To determine the prevalence of thoracic complications in tuberculosis patients.
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.
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.
The increased risk of bonchiectasis, pneumonia and hemoptysis observed is due to delay in tuberculosis diagnosis and treatment.
Delay in tuberculosis diagnosis could be determinant in the quality of life and survival of these patients.
Enrique Lopez Segundo, None.