Differences in Chest X-Ray Imaging in Pulmonary Tuberculosis across Various Comorbidities

Mohammad, Subkhan and Meltritania Arief, Rezacharawa and Muslim Andala, Putra and Afrita Amalia, Laitupa and Putu, Bagus and Dharma, Permana and Laily, Irfana (2025) Differences in Chest X-Ray Imaging in Pulmonary Tuberculosis across Various Comorbidities. Differences in Chest X-Ray Imaging in Pulmonary Tuberculosis across Various Comorbidities, 11 (2). pp. 169-180. ISSN 2774-2318

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Abstract

Background: Tuberculosis (TB) remains a significant public health concern in Indonesia, with a high prevalence of cases, particularly in patients with comorbidities such as HIV infection, chronic obstructive pulmonary disease (COPD), diabetes mellitus (DM), and chronic kidney disease (CKD). Evidence suggested radiological variations in chest X-ray findings among these complex conditions, which may pose sig-nificant challenges in accurately diagnosing pulmonary TB in clinical practice. Objective: Thisstudy aimed to provide a comprehensive understanding of the variations in chest X-ray imaging in pulmonary TB patients with specific comorbidities, focusing on DM, CKD, and COPD. Methods: A cross-sectional study was conducted at Siti Khodijah Muhammadiyah Sepanjang Hospital using standardized medical records and chest X-ray results of 50 pulmonary patients with comorbidities. Results: The most prevalent comorbidity was DM, with radiological findings including fibro infiltrates, consolidations, and cavities. CKD patients exhibited radiological features such as fibroinfiltrates, cavitations, and pleural effusion, while COPD patients presented with fibroinfiltrates and consolidations. Conclusion: The study provides valuable insights into the radiological manifestations of pulmonary TB and its comorbidities. It offers a basis for improved management and treatment strategies for patients with pulmonary TB and comorbidities. Further research employing longitudinal designs and a balanced representation of comorbid conditions is recommended to enhance understanding of the interplay between TB and associated health conditions.

Item Type:	Article
Subjects:	R Medicine > R Medicine (General) R Medicine > RF Otorhinolaryngology
Divisions:	Jurnal > Fakultas Kedokteran
Depositing User:	FAKULTAS KEDOKTERAN KEDOKTERAN
Date Deposited:	17 Jun 2025 01:12
Last Modified:	17 Jun 2025 01:12
URI:	http://repository.um-surabaya.ac.id/id/eprint/10195

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