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Tuberculosis and diabetes mellitus

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https://www.readbyqxmd.com/read/27905979/diabetes-incidence-and-projections-from-prevalence-surveys-in-fiji
#1
Stephen Morrell, Sophia Lin, Isimeli Tukana, Christine Linhart, Richard Taylor, Penina Vatucawaqa, Dianna J Magliano, Paul Zimmet
BACKGROUND: Type 2 diabetes mellitus (T2DM) incidence is traditionally derived from cohort studies that are not always feasible, representative, or available. The present study estimates T2DM incidence in Fijian adults from T2DM prevalence estimates assembled from surveys of 25-64 year old adults conducted over 30 years (n = 14,288). METHODS: T2DM prevalence by five-year age group from five population-based risk factor surveys conducted over 1980-2011 were variously adjusted for urban-rural residency, ethnicity, and sex to previous censuses (1976, 1986, 1996, 2009) to improve representativeness...
November 25, 2016: Population Health Metrics
https://www.readbyqxmd.com/read/27891359/diabetes-mellitus-among-newly-diagnosed-tuberculosis-patients-in-tribal-odisha-an-exploratory-study
#2
Magna Manjareeka, Subrata Kumar Palo, Subhashisa Swain, Sandipana Pati, Sanghamitra Pati
INTRODUCTION: The association between Diabetes Mellitus (DM) and Tuberculosis (TB) poses a strong public health challenge. Tribal ethnics possess a different propensity towards infectious and haematological diseases which may influence the inter-relationship of DM and TB and thus merit separate attention. AIM: To investigate the prevalence of diabetes in newly diagnosed pulmonary TB patients of tribal ethnicity in Odisha. MATERIALS AND METHODS: A cross-sectional study was carried out over a period of 9 months at four designated TB microscopic centres in a tribal district (Malkangiri) of Odisha...
October 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27891356/attitudes-and-perceptions-of-medical-undergraduates-towards-mobile-learning-m-learning
#3
Rakesh Narayan Patil, Balaji D Almale, Mrunal Patil, Amit Gujrathi, Supriya Dhakne-Palwe, Anuradha R Patil, Shriram Gosavi
INTRODUCTION: Mobile technology is one of the latest extensions of technological innovations that can be integrated into medical education. With the aid of these devices, students learn faster outside the classroom by having quick access to the internet and easy retrieval of required health related learning resources to keep alongside of recent trend and development. In medicine practice one has to continuously update his/her medical knowledge and mobile learning will serve as a tool for self-directed learning...
October 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27867891/bangladesh-national-guidelines-on-the-management-of-tuberculosis-and-diabetes-mellitus-co-morbidity-summary
#4
REVIEW
Mohammad Delwar Hossain, Jamal Uddin Ahmed, Muhammad Abdur Rahim, A K M Musa, Zafar Ahmed Latif
Tuberculosis (TB) and diabetes mellitus (DM) have synergetic relationship. People with diabetes are 2-3 times at higher risk of getting active TB disease. On the other hand, TB or anti-TB treatment may cause glucose intolerance. The dual disease of DM and TB is more likely to be associated with atypical disease presentation, higher probability of treatment failure and complications. In most of the health-care delivery systems of the world, DM and TB are managed separately by two vertical health-care delivery programs in spite of clear interaction between the two diseases...
November 2016: Indian Journal of Endocrinology and Metabolism
https://www.readbyqxmd.com/read/27865391/modulation-of-dendritic-cell-and-monocyte-subsets-in-tuberculosis-diabetes-co-morbidity-upon-standard-tuberculosis-treatment
#5
Nathella Pavan Kumar, Kadar Moideen, Shanmugam Sivakumar, Pradeep A Menon, Vijay Viswanathan, Hardy Kornfeld, Subash Babu
Type 2 diabetes mellitus (DM) is a major risk factor for the development of active pulmonary tuberculosis (PTB), with development of DM pandemic in countries where tuberculosis (TB) is also endemic. However, the effect of anti-TB treatment on the changes in dentritic cell (DC) and monocyte subset phenotype in TB-DM co-morbidity is not well understood. In this study, we characterized the frequency of DC and monocyte subsets in individuals with PTB with (PTB-DM) or without coincident diabetes mellitus (PTB-NDM) before, during and after completion of anti-TB treatment...
