pulmonary tuberculosis in the elderly

7/28/2019 Pulmonary Tuberculosis in the Elderly

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Pulmonary Tuberculosis in the

Elderly

NELLY AZMI


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INTRODUCTION

TB one of the world's most lethal diseases

1/3 of the world's population is infected with M.

tuberculosis

Elderly at risk for development of TB beside

HIV/AIDS

The geriatric population represents the largest

reservoir of TB particularly in developed countries


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26 % cases diagnosed were 65 yo

60.3% of TB cases diagnosed at death

TB in the elderly may differ from in younger

These differences : delay in diagnosis, clinical and

radiological characteristics

turn leads to morbidity andmortality in this age group


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Aim th is s tudy

Compare between the young and elderly TB patients

clinical characteristics

roentgenographic

predisposing factors


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MATERIALS AND METHODS

reviewed the records of all patients withthe pulmonary TB during 6 year

95 patients were included divided into : 45 (33)

65 (40)

Statistical analysis using SPSS

To determine the significance ofcorrelations, Chi-square test was used


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DISCUSSION

TB is still a major cause of morbidityand mortality worldwide

incidence in the elderly is increasing

unrecognized pulmonary TB specially among the elderly isgreater importance, it often may lead to premature death andunrecognized transmission of infection in the community


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This study

Tb inelderly

Underlyingds

Ro :atypical

Tb inyoung

Less fever,hemoptysis,

etc

Ro: upperlobe

infiltration


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This study confirmed the findings of Alvarez, Rizvi,

Zamarron, Chan, Khan and Leung that

the elderly patients had higher number ofunderlying disease than young patients

and had less fever, hemoptysis and more non-

specific complaints

this data confirmed the previous reports that

A relatively high proportion of patients withpulmonary TB in all age groups had atypical

radiological findings


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In elderly tb

The usefulness of fiberoptic bronchoscopy in diagnosisof smear negative pulmonary TB

Elderly suspected TB with lower lung field infiltration arethose who will more likely benefit from FOB, bronchialwashing and biopsy to reach an early diagnosis

Patients with lower lung field TB are more likely to haveendobronchial TB


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conclusion

TB in the elderly was associated more often withnon-specific symptoms

Underlying conditions are more often present in theelderly

Roentgenographic appearance of TB in the elderly ismore often with lower lung infiltration

A high index of suspicion must be maintained toidentify the disease in the elderly in order to preventtransmission of infection to others


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pulmonary tuberculosis in the elderly

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