@article {Perez-Guzman:May 2001:1027-3719:455,
	author = "Perez-Guzman C.",
	author = "Torres-Cruz A.",
	author = "Villarreal-Velarde H.",
	author = "Salazar-Lezama M. A.",
	author = "Vargas M. H.",
	title = "Atypical radiological images of pulmonary tuberculosis in 192 diabetic patients: a comparative study",
	journal = "The International Journal of Tuberculosis and Lung Disease",
	volume = "5",
	year = "May 2001",
	abstract = "<P>SETTING: Comparative studies of pulmonary tuberculosis images in diabetics have yielded conflicting results.</P><P>OBJECTIVE: To assess radiological images of pulmonary tuberculosis in a large population of diabetic patients</P><P>DESIGN: Radiographs from in-patients admitted with pulmonary tuberculosis and diabetes (TBDM group, <I>n</I> = 192) were reviewed and compared with a control group of patients with pulmonary tuberculosis alone (TB group, <I>n</I> = 130).</P><P>RESULTS: Both groups had a similar evolution time of tuberculosis (<IMG SRC="/iso-ents/isotech/sim.gif" ALT="sim">2 years). Statistical differences were observed as follows: TBDM patients were older (51.3 &#177; 0.9 vs. TB group 44.9 &#177; 1.8 years, mean &#177; SEM), and had a decreased frequency of upper (17% vs. 56%), and an increased frequency of lower (19% vs. 7%) and upper + lower (64% vs. 36%) lung field lesions. More TBDM patients developed cavitations (82% vs. 59%) more often in the lower lung fields (29% vs. 3%). More multiple cavities were seen in TBDM patients (25% vs. 2%). TBDM group had a lower total leukocyte count (8836.7 &#177; 219.5 vs. 10013.1 &#177; 345.2 cells/mm<SUP>3</SUP>), mainly due to a lower number of non-lymphocyte cells (6815.8 &#177; 221.8 vs. 8095.7 &#177; 321.9 cells/mm<SUP>3</SUP>). Multiple logistic regression showed that being a diabetic patient was the most important factor determining lower lung field lesions and cavities.</P><P>CONCLUSIONS: This study in a large number of diabetics with pulmonary tuberculosis confirmed that their chest X-ray images significantly depart from the typical presentation. Clinicians must keep this in mind to avoid misdiagnosis.</P>",
	pages = "455-461(7)",
	url = "http://www.ingentaconnect.com/content/iuatld/ijtld/2001/00000005/00000005/art00010"
}