Title: A Study of Chronic Obstructive Pulmonary Diseases in Post Tuberculosis Patients Reporting in a Tertiary Care Hospital in Eastern India

Authors: Somnath Das, Sukanta Sen, Ankita Debnath, Sumitra Basuthakur

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i2.22

Abstract

Background: Chronic Obstructive Pulmonary Diseases (COPD) is a common preventable and treatable disease characterized by persistent airflow limitation. TB is a serious public health problem causing immense morbidity, mortality and distress to individuals, families and communities. 

Methodology: In this study 100 consecutive subjects who had pulmonary TB in the past and had taken full course of anti-tubercular treatment and now coming with the complaint of one or more of cough, shortness of breath and expectoration were selected.

Results: 100 % of the patients presented with shortness of breath. About 78 % of the patients presented with cough and 56 % of the patients presented with expectoration. Near about 58 % of the patients presented with wheeze. Hemoptysis was present in 16 % of the patients and 31% of the patients presented with chest pain. Most of the 81 % of the patients had the duration of the symptoms less than 5 years.

Conclusion: There is a significant association between the severity of dyspnea and the COPD in post TB patients. There is a statistically proven association between the number of years before the pulmonary TB disease and the development of COPD. There is a statistically proven association between the duration of symptoms and the development of COPD.

Keywords: Chronic obstructive pulmonary disease, Tuberculosis, mMRC scale, spirometry.

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