Differences in clinical, radiological and laboratory parameters between elderly and young patients with newly diagnosed smear-positive pulmonary tuberculosis in Vietnam.

Autor: Duong KL; Thai Binh University of Medicine and Pharmacy, Thai Binh, Vietnam., Bui DM; Thai Binh University of Medicine and Pharmacy, Thai Binh, Vietnam., Dang KL; Thai Binh University of Medicine and Pharmacy, Thai Binh, Vietnam., Nguyen MC; Thai Binh University of Medicine and Pharmacy, Thai Binh, Vietnam., Pham THQ; Thai Binh University of Medicine and Pharmacy, Thai Binh, Vietnam., Tran THT; Thai Binh University of Medicine and Pharmacy, Thai Binh, Vietnam., Vo TT; Thai Binh University of Medicine and Pharmacy, Thai Binh, Vietnam., Du Pham V; Thai Binh University of Medicine and Pharmacy, Thai Binh, Vietnam., Doan VD; Thai Binh University of Medicine and Pharmacy, Thai Binh, Vietnam., Hoang NT; Thai Binh University of Medicine and Pharmacy, Thai Binh, Vietnam., Tran TVA; Thai Binh University of Medicine and Pharmacy, Thai Binh, Vietnam., Tran XT; Thai Binh University of Medicine and Pharmacy, Thai Binh, Vietnam., Nguyen TH; Thai Binh University of Medicine and Pharmacy, Thai Binh, Vietnam., Nguyen TK; Thai Binh University of Medicine and Pharmacy, Thai Binh, Vietnam., Bui TH; Thai Binh University of Medicine and Pharmacy, Thai Binh, Vietnam., Gautret P; Thai Binh University of Medicine and Pharmacy, Thai Binh, Vietnam.; IHU-Méditerranée Infection, Marseille, France.; Aix Marseille University, AP-HM, SSA, RITMES, Marseille, France., Hoang VT; Thai Binh University of Medicine and Pharmacy, Thai Binh, Vietnam., Dao TL; Thai Binh University of Medicine and Pharmacy, Thai Binh, Vietnam.
Jazyk: angličtina
Zdroj: Tropical medicine & international health : TM & IH [Trop Med Int Health] 2024 Dec 07. Date of Electronic Publication: 2024 Dec 07.
DOI: 10.1111/tmi.14068
Abstrakt: Objectives: To investigate the differences in clinical, radiological and laboratory parameters between elderly and young patients with newly diagnosed smear-positive pulmonary tuberculosis in Vietnam.
Methods: This retrospective analysis included all patients hospitalised with newly diagnosed pulmonary tuberculosis with acid-fast bacilli-positive smear. Clinical symptoms, laboratory results and chest X-ray findings were collected using a standardised questionnaire. Elderly was defined as those patients aged 65 years and older.
Results: A total of 183 patients diagnosed with new acid-fast bacilli-positive pulmonary tuberculosis were included in this study, with a mean age of 56.2 ± 16.3 years (minimum = 18 and maximum = 87 years). Seventy-seven participants were aged ≥65 years, accounting for 42.1% of participants. A total of 147 (80.3%) patients were male, and the sex ratio of male/female was 4.1. Night sweats were statistically more frequent among younger patients (34.9% vs. 20.8%, p = 0.04), whereas muscle and joint pain were more predominant among the elderly (7.6% vs. 22.1%, p = 0.01). A proportion of 67.0% of younger patients and 63.6% of the elderly group were bilaterally affected. Cavitation lesions were significantly more frequent in the younger group (55.7% vs. 39.0%, p = 0.03), whereas pulmonary fibrosis occurred more frequently in elderly patients (29.3% vs. 45.4%, p = 0.02). No other significant differences in clinical symptoms, laboratory results and chest X-ray findings were observed.
Conclusion: These findings underscore the importance of considering age-related variations in the clinical and radiological presentation of tuberculosis, which can guide tailored approaches in diagnosis, management and treatment strategies for different age groups.
(© 2024 John Wiley & Sons Ltd.)
Databáze: MEDLINE
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