TY - JOUR T1 - Radiological features of pulmonary tuberculosis in patients with diabetes mellitus JF - European Respiratory Journal JO - Eur Respir J VL - 38 IS - Suppl 55 SP - p2607 AU - Belma Paralija AU - Hasan Zutic Y1 - 2011/09/01 UR - http://erj.ersjournals.com/content/38/Suppl_55/p2607.abstract N2 - Background: The association of pulmonary tuberculosis (PTB) and diabetes mellitus (DM) is very common.Aims and objectives: To find out whether there is difference in presentation of radiological images of PTB in diabetic patients comparing to non-diabetic patients affected by PTB.Methods: We screened 97 diabetic patients with established diagnosis of PTB and 97 patients affected by PTB without diabetes mellitus. Chest radiography of both groups were reviewed and compared in the time of establishing PTB diagnosis. Then a partial tuberculous (TB) infiltrate regression on chest radiography after the antituberculous treatment initiation, defined as obvious reducing of infiltrate size, was observed. The time of radiological regression was estimated as the number of days needed for partial radiological regression.Results: On the chest radiography upper lung lobe is involved by TB lesions in 42.2% diabetic and 62.5% non-diabetic patients (p<0.01); lower lung lobe in 14.5% diabetic, and in 4.5% non-diabetic patients (p<0.05). Chest radiography TB infiltrate regression is achieved in 98.9% TB patients without DM compared to diabetic patients (87.5%) (p<0.05). The difference in the average number of days needed for partial radiological regression after the onset of antituberculous treatment is statistically high significant (p<0.001) between two examined groups (57.75 days in diabetic patients and 33.68 days in non-diabetic group).Conclusions: PTB in diabetic patients is more likely to present with atypical radiological images and radiological TB infiltrate regression is prolonged in diabetic patients. ER -