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Abstract: Poster Presentations |

PULMONARY COMPLICATIONS IN PATIENTS WITH TUBERCULOSIS FREE TO VIEW

Enrique Lopez Segundo, MD*; Rafael Valdez, MS; Ma. Cecilia Garcia Sancho, MS; Manuel Castillejos, MS; Alfredo Torres, MD; Miguel Angel Salazar, MD
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National Institute of Respiratory Diseases, Mexico, Mexico


Chest


Chest. 2005;128(4_MeetingAbstracts):399S. doi:10.1378/chest.128.4_MeetingAbstracts.399S-b
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Abstract

PURPOSE:  To determine the prevalence of thoracic complications in tuberculosis patients.

METHODS:  This study was a cross-sectional survey based on the retrospective analysis of data of tuberculosis patients and was conducted at National Institute of Respiratory Diseases (INER), Mexico.

RESULTS:  One hundred and twenty four tuberculosis patients were included from July to December of 2003. Of124 patients, 58 (46.8%) were males, with a ratio male:female of 0.88. Median age was 48 (range 16-80 years). Of 124 patients (99/124) 80% had 0-5 years since diagnosis. Complications were: bronchiectasis (107/124) 86.3%; pneumonia (7/124) 5.7%; pneumonia due to Mycobacterium tuberculosis (5/124) 4.0%; empiema (4/124) 3.2%; fistula (3/124) 2.4%; aspergilloma (2/124) 1.6%; tracheal obstruction (1/124) 0.8%; fibrothorax (15/124) 12.1% and hemoptysis (38/124) 30.2%. In multivariate analysis death was associated to pleural effusion (OR= 15.07 [CI95% 1.12-201] p =.04) controlling by crowding, pneumonia, empiema, hemoptysis, diabetes, time of diagnosis and age.

CONCLUSION:  The increased risk of bonchiectasis, pneumonia and hemoptysis observed is due to delay in tuberculosis diagnosis and treatment.

CLINICAL IMPLICATIONS:  Delay in tuberculosis diagnosis could be determinant in the quality of life and survival of these patients.

DISCLOSURE:  Enrique Lopez Segundo, None.

12:30 PM - 2:00 PM


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