Comparing Chest Radiograph Lesion Areas in Pulmonary Tuberculosis Patients with and without Diabetes Mellitus: A 2023 Study at Waled Hospital, Cirebon, Indonesia
DOI:
https://doi.org/10.35898/ghmj-821161Keywords:
Pulmonary Tuberculosis, Diabetes Mellitus, Thoracic Radiography, Lesion AreaAbstract
Background: The Global Tuberculosis Report emphasizes a significant number of TB cases, and Indonesia is the second country in Southeast Asia with the most TB cases. Prevalence of TB increases along with the increase of Diabetes Mellitus (DM) prevalence, which both are known to have a negative impact on each other. Clinical symptoms in TB with DM differ from those in TB without DM. However, whether there is any difference in radiology examinations is unknown. This can be a consideration for determining patient therapy based on differences in the chest radiographs.
Aims: To determine the Lesion Area Difference on Chest Radiographs of Pulmonary Tuberculosis Patients with and without Diabetes Mellitus at Waled Hospital in 2023.
Methods: There were 96 data points based on the first taken chest radiograph from both inpatient and outpatient data, which were obtained from medical records in 2023 at Waled Hospital, Cirebon. Statistical analysis was performed using the Chi-Squared comparative test in this observational study with a cross-sectional design.
Results: There were 69 tuberculosis (TB) patients without diabetes mellitus (DM) and 27 TB patients with DM. Overall, patients had minimal lesions (14.6%), moderate lesions (26.0%), and far-advanced lesions (59.4%). The Chi-Square analysis from these samples showed a p-value of 0.870.
Conclusion: There is no difference in lesion area on chest x-rays in pulmonary tuberculosis patients with or without diabetes mellitus. Further research is expected to include the type of TB and history of treatment for either TB or DM.
Downloads
References
Abbas, A. (2022). Epidemiologi Kejadian Tuberkulosis-Diabetes Mellitus (TB-DM) Di Kota Kediri. Jurnal Ilmu Kesehatan Masyarakat, 11(03), 279–286. https://doi.org/10.33221/jikm.v11i03.1439
Ahmad, S. R., Yaacob, A. N., Jaeb, M. Z., Hussin, Z., & Mohammad, W. M. Z. W. (2020). Effect of Diabetes Mellitus On Tuberculosis Treatment Out-Comes Among Tuberculosis Patients In Kelantan, Malaysia. Iranian Journal in Public Health (Vol. 49, Issue 8). https://doi.org/10.18502/ijph.v49i8.3892
Ardin, MA., Ruslim, Daniel. (2023). Radiologi B. Hubungan Diabetes Mellitus Tipe 2 Dengan Luas Lesi Pada Foto Toraks Penderita Tuberkulosis Di Rumah Sakit Kabupaten Konawe Daniel Ruslim. Jurnal Riset Rumpun Ilmu Kedokteran. https://doi.org/10.29103/jkkmm.v3i4.18773
Dewi, A. A. I. S., Andrika, P., & Artana, I. B. (2020). Gambaran Karakteristik Pasien Tuberculosis Di Poliklinik Paru RSUP Sanglah Denpasar. Jurnal Medika Udayana, 9(6), 9. https://doi.org/10.24843/MU.2020.V09.i6.P02
Fachri, M., Fauzi, R. A., Akaputra, R. (2021). Studi Kedokteran, P., & Kedokteran Dan Kesehatan, F. (N.D.). Gambaran Radiologi Foto Toraks Pasien TB Paru Resistan Obat Dengan Dan Tanpa DM Tipe 2 Di Rumah Sakit Islam Jakarta Sukapura. Vol. 17 No. 2 (2021): Jurnal Kedokteran dan Kesehatan. https://doi.org/10.24853/jkk.17.2.177-186
Hlaing, M., Nopparatjamjomras, T. R., & Nopparatjamjomras, S. (2018). Perception of Medical Doctors On Chest Tube Thoracostomy Simulation Model (Issue 3). Proceedings of the International Conference on Applied Science and Health, 3, 33-39. https://publications.inschool.id/index.php/icash/article/view/751
