The Effect of Glycemic Status on the X-ray Image of Pulmonary Tuberculosis in Patients with Type 2 Diabetes Mellitus
https://doi.org/10.52560/2713-0118-2023-4-11-25
Abstract
The study is devoted to determining the effect of the level of glycemic status, on the X-ray picture in patients with type 2 diabetes mellitus. The X-ray archive of 82 patients with pulmonary tuberculosis and type 2 diabetes mellitus was analyzed. The evaluation of the radiological picture was carried out with the correlation of the level of glucose in the blood. In patients with fasting glucose values of 10 mmol/l and above, the X-ray picture of tuberculosis was characterized by extensive areas of lung tissue consolidation, with a 50 % frequency of localization in the lower sections, with the rapid formation of decay cavities. The course of tuberculosis with severe tuberculous intoxication was observed in patients with sharp jumps in the daily blood glucose index of more than 5 mmol/l, even in patients with an average glucose index of no more than 8 mmol/l. The X-ray picture was characterized by the presence of areas of consolidation in the lungs on both sides with many air cavities and dropout foci; the appearance of new areas of consolidation against the background of anti-tuberculosis therapy.
About the Authors
Yu. A. Chaadaeva
Novosibirsk State Medical University, Ministry of health of Russia; Integral medicine
Russian Federation
Russian Federation
Chaadaeva Yulia Aleksandrovna, Associate of Department of Radiology; radiologist
52, Krasny Prospekt, Novosibirsk, Siberian Federal District, 630091
+7 (923) 139-07-13
N. A. Gorbunov
Novosibirsk State Medical University, Ministry of health of Russia
Russian Federation
Russian Federation
Gorbunov Nikolay Alekseevich, M. D. Med., Associate Professor, Professor of Department of Radiology
52, Krasny Prospekt, Novosibirsk, Siberian Federal District, 630091
+7(913) 913-04-41
A. P. Dergilev
Novosibirsk State Medical University, Ministry of health of Russia
Russian Federation
Russian Federation
Dergilev Aleksandr Petrovich, M. D. Med., Professor, Head of Department of Radiology
52, Krasny Prospekt, Novosibirsk, Siberian Federal District, 630091
+7 (913) 921-15-33
Ya. L. Manakova
Novosibirsk State Medical University, Ministry of health of Russia
Russian Federation
Russian Federation
Manakova Yana Leonidovna, Ph. D. Med., Associate Professor of Department of Radiology
52, Krasny Prospekt, Novosibirsk, Siberian Federal District, 630091
+7(913) 919-12-40
V. I. Kochura
Novosibirsk State Medical University, Ministry of health of Russia
Russian Federation
Russian Federation
Kochura Victor Ivanovich, Ph. D. Med., Associate Professor of Department of Radiology
52, Krasny Prospekt, Novosibirsk, Siberian Federal District, 630091
+7 (913) 921-15-33
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For citations:
Chaadaeva Yu.A., Gorbunov N.A., Dergilev A.P., Manakova Ya.L., Kochura V.I. The Effect of Glycemic Status on the X-ray Image of Pulmonary Tuberculosis in Patients with Type 2 Diabetes Mellitus. Radiology - Practice. 2023;(4):11-25. (In Russ.) https://doi.org/10.52560/2713-0118-2023-4-11-25
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