الفهرس 
IntroductionOnly 14 pages are availabe for public view
 |  | from | 112 |  |  |
| | | from | 112 | | |
Abstract
The different circumstances and predisposing
factors at which puLmonar y tuberculosis ma-z OCcur were
studied among 2000 patients with pulmonary tuberculosis.
One thousand of these cases were taken as a retrospective
study and the other thousand were stud aed during
their . hospitalization.
Most of the patients were males (83.05%) while
females were only 16.95 %. The highest incidence of
the disease was found between 21-30 years (39.35%)
espicially at the age group of 21-25 years (24.5%).
54% of the patients were unmarried while the
married patients were 44.2% and 1.8% were widows
As regards occupation, it was eviden: that the
highest incidence was among labourers (4::.9%) which
may be due to their low socioeconomic level, over work
and fatigue. The soldiers represented 10. 6:~, followed
by the students (9.05%).the salers (7.25%), the clerks
(6.75%), the farmers (3.6%), and lastly the paramedical
staff (0.4%).
As regards the patients habits, the hi.qhast;
were cigarette smokers (44.55%).
smokers. 5.55% were hashish addicts
alcoholics.
16.6 % were
and 1.15%
goza
were
It was found that most of the patients were those
of low socioeconomic levels with bad housing conditions’
12.2% of the patients had a history of contact to an
active tuberculous case.
The history of long term treatment with corticosteroids
was present in 1.8% of the patients. Most of
the patients were anaemic (59.1 %).
As regards the other clinical conditions. diabetes
melli tus was the most important (7.8%). 69.9% of the
diabetic tuberculous patients were males and only
30.1% were females. Most of these cases were in the
fifth and sixth decades of life. The majority of these
cases were diagnosed as diabetics at time of admission
for treatment of pulmonary tuberculosis. This reflects
the importance of urine testing for suger and blood
suger curve for tuberculous patients espicially those
of old age.
Bronchial asthma was found in 0.65% of the patients
(recei ved corticosteroids) • 0.6% with history of
pleural effusion, 0.5 % with athmatic bronchi tis, and
one case only (0.05%) of silicosis.
Congestive heart failure was found in 0.6% of
patients , one case of rheumatic carditis (0.05%) and
also one case (0.05 %l of fallot’s tetralogy.
Peptic ulcer was found in 3 cases «(l.lS%) and 2
cases (0.1 %) had a history of partial gastrectomy.
Chronic renal failure was found in cases (0.15 %).
As regards the role of parasitic infestation,
ascariasis was found in 8.65%, then bilharziasis (4.3%)
and lastly ancylostomiasis (1.85%).
It is concluded that much stress should be put on
both case finding and preventive measures among persons
wi th high liability for developing pulmonary tuberculosis.
These include young adults, contacts to tuberculous
cases, people living in low socioeconomic level
with bad housing conditions, high risk occupational
groups especially labourers and army recruits, smokers
(cigarette smokers, goza smokers and hashish addicts)
and those with a history of predisposing disease to
pulmonary tuberculosis especially diabetes mellitus or
those with long term treatment with corticosteroids.