Clinical investigation of tuberculous pneumonia

Heon Lee Seung, Young Hur Gyu, Hwan Jung Ki, Yong Lee Sung, Yeub Lee Sang, Hyung Kim Jae, Myun Park Sang, Chul Shin, Jeong Shim Jae, Ho In Kwang, Ho Kang Kyung, Hwa Ryu Sae

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Background: It is difficult to differentiate between tuberculous pneumonia and Community Acquired Pneumonia, so the diagnosis and treatment of tuberculous pneumonia can be delayed frequently. In this study, we attempted to retrospectively evaluate the clinical and radiologic characteristics of tuberculous pneumonia. Methods: We conducted a retrospective analysis of clinical characteristics of 58 patients diagnosed with tuberculous pneumonia from Nov. 1997 to May 2001 at Korea university kuro hospital. Result: The male to female ratio was 1:1 and the mean age at diagnosis was 54.5±18.6 years. Fifty five patients were confirmed microbiologically and three patients pathologically. There were 20 patients(34.5%) who had diabetes mellitus(8cases), chronic obstructive pulmonary disease(3cases), malignancy(3cases), bronchiectasis(2cases), chronic renal failure(1cases) or long term history of corticosteroid treatment(3cases). Many patients had multilobar infiltration in chest X-ray, dominantly in the lower lobe, thirty two patients(55.2%) had infiltration in more than 2 lobes and 5 patients in more than 4 lobes. The significant correlation between the diabetes mellitus and the infiltrated Rt lower lobe(RLL) was found on the borders of confidence limit.(P=0.07<0.1). There was significant correlation between woman and infiltrated lobe(RML, RLL, LLL) excluding the both upper lobe(P=0.029). Conclusion: We must consider tuberculous pneumonia when lobar pneumonia with consolidation resistant to antibiotics, especially in the patients who have diabetes mellitus, chronic obstructive pulmonary disease, malignancy, bronchiectsis, chronic renal failure or long term history of corticosteroid treatment.

Original languageEnglish
Pages (from-to)19-24
Number of pages6
JournalTuberculosis and Respiratory Diseases
Volume57
Issue number1
Publication statusPublished - 2004 Jul

Keywords

  • Tuberculous pneumonia

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Infectious Diseases

Fingerprint Dive into the research topics of 'Clinical investigation of tuberculous pneumonia'. Together they form a unique fingerprint.

  • Cite this

    Seung, H. L., Gyu, Y. H., Ki, H. J., Sung, Y. L., Sang, Y. L., Jae, H. K., Sang, M. P., Shin, C., Jae, J. S., Kwang, H. I., Kyung, H. K., & Sae, H. R. (2004). Clinical investigation of tuberculous pneumonia. Tuberculosis and Respiratory Diseases, 57(1), 19-24.