Volume : 7, Issue : 11, November - 2018

Pattern of Radiological Sequelae in new Pulmonary Tuberculosis Cases- A Peripheral Hospital's experience

Dr Amit Bajpai, Dr Samar Chatterjee

Abstract :

<p>&nbsp;<span class="None" style="text-align: justify;"><span style="font-size:12.0pt;line-height:&#10;200%;font-family:&quot;Arial&quot;,&quot;sans-serif&quot;;mso-bidi-font-family:&quot;Arial Unicode MS&quot;">India contributes to almost 27% of global load of TB.&nbsp; Radiographs remain the mainstay of imaging for Pulmonary TB. <b><u>Aim</u></b>: </span></span><span class="None" style="text-align: justify;"><span style="font-size: 12pt; line-height: 200%; font-family: Arial, sans-serif; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">In this study, we describe the pattern seen at a peripheral hospital during the Xray follow up of newly detected TB cases following completion of treatment. </span></span><span class="None" style="text-align: justify;"><b><u><span style="font-size: 12pt; line-height: 200%; font-family: Arial, sans-serif; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">Methodolgy </span></u></b></span><span class="None" style="text-align: justify;"><span style="font-size: 12pt; line-height: 200%; font-family: Arial, sans-serif; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">: A retrospective observational study carried out at a peripheral hospital of North India. Chest x-rays of patients were studied prior to starting the treatment and at the end of their treatment during Oct 2016- May 2018.</span></span>< /> <span class="None"><b><u><span style="font-size: 12pt; font-family: Arial, sans-serif; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">Results:</span></u></b><span style="font-size: 12pt; font-family: Arial, sans-serif; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"> A total of 173 new cases of pulmonary, pleural, and mediastinal tuberculosis were included. Residual x-ray lesions were observed in 72 cases (41.6%); 52 (72.2% ) of the residual lesions were parenchymal in nature, 18 were&nbsp; (25 %)</span><span lang="FR" style="font-size: 12pt; font-family: Arial, sans-serif; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"> pleural lesions, and </span><span style="font-size: 12pt; font-family: Arial, sans-serif; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">2 (2.8 % )were mediastinal lesions. Complete radiological resolution was seen in 102 (58.9%). <b><u>Conclusion:</u></b> A significant proportion of patients having clinical improvement and successful completion of treatment show r</span><span lang="IT" style="font-size: 12pt; font-family: Arial, sans-serif; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">esidual sequelae on radiographs</span></span></p>