December 2016: Tuberculosis
https://www.readbyqxmd.com/read/27832910/clinical-predictors-of-aminoglycoside-induced-ototoxicity-in-drug-resistant-tuberculosis-patients-on-intensive-therapy
#6
Olusola Ayodele Sogebi, Bolanle Olufunlola Adefuye, Stephen Oluwatosin Adebola, Susan Modupe Oladeji, Taiwo Olugbemiga Adedeji
OBJECTIVE: The study objectives were to determine the incidence of aminoglycoside-induced ototoxicity in institutionalized patients on intensive phase of therapy for drug-resistant Tuberculosis (DR Tb) and also to assess clinical factors which could predict the ototoxicity. METHODS: The study was a prospective analytical study among consecutive DR Tb patients who were admitted for intensive phase of therapy (of 4 months) at the DR-Tb center over a 12-month period...
November 7, 2016: Auris, Nasus, Larynx
https://www.readbyqxmd.com/read/27819024/diabetes-mellitus-as-hub-for-tuberculosis-infection-a-snapshot
#7
REVIEW
Rahul Pal, Moiz A Ansari, Saif Hameed, Zeeshan Fatima
Tuberculosis (TB) still remains the thorn in the flesh of efficient therapeutics affecting one-third of global population annually. There are several factors that enhance the susceptibility to TB infections including malnutrition, smoking, and immunocompromised conditions such as AIDS. In the recent years, growing body of evidence has gained considerable prominence which suggests that Diabetes Mellitus (DM) is individual risk factor leading to complicated TB infections. In this article the authors have attempted to summarize the link of type 2 DM with TB, the mechanistic action of how DM sensitizes for developing the active TB infection from the latent infection, and problems faced during treatment followed by possible preventive measures...
2016: International Journal of Chronic Diseases
https://www.readbyqxmd.com/read/27783671/nk-cd11c-cell-crosstalk-in-diabetes-enhances-il-6-mediated-inflammation-during-mycobacterium-tuberculosis-infection
#8
Satyanarayana Swamy Cheekatla, Deepak Tripathi, Sambasivan Venkatasubramanian, Pavan Kumar Nathella, Padmaja Paidipally, Munenori Ishibashi, Elwyn Welch, Amy R Tvinnereim, Mitsuo Ikebe, Vijaya Lakshmi Valluri, Subash Babu, Hardy Kornfeld, Ramakrishna Vankayalapati
In this study, we developed a mouse model of type 2 diabetes mellitus (T2DM) using streptozotocin and nicotinamide and identified factors that increase susceptibility of T2DM mice to infection by Mycobacterium tuberculosis (Mtb). All Mtb-infected T2DM mice and 40% of uninfected T2DM mice died within 10 months, whereas all control mice survived. In Mtb-infected mice, T2DM increased the bacterial burden and pro- and anti-inflammatory cytokine and chemokine production in the lungs relative to those in uninfected T2DM mice and infected control mice...
October 2016: PLoS Pathogens
https://www.readbyqxmd.com/read/27759352/kyrle-s-disease-a-rare-skin-manifestation-of-diabetes-mellitus
#9
A Pandey, Keshri S Yadav, Gaurav Singh, M Chaturvedi
Kyrle's disease is a rare skin disorder which is characterized by hyperkeratotic papules and nodules with a central keratotic plug mostly located in lower limbs. Exact etiology of Kyrle's disease is unknown, but its association has been reported sparsely with renal disorders, uremic patients on dialysis, diabetes mellitus, liver disease and paraneoplastic syndromes, tuberculosis and some fungal diseases. We report Kyrle's disease in a middle aged female suffering from diabetes mellitus with diabetic nephropathy on hemodialysis...
