Dr Sayeda Mubina Noor, Consultant, Department of Endocrinology, Ibn Sina Diagnostic and Imaging centre, 9/A Dhanmondi, Dhaka, Bangladesh; E-mail:
Mymensingh Med J. 2024 Oct;33(4):1211-1218.
Chest X-ray is an important diagnostic aid frequently used alongside microscopic smear of sputum for the confirmation of pulmonary tuberculosis (TB). However, there is a dearth of literature investigating the clinical and radiological pattern of sputum positive pulmonary TB among adults in Bangladesh. The current study explored these patterns in presentation. This descriptive cross-sectional study was conducted at outpatients in department of medicine of a tertiary care hospital. A total of 50 newly diagnosed adult cases of smear positive pulmonary TB attending at the Directly Observed Treatment Short-course (DOTS) corners were consecutively included. Informed written consent was taken before inclusion. Data were collected through face-to-face interview. Radiological presentation was explored using chest X-ray. Data were analyzed by SPSS version 26.0. The average age of patients was 41.0±17.12 years and majority were male (78.0%). The most prevalent respiratory symptom was cough (80.0%) followed by constitutional symptom like fever (70.0%) and weight loss (72.0%). Wasting was the predominant sign (60.0%). Radiologically both lungs were involved in 32.0%, left lung were involved in 30.0% cases and right lung were involved in 26.0% of cases. Twelve percent (12.0%) of patients had normal chest X-ray. Upper zone involvement was commonly observed in this study's patients (66.0%). The predominant pattern was consolidation (46.0%) followed by fibrosis (26.0%), nodular opacity (12.0%), collapse (10.0%), cavity (6.0%), pleural effusion (2.0%) and bronchiectasis (2.0%). Findings of this study would help familiarize and identify the common clinical and radiological presentations of sputum positive pulmonary TB patients in day-to-day practice.
胸部 X 光检查是一种常用的诊断辅助手段，常与痰涂片显微镜检查一起用于确认肺结核（TB）。然而，孟加拉国关于痰涂片阳性肺结核成人患者的临床和影像学表现的文献很少。本研究旨在探讨这些表现模式。这是一项描述性的横断面研究，在一家三级保健医院的内科门诊进行。共连续纳入 50 例新诊断为痰涂片阳性肺结核的成年患者。在纳入前获得了知情书面同意。通过面对面访谈收集数据。使用胸部 X 光检查来探索放射学表现。数据由 SPSS 版本 26.0 进行分析。患者的平均年龄为 41.0±17.12 岁，大多数为男性（78.0%）。最常见的呼吸道症状是咳嗽（80.0%），其次是发热（70.0%）和体重减轻（72.0%）等全身症状。消瘦是最主要的体征（60.0%）。放射学上，双肺受累占 32.0%，左肺受累占 30.0%，右肺受累占 26.0%。12.0%的患者胸部 X 光正常。本研究的患者中常见上肺区受累（66.0%）。主要表现为实变（46.0%），其次是纤维化（26.0%）、结节状不透明（12.0%）、塌陷（10.0%）、空洞（6.0%）、胸腔积液（2.0%）和支气管扩张（2.0%）。本研究的结果将有助于在日常实践中熟悉和识别痰涂片阳性肺结核患者的常见临床和影像学表现。
