Clinical and epidemiological aspects of cases of tuberculosis associated with diabetes in Salvador, Bahia, Brazil

Leal, Sâmia Barreto; Araújo, Gleide Santos de; Nery, Joilda Silva; Santos, Carlos Antonio de Souza Teles; Oliveira, Maeli Gomes de; Barreto, Mauricio Lima; Pereira, Susan Martins

doi:10.1590/0037-8682-0409-2016

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Short Communications • Rev. Soc. Bras. Med. Trop. 50 (03) • May-Jun 2017 • https://doi.org/10.1590/0037-8682-0409-2016 copy

Clinical and epidemiological aspects of cases of tuberculosis associated with diabetes in Salvador, Bahia, Brazil

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

INTRODUCTION:

This study compares the clinical and epidemiological features of patients with TB, with and without DM.

METHODS

New cases of active pulmonary TB that occurred in Salvador, Bahia, Brazil between 2008 and 2010 were included. DM was diagnosed by based on diagnostic criteria established by the American Diabetes Association.

RESULT

S: Of the 323 cases of TB, 44 (13.6%) were diabetic . Patients with TB and DM were older (44.7%), with a high level of education (34.%); had slow wound healing (23.4%) and fatigue (61.7%).

CONCLUSIONS

Clinical symptoms differed between patients with TB, with and without DM.

Keywords:
Tuberculosis; Diabetes; Symptoms

	Cases of tuberculosis
	diabetes		no diabetes		p-value
	n	%	n	%
Variables
Sex
female	24	51.1	102	36.9	0.07
male	23	48.9	174	63.1
Age (years)
14-29	3	6.4	90	32.6	0.01
30-39	9	19.5	72	26.1
40-49	14	29.8	61	22.1
≥50	21	44.7	53	19.2
Marital status
single	20	42.5	146	52.9	0.07
married	18	40.4	111	39.9
other*	6	17.1	22	7.2
House
own	39	82.9	225	81.5	0.91
rented	5	10.6	35	12.7
others**	3	6.4	16	5.8
Education
elementary school	14	29.8	116	42.0	0.01
middle school	17	36.2	119	43.1
high school or more	16	34.0	41	14.9
Family income (R$)***
40-300	1	2.2	16	5.8	0.05
301-600	21	46.7	77	27.9
601-1,000	13	28.9	78	28.3
≥1,001	6	13.3	40	14.5
no information	4	8.9	66	23.5

	Cases of tuberculosis
	diabetes		no diabetes		p-value
	n	%	n	%
Variables
Previous tuberculosis
yes	3	6.4	19	6.9	0.99
no	44	93.6	257	93.1
Tuberculosis contact
yes	13	27.6	76	27.5	0.97
no	34	72.4	200	72.5
TB treatment history
yes	3	6.4	17	6.2	0.95
no	44	93.6	259	93.8
Fever
yes	34	72.4	193	69.9	0.74
no	13	27.6	83	30.1
Adenomegaly
yes	1	2.1	20	7.3	0.19
no	46	97.9	255	92.7
Coughing
yes	46	97.9	268	97.1	0.77
no	1	2.1	8	2.9
Expectoration
yes	37	78.7	217	78.6	0.98
no	10	21.3	59	21.4
Hemoptysis
yes	16	34.0	73	26.6	0.29
no	31	66.0	202	73.4
Night sweats
yes	24	51.1	158	57.4	0.41
no	23	48.9	117	42.6
Weight loss
yes	40	85.1	229	83.0	0.71
no	7	14.9	47	17.0
Other symptoms
chest pain	14	29.8	93	33.7	0.04
dyspnea\fatigue\asthenia	3	6.4	11	4.0
body ache\leg pain\feet pain	8	17.0	20	7.3
headache	3	6.4	7	2.5
other	4	8.5	11	4.0
no information	15	31.9	134	48.5
Slow wound healing
yes	11	23.4	12	4.4	0.01
no	36	76.6	263	95.6
Fatigue or leg pain
yes	29	61.7	118	42.9	0.02
no	18	38.3	159	57.1
Bacille calmette guérin vaccine scar
yes	39	83.0	233	84.4	0.80
no	8	17.0	43	15.6

Characteristics	Obs*	Diabetes (n=47)	Obs*	No diabetes (n=279)	p value**
		Mean (standard deviation)		Mean (standard deviation)
Duration of fever-days***	34	25.3 (27.1)	193	16.6 (22.7)	0.01
Duration of coughing-days***	45	73.5 (75.2)	269	67.1 (101.7)	0.13
Onset of symptoms-days***	39	67.1 (45.7)	225	62.3(51.5)	0.15

Sociedade Brasileira de Medicina Tropical - SBMT Caixa Postal 118, 38001-970 Uberaba MG Brazil, Tel.: +55 34 3318-5255 / +55 34 3318-5636/ +55 34 3318-5287, http://rsbmt.org.br/ - Uberaba - MG - Brazil
E-mail: rsbmt@uftm.edu.br

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[1] Corresponding author: Dra. Susan Martins Pereira. e-mail: susanmp@ufba.br