Comparison of Chest X-Ray of Pulmonary TB Patients with DM and Non DM at Anutapura Palu Hospital in 2020

Nur Afni Fadillah; Ria Sulistiana; Fitriah Handayani

Authors

Nur Afni Fadillah Study Program of Medical Education, Medical Faculty, Tadulako University, Palu, Indonesia
Ria Sulistiana Department of Radiology, Medical Faculty, Tadulako University, Palu, Indonesia
Fitriah Handayani Department of Neurology, Medical Faculty, Tadulako University, Palu, Indonesia

Keywords:

Tuberculosis, Diabetes Mellitus, Chest X-ray

Abstract

The incidence of Diabetes Mellitus (DM) in the world is rising particularly in developing countries where Pulmonary Tuberculosis (TB) is the most common. Diabetes Mellitus will increase the risk of Pulmonary Tuberculosis 1.5-7.8 times. The relationship between DM and TB has been proven that DM is a risk factor for TB. It affects the presence of Pulmonary Tuberculosis itself and the response to the treatment of Pulmonary Tuberculosis. Pulmonary Tuberculosis can cause glucose intolerance and worsen glycemic control in Diabetes Mellitus patients. Although Pulmonary Tuberculosis is more closely related to another immune-deficiency disease such as HIV, the number of people with diabetes is much greater. Therefore, DM is a more significant risk factor for the incidence of TB. Research Objective to find out the comparison of the characteristics of chest x- rays on Pulmonary Tuberculosis patients with Diabetes Mellitus and Non-Diabetes Mellitus at Anutapura Hospital in 2020. Research Method in this research applied an analytic observational study towards a cross sectional design. Sampling was selected through total sampling technique using inclusion and exclusion criteria. The research instrument was the patient's medical record. The results show that the most chest X-ray images on TB patients with DM are cavity images (53%) and TB patients with non-DM, the most features are fibrosis (35%). The result of the extensive description of the lesion indicatse that the extensive lesions is (15%) on TB patients with DM and (85%) on TB patients with non-DM and it is obtained that the minimal lesion is (1%) in both TB patients with DM and Non-DM. Research conclusion: There is no difference between chest X-Rays on Pulmonary Tuberculosis patients with Diabetes Mellitus and Non-Diabetes Mellitus.

References

T. Kristini and R. Hamidah, “Potensi Penularan Tuberculosis Paru pada Anggota Keluarga Penderita,” J. Kesehat. Masy. Indones., vol. 15, no. 1, pp. 24–28, 2020.

Dinas Kesehatan Provinsi Sulawesi Tengah, “Profil Kesehatan Provinsi Sulawesi Tengah,” https://dinkes.sultengprov.go.id/wp-content/uploads/2022/05/PROFIL-DINAS-KESEHATAN-2021.pdf, Sulawesi Tengah, p. 1, 2019. [Online]. Available: https://dinkes.sultengprov.go.id/wp-content/uploads/2022/05/PROFIL-DINAS-KESEHATAN-2021.pdf

H. Rohman, “Kasus Tuberkulosis Dengan Riwayat Diabettes Mellitus Di Wilayah Prevalensi Tinggi Diabettes Mellitus,” J. Manaj. Inf. Kesehat. Indones., vol. 6, no. 2, pp. 149–156, 2018.

B. Alisjahbana et al., Diagnosis dan Pengelolaan Tuberkulosis untuk Dokter Praktik Swasta, vol. 1. Research Center for Care and Control of Infectious Disease Universitas …, 2020.

R. Nurmalasari and N. H. Apriantoro, “Pemeriksaan Radiografi Thorax Dengan Kasus Tuberkulosis Paru,” KOCENIN Ser. Konf. ISSN 2746-7112, no. 1, pp. 1–3, 2020.

Y. M. Alkabab, M. A. Enani, N. Y. Indarkiri, and S. K. Heysell, “Performance of computed tomography versus chest radiography in patients with pulmonary tuberculosis with and without diabetes at a tertiary hospital in Riyadh, Saudi Arabia,” Infect. Drug Resist., vol. 11, p. 37, 2018.

A. Siane, P. Ascobat, I. Instiaty, and H. Agustin, “Comparative effectiveness of tuberculosis treatment daily versus intermittent regimen in Indonesian TB-DM patients: real world patient database study,” Acta Medica Indones, vol. 52, pp. 25–30, 2020.

M. J. Rau and N. M. Huldjannah, “Analisis Risiko Kejadian Diabetes Melitus Pada Pasien TB di Wilayah Kerja Puskesmas Kamonji Kota Palu,” J. Promot. Prev., vol. 3, no. 2, pp. 1–13, 2021.

E. Novita, Z. Ismah, and P. Pariyana, “Angka kejadian diabetes melitus pada pasien tuberkulosis,” J. Kedokt. dan Kesehat. Publ. Ilm. Fak. Kedokt. Univ. Sriwij., vol. 5, no. 1, pp. 20–25, 2018.

D. J. Layali, B. Y. M. Sinaga, P. Siagian, and P. C. Eyanoer, “Relationship of Tuberculosis Radiographic Manifestation in Diabetic Patients with HbA1c Levels,” J. Respirologi Indones., vol. 39, no. 3, pp. 154–159, 2019.

M. K. T. Narayan Mood, S. B. Darivemula, Sri, and K. K. Advanapu, “Clinico-Radiological Profile of Pulmonary Tuberculosis with Diabetes Mellitus among Patients Attending to a Tertiary Care Teaching Hospital,” Int. J. Med. Res. Heal. Sci., vol. 10, no. 8, pp. 27–36, 2021, [Online]. Available: https://www.ijmrhs.com/abstract/clinicoradiological-profile-of-pulmonary-tuberculosis-with-diabetes-mellitus-among-patients-attending-to-a-tertiary-care-74361.html

L. U. Soerono and W. Soewondo, “The correlation of chest radiographic image of pulmonary tuberculosis in type 2 diabetes mellitus patients with HbA1C level,” KnE Life Sci., pp. 45–51, 2019.

M. F. Husein and A. Majdawati, “Asosiasi Gambaran Tingkat Lesi Foto Toraks Penderita Klinis Tuberkulosis Paru dengan Diabetes Melitus Dibandingkan Non Diabetes Melitus,” Mutiara Med. J. Kedokt. dan Kesehat., vol. 14, no. 1, pp. 8–14, 2014.

J. Kim, I. J. Lee, and J.-H. Kim, “CT findings of pulmonary tuberculosis and tuberculous pleurisy in diabetes mellitus patients,” Diagnostic Interv. Radiol., vol. 23, no. 2, p. 112, 2017.

P. Zhang et al., “Severe Radiological Manifestation in Patients with Diabetes and Pulmonary Tuberculosis: A Cross-sectional Study,” 2021.