Sen Tiyas, Joshi Shashank R, Udwadia Zarir F
Hinduja Hospital and National Research Centre, Mahim, Mumbai, India.
J Assoc Physicians India. 2009 May;57:399-404.
The link between tuberculosis (TB) and diabetes mellitus (DM) has occupied the center stage of discussion. Experts have raised concern about the merging epidemics of tuberculosis and diabetes particularly in the low to medium income countries like India and China that have the highest burden of TB in the world, and are experiencing the fastest increase in the prevalence of DM. There is good evidence that DM makes a substantial contribution to TB incidence. The huge prevalence of DM in India, may be contributing to the increasing prevalence of TB. This review looks at the link between these two merging epidemics. We discuss the epidemiology, clinical features, microbiology and radiology, and management and treatment outcomes of patients with tuberculosis and diabetes mellitus.
结核病（TB）与糖尿病（DM）之间的关联一直是讨论的焦点。专家们对结核病和糖尿病这两种流行病的合并流行表示担忧，尤其是在印度和中国等中低收入国家，这些国家承担着全球最高的结核病负担，且糖尿病患病率正以最快的速度上升。有充分证据表明，糖尿病对结核病发病率有重大影响。印度糖尿病的高患病率可能是导致结核病患病率上升的原因之一。本综述探讨了这两种合并流行疾病之间的关联。我们讨论了结核病和糖尿病患者的流行病学、临床特征、微生物学和放射学，以及管理和治疗结果。
