Abstract: Poster Presentations |


Ramakant Dixit, MD; Sidharth Sharma, MBBS*
Author and Funding Information

J.L.N. Medical College, Ajmer, India


Chest. 2005;128(4_MeetingAbstracts):399S. doi:10.1378/chest.128.4_MeetingAbstracts.399S-a
Text Size: A A A
Published online


PURPOSE:  Risk of tuberculosis is said to be higher in alcoholics due to defect in host defence, whether this is associated with altered clinico-radiological presentation, we conducted this prospective study over last 2 years.

METHODS:  64 consequtive patients having history of almost regular alcohol intake of more than 5 years, in whom pulmonary tuberculosis was diagnosed were included in this study. Their HIV seropositivity was ruled out by Elisa.

RESULTS:  Most of the patients (70.3%) were above forty years of age. All were male and smoker. Cough (90.6%) and fever (65.6%) were chief symptoms followed by chest pain (45.3%) breathlessness (32.8%) and haemoptysis (10.9%). On initial sputum examination, 42.1% were smear positive. Radiologically bilateral lesions were seen in 60.9% cases and unilateral in 39% of which most were left sided. Disease was far advanced in 46.8%, moderately advanced in 43.7% and minimal in 9.3% cases. Patchy infiltration and nodular pattern was most common (75%) followed by cavitary (15.6%), Pleural effusion (7.8) and miliary pattern (1.5%). Lesions were almost equally distributed in upper, mid and tower zones. 26.5% patients were having associated extrapulmonary tuberculosis.

CONCLUSION:  In alcoholics due to decreased immunity due to various factors tubecrculosis is extensive and may take serious form.

CLINICAL IMPLICATIONS:  In alcoholics, tuberculosis involvement is extensive and presents bilateral radiological shadows in majority of cases. Non cavitary exudative lesions are more common along with extrapulmonary involvement in significant proportion of cases.

DISCLOSURE:  Dr Sidharth Sharma, Product/procedure/technique that is considered research and is NOT yet approved for any purpose.

12:30 PM - 2:00 PM




Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.

  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543