July 2016: Journal of the Association of Physicians of India
https://www.readbyqxmd.com/read/27740453/human-immunology-of-tuberculosis
#10
Thomas J Scriba, Anna K Coussens, Helen A Fletcher
Immunology is a central theme when it comes to tuberculosis (TB). The outcome of human infection with Mycobacterium tuberculosis is dependent on the ability of the immune response to clear or contain the infection.In cases where this fails, the bacterium replicates, disseminates within the host, and elicits a pathologic inflammatory response, and disease ensues. Clinical presentation of TB disease is remarkably heterogenous, and the disease phenotype is largely dependent on host immune status. Onward transmission of M...
October 2016: Microbiology Spectrum
https://www.readbyqxmd.com/read/27735148/melioidosis-series-of-eight-cases
#11
Ujjwayini Ray, Soma Dutta, Suresh Ramasubban, Dhiman Sen, Indrajeet Kumar Tiwary
OBJECTIVE: Melioidosis caused by the Gram-negative bacterium Burkholderia pseudomallei is a very serious infection and has been sporadically reported from the Indian subcontinent. This disease entity can have acute and chronic presentations involving different organ systems. The purpose of this study is to analyze the risk factors, clinical presentations, therapy and outcome of culture proven cases of melioidosis. METHODS: We carried out a retrospective study of eight culture proven cases of melioidosis at a tertiary care hospital in West Bengal...
May 2016: Journal of the Association of Physicians of India
https://www.readbyqxmd.com/read/27733244/tuberculosis-diabetes-epidemiology-in-the-border-and-non-border-regions-of-tamaulipas-mexico
#12
Bassent E Abdelbary, Moncerrato Garcia-Viveros, Horacio Ramirez-Oropesa, Mohammad H Rahbar, Blanca I Restrepo
Type 2 diabetes mellitus (DM) is a re-emerging risk factor for TB development and adverse TB outcomes. As a follow-up of our previous study in 1998-2004, we reassessed prevalence of DM and its associated factors among 8431 TB patients using surveillance data from 2006 to 2013 for the Mexican state of Tamaulipas, across the border with Texas. Prevalence of DM was 25.2%, with an increase of at least 2.8% over the study period. Newly discovered factors associated with TB-DM (versus no DM) were lower education and higher unemployment (p < 0...
September 28, 2016: Tuberculosis
https://www.readbyqxmd.com/read/27728383/screening-for-tuberculosis-in-1-005-adult-patients-with-diabetes-mellitus-at-a-tertiary-care-hospital
#13
P Sumanth Reddy, A Mohan, B S Kumar, A Sachan, D P Kumar
No abstract text is available yet for this article.
January 2016: Journal of the Association of Physicians of India
https://www.readbyqxmd.com/read/27726784/human-immunology-of-tuberculosis
#14
Thomas J Scriba, Anna K Coussens, Helen A Fletcher
Immunology is a central theme when it comes to tuberculosis (TB). The outcome of human infection with Mycobacterium tuberculosis is dependent on the ability of the immune response to clear or contain the infection.In cases where this fails, the bacterium replicates, disseminates within the host, and elicits a pathologic inflammatory response, and disease ensues. Clinical presentation of TB disease is remarkably heterogenous, and the disease phenotype is largely dependent on host immune status. Onward transmission of M...
August 2016: Microbiology Spectrum
https://www.readbyqxmd.com/read/27725050/screening-diabetes-in-tuberculosis-patients-in-eastern-rural-china-a-community-based-cross-sectional-study
#15
Q Zhao, X Xiao, W Lu, L-X Qiu, C-M Zhou, W-L Jiang, B Xu, V Diwan
OBJECTIVES: To understand the prevalence of diabetes mellitus (DM) and tuberculosis (TB) comorbidity in rural China and to identify factors associated with TB-DM comorbidity and screening efficacy. METHODS: A community-based cross-sectional study was carried out in four counties in eastern rural China. All TB patients newly registered from April 2013 to March 2014 were screened for DM using fasting blood glucose (FBG). Screening-positive patients were further examined using glycosylated haemoglobin A1C (HbA1c)...
