Perhimpunan Dokter Paru Indonesia - Clinical and radiological features of pulmonary tuberculosis in elderly
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Clinical and radiological features of pulmonary tuberculosis in elderly




Abir Hedhli1, Hajer Racil1, Sonia Habibech1, Saoussen Bacha1, Sana Cheikhrouhou1, Naouel Chaouch1 and Abdellatif Chabbou1
1Pulmonology, Abderrahmen Mami Hospital, Ariana, Tunisia

Introduction: Elderly patients is a group with a higher risk of infection, particularly tuberculosis (TB).

Objectives: To determine the clinical and radiological features and outcomes of pulmonary tuberculosis (PTB) in the elderly. Materials and Methods: we conducted a retrospective case-control study between 2004 and 2012 on 150 patients hospitalized in a pulmonology department for a first episode of confirmed PTB . This population was divided into two groups: group 1 (G1) represents 40 elderly TB patients (over 65 years) and Group 2 (G2) represents 110 patients (under 65 years). A radiological score was used to evaluate the extension of pulmonary lesions.

Results: The mean age was 68 years (G1) and 25 years (G2). All patients were male. Comorbidities were more noted in G1 (p=0.02). Smoking and alcoholism were similar in both groups but tobacco consumption was higher in G1 (p> 0.05). The mean time of consultation was longer for G1 (p> 0.05). Clinical signs were similar in both groups, however, hemoptysis was more marked among young people (33%) and dyspnea predominated in the elderly (20%). The tuberculin skin test was positive in 58% of cases in the G1 and 73% of cases in the G2 (p> 0.05). The radiological lesions were more extensive (p=0,04) in G1. However, a predominance of cavitary lesions was more frequent in G2 (p=0,02).The delay of sputum smear conversion was longer in G1(p=0,04). Complications of tuberculosis treatment were more noted in G1 (p = 0.02). Three deaths occurred in G1 while One patient died in the G2.

Conclusion: Pulmonary tuberculosis in the elderly is particular by the severity of pulmonary lesions and the frequency of treatment side effects which require more vigilance for this group.

http://erj.ersjournals.com/content/48/suppl_60/PA2655



PP-PDPI. 14/03/17.



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