Medical Journal of the Islamic Republic Of Iran
مجله پزشکی جمهوری اسلامی ایران
Med J Islam Repub Iran
Medical Sciences
http://mjiri.iums.ac.ir
2
journal2
1016-1430
2251-6840
8
10.18869/mjiri
14
8888
13
en
jalali
1370
8
1
gregorian
1991
11
1
5
3
online
1
fulltext
en
LOWER LUNG FIELD TUBERCULOSIS: AN ANALYSIS OF 146 CASES
Microbiology and Anatomy
Microbiology and Anatomy
Original Research
Original Research
Medical records of 146 patients with lower lung field tuberculosis were
reviewed. There was a female to male ratio of5: 4. More than 75% of patients
were under 35 years of age and average duration of symptoms before
diagnosis was less than one month in 7% , between 1 -6 months the in 63 % and
more than 12 months in 10% of our patients. PPD test was positive in 80%
and direct sputum smear for acid-fast bacilli was positive in 88% of cases.
Radiologically, tuberculous lesion was limited to right lower lobe (RLL)
alone in more than 50% , left lower lobe (LLL) alone in 35% , while bilateral
lower lobe involvement was found in 15% of our patients. Superior segments
of right and left lower lobes were the most commonly involved segments
respectively. Pulmonary infiltrates were nonhomogenous in more than 80%
of cases while homogenous pneumonia-like consolidations were found in
15% of our series. 6 6% of patients had cavitary changes with air-fluid levels
in 20%. Hilar adenopathy alone or in combination with paratracheal
adenopathy was found in chest x-rays of 9% of cases. Fasting and two hour
postprandial blood sugars were measured in 98 patients. Seven (7.1 %) had
overt diabetes mellitus and all of them were diabetic at the time of diagnosis
of tuberculosis. Five pregnant women, a medical student, a radiology
technician, an old male with metastatic carcinoma of unknown primary
origin under chemotherapy, a middle-aged woman with rheumatic heart
disease (mitral stenosis) who acquired tuberculosis of superior segment of
RLL after valve replacement, an old female with rheumatoid arthritis on
nonsteroid anti-Inflammatory agents, a male with history of alcohol intake, a
young male with alopecia totalis and a young female with tuberous sclerosis
were included among our patients.
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http://mjiri.iums.ac.ir/browse.php?a_code=A-10-298-815&slc_lang=en&sid=1
H
HEIDARNEDJAD
20031947532846006730
20031947532846006730
Yes
From the Department of Medicine and Center for Tuberculosis Control, Tabriz University of Medical Sciences, Tabriz, Islamic Republic of Iran.
A
BAHRAMI
20031947532846006731
20031947532846006731
No