October 2016: International Journal of Tuberculosis and Lung Disease
https://www.readbyqxmd.com/read/27725043/population-impact-of-factors-associated-with-prevalent-pulmonary-tuberculosis-in-tanzania
#16
M Senkoro, A M V Kumar, P Chinnakali, S G Mfinanga, S Egwaga, V Kamara, F van Leth, S G Hinderaker
SETTING: Tanzania has an estimated tuberculosis (TB) prevalence of 295 per 100 000 adult population. There is currently no nationally representative information on factors associated with TB in Tanzania. OBJECTIVE: To determine the demographic and clinical factors associated with bacteriologically confirmed TB in the adult general population of Tanzania. DESIGN: A case-control study nested in a nationally representative TB prevalence survey...
October 2016: International Journal of Tuberculosis and Lung Disease
https://www.readbyqxmd.com/read/27651240/anti-tuberculosis-drug-concentrations-in-tuberculosis-patients-with-and-without-diabetes-mellitus
#17
A K Hemanth Kumar, V Chandrasekaran, T Kannan, A Lakshmi Murali, J Lavanya, V Sudha, Soumya Swaminathan, Geetha Ramachandran
PURPOSE: The aim of the study was to compare plasma concentrations of rifampicin (RMP), isoniazid (INH) and pyrazinamide (PZA) between tuberculosis (TB) patients with and without diabetes mellitus (DM). METHODS: Two-hour post-dosing concentrations of RMP, INH and PZA were determined in adult TB patients that were studied with (n = 452) and without DM (n = 1460), treated with a thrice-weekly regimen in India. Drug concentrations were estimated by HPLC. RESULTS: The median (IQR) INH [6...
September 20, 2016: European Journal of Clinical Pharmacology
https://www.readbyqxmd.com/read/27642601/effect-of-diabetes-mellitus-on-tuberculosis-treatment-outcome-and-adverse-reactions-in-patients-receiving-directly-observed-treatment-strategy-in-india-a-prospective-study
#18
Ali Nasir Siddiqui, Khalid Umer Khayyam, Manju Sharma
Despite successful implementation of directly observed treatment, short course (DOTS) in India, the growing number of diabetes mellitus (DM) patients appears to be a cause in the increasing tuberculosis (TB) incidence, affecting their management. In this regard, a prospective study was conducted on DOTS patients in three primary health care centers in urban slum region of South Delhi, India, to evaluate the effect of DM on sputum conversion, treatment outcome, and adverse drug reactions (ADR) due to anti-TB treatment...
2016: BioMed Research International
https://www.readbyqxmd.com/read/27636095/a-prediction-rule-to-stratify-mortality-risk-of-patients-with-pulmonary-tuberculosis
#19
Helder Novais Bastos, Nuno S Osório, António Gil Castro, Angélica Ramos, Teresa Carvalho, Leonor Meira, David Araújo, Leonor Almeida, Rita Boaventura, Patrícia Fragata, Catarina Chaves, Patrício Costa, Miguel Portela, Ivo Ferreira, Sara Pinto Magalhães, Fernando Rodrigues, Rui Sarmento-Castro, Raquel Duarte, João Tiago Guimarães, Margarida Saraiva
Tuberculosis imposes high human and economic tolls, including in Europe. This study was conducted to develop a severity assessment tool for stratifying mortality risk in pulmonary tuberculosis (PTB) patients. A derivation cohort of 681 PTB cases was retrospectively reviewed to generate a model based on multiple logistic regression analysis of prognostic variables with 6-month mortality as the outcome measure. A clinical scoring system was developed and tested against a validation cohort of 103 patients. Five risk features were selected for the prediction model: hypoxemic respiratory failure (OR 4...
2016: PloS One
https://www.readbyqxmd.com/read/27630197/impaired-recognition-of-mycobacterium-tuberculosis-by-alveolar-macrophages-from-diabetic-mice
#20
Nuria Martinez, Natkunam Ketheesan, Kim West, Therese Vallerskog, Hardy Kornfeld
BACKGROUND:  Diabetes mellitus is associated with increased tuberculosis (TB) risk and disease severity. We previously reported that TB susceptibility in diabetic mice results from a delay in innate immune response to inhaled Mycobacterium tuberculosis, leading to delayed adaptive immune priming and consequently higher plateau lung bacterial burden and greater immune pathology. METHODS:  We tested the capacity of alveolar macrophages (AM) from diabetic mice to phagocytose M...
September 13, 2016: Journal of Infectious Diseases
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