707 (Linking)
VI  - 55
IP  - 2
DP  - 2008 Apr
TI  - Clinico-radiological profile of new smear positive pulmonary tuberculosis cases 
      among young adult and elderly people in a tertiary care hospital at Deheradun 
      (Uttarakhand).
PG  - 84-90
AB  - SETTING: Patients of pulmonary tuberculosis (TB) attending the out and in patient 
      department of pulmonary medicine, Himalayan Institute of Medical Sciences (HIMS), 
      a post graduate institute and a large tertiary care center in Dehradun. 
      OBJECTIVE: To compare the clinico-radiological pattern of pulmonary tuberculosis 
      in the young adult (18-59 years) and elderly (> or = 60 years) patients. DESIGN: 
      Prospective observational study of pulmonary and associated extra pulmonary 
      tuberculosis cases, diagnosed between October 2005 to September 2006 in pulmonary 
      medicine department of HIMS. RESULT: Mean age of young adult and elderly patients 
      was 35.71 +/- 5.7 years and 68.57 +/- 3.03 years respectively. Elderly patients 
      had a higher number of co-morbidities like diabetes mellitus, hypertension, and 
      malignancy. Tuberculin positivity was less among elderly patients (36.0%) as 
      compared to young adults (65.9%). Hemoptysis (29.5% vs. 6%), fever (95.4% vs. 
      76%) and night sweats (54.5% vs. 18.0%) were significantly higher in the young 
      adult patients than the elderly. As for roentgenographic abnormalities, a higher 
      involvement of lower zone (24.0% vs. 7.9%) and far advanced lesions (32.0% vs. 
      14.7%) were seen in the elderly patients as compared to young adults. The elderly 
      showed a higher frequency of TB related mortality (8% vs. 1.1%) and associated 
      extra pulmonary involvement (40% vs. 7%). CONCLUSION: Young adults are more 
      likely to have hemoptysis, night sweats and positive PPD response while lower 
      lung field involvement is more common in elderly.
FAU - Rawat, Jagdish
AU  - Rawat J
AD  - Department of Community Medicine, Himalayan Institute of Medical Sciences, 
      Dehradun. drjagdishrawat@yahoo.com
FAU - Sindhwani, Girish
AU  - Sindhwani G
FAU - Juyal, Ruchi
AU  - Juyal R
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PL  - India
TA  - Indian J Tuberc
JT  - The Indian journal of tuberculosis
JID - 0373027
SB  - IM
MH  - Academic Medical Centers
MH  - Adult
MH  - Age Factors
MH  - Aged
MH  - Comorbidity
MH  - Diabetes Mellitus/epidemiology
MH  - Female
MH  - Fever/epidemiology
MH  - Hemoptysis/epidemiology
MH  - Humans
MH  - Hypertension/epidemiology
MH  - India/epidemiology
MH  - Male
MH  - Neoplasms/epidemiology
MH  - Prospective Studies
MH  - Radiography
MH  - Survival Rate
MH  - Tuberculin Test/statistics & numerical data
MH  - Tuberculosis, Pulmonary/*diagnosis/diagnostic imaging/*epidemiology
EDAT- 2008/06/04 09:00
MHDA- 2008/09/20 09:00
CRDT- 2008/06/04 09:00
PHST- 2008/06/04 09:00 [pubmed]
PHST- 2008/09/20 09:00 [medline]
PHST- 2008/06/04 09:00 [entrez]
PST - ppublish
SO  - Indian J Tuberc. 2008 Apr;55(2):84-90.