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NELLY AZMI
INTRODUCTION
TB
1/3 of the world's population is infected with M. tuberculosis Elderly at risk for development of TB beside HIV/AIDS The geriatric population represents the largest reservoir of TB particularly in developed countries
Compare between the young and elderly TB patients clinical characteristics roentgenographic predisposing factors
Statistical analysis using SPSS To determine the significance of correlations, Chi-square test was used
RESULTS
DISCUSSION
TB is still a major cause of morbidity and mortality worldwide
unrecognized pulmonary TB specially among the elderly is greater importance, it often may lead to premature death and unrecognized transmission of infection in the community
This study
Tb in elderly
Underlying ds
Tb in young
Less fever, hemoptysis, etc
Ro : atypical
This study confirmed the findings of Alvarez, Rizvi, Zamarron, Chan, Khan and Leung that the elderly patients had higher number of underlying disease than young patients and had less fever, hemoptysis and more nonspecific complaints
this data confirmed the previous reports that A relatively high proportion of patients with pulmonary TB in all age groups had atypical radiological findings
In elderly tb
The usefulness of fiberoptic bronchoscopy in diagnosis of smear negative pulmonary TB
Elderly suspected TB with lower lung field infiltration are those who will more likely benefit from FOB, bronchial washing and biopsy to reach an early diagnosis Patients with lower lung field TB are more likely to have endobronchial TB
conclusion
TB in the elderly was associated more often with non-specific symptoms Underlying conditions are more often present in the elderly Roentgenographic appearance of TB in the elderly is more often with lower lung infiltration
A high index of suspicion must be maintained to identify the disease in the elderly in order to prevent transmission of infection to others