Kusumaningrum, L., Mujahidah, adah, & Nurul Widyawati, M. (n.d.). Risk Factors Associated with Precancerous Lesion. Proceedings of the International Conference on Applied Science and Health, 2, 273-277. https://publications.inschool.id/index.php/icash/article/view/914
Marfuati, S., Fitriani, H., Weni, M., & Riawan, F. P. (2024). Improving Pulmonary Tuberculosis Treatment Adherence: The role of patient knowledge in Cirebon, West Java, Indonesia. GHMJ (Global Health Management Journal), 7(2), 103–108. https://doi.org/10.35898/ghmj-72987
Meena, L. S., Kumar, A. (2020). Dual Burden of Tuberculosis (TB) And Diabetes Mellitus (DM) As The Major Risk Factor For Wide Range Of Population. Diabetes & Obesity International Journal. https://doi.org/10.23880/doij-16000229
Metasari, S. (2017). Association of Family’s Support, Attitude And Behavior To Quality Of Life Of Patient With Diabetes Mellitus Type II. Proceedings of the International Conference on Applied Science and Health, 2, 171-175. https://publications.inschool.id/index.php/icash/article/view/895
Nur'aini, N., Suhartono, S., Raharjo, M., Studi Magister Kesehatan Lingkungan, P., & Diponegoro, U. (2021). Faktor-Faktor Yang Mempengaruhi Kejadian Tuberkulosis: Sebuah Review. Jurnal Kesehatan Lingkungan. https://doi.org/10.29238/sanitasi.v13i1.1079
Rotimi, A. Singh, R. K. (2023). Tuberkulosis - StatPearls - NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK441916/
Surbakti, F. H., Widada, N. S., & Hikmah, F. (2020). Risk Of Elevated Blood Glucose Levels In Tuberculosis Patients With BTA 3+ Levels, Puskesmas Bojong Gede Kabupaten Bogor. Jurnal Analis Medika Biosains (JAMBS), 7(2), 101–106. https://doi.org/10.32807/jambs.v7i2.189
Tampubolon, P. Y., Rondo, A. G. E. Y., & Simanjuntak, M. L. (2022). Gambaran Foto Toraks Pasien Tuberkulosis Paru Dengan Diabetes Melitus Chest X-Ray Profile Of Tuberculosis Patients With Diabetes Mellitus At Prof. Dr. R. D. Kandou Periode Januari - Juni 2022. Medical Scope Journal, 4(1), 72–78. https://doi.org/10.35790/msj.v4i1.44724
Triandini, N., Hadiati, D. E., Husin, U. A., Roekmantara, T., & Masria, S. (N.D.). (2019). Hubungan Hasil Pemeriksaan Sputum Basil Tahan Asam Dengan Gambaran Luas Lesi Radiologi Tuberkulosis Paru Di Rumah Sakit Al Islam Bandung. Jurnal Integrasi Kesehatan & Sains 1 (1): 87-91. http://dx.doi.org/10.29313/jiks.v1i1.4329
Wang, C. S., Yang, C. J., Chen, H. C., Chuang, S. H., Chong, I. W., Hwang, J. J., & Huang, M. S. (2009). Impact Of Type 2 Diabetes On Manifestations And Treatment Outcome Of Pulmonary Tuberculosis. Epidemiology And Infection, 137(2), 203–210. DOI: https://doi.org/10.1017/s0950268808000782
Widiastuti, L., Wati, L., Siagian, Y., & Sitindaon, S. H. (2022). Linda Widiastuti: Deteksi Dini Peripheral Arterial Disease Pada Penderita Diabetes Deteksi Dini Peripheral Arterial Disease Pada Penderita Diabetes Mellitus Tipe 2. Jurnal Media Karya Kesehatan. https://doi.org/10.24198/mkk.v5i1.35384
Wirawan, H., & Soewondo, P. (2019). The Standards Of Medical Care With Self Care For Diabetes Mellitus Outpatients (Issue 4). Proceedings of the International Conference on Applied Science and Health, 4, 741-749. https://publications.inschool.id/index.php/icash/article/view/697
Zhan, S., Juan, X., Ren, T., Wang, Y., Fu, L., Deng, G., & Zhang, P. (2022). Extensive Radiological Manifestation In Patients With Diabetes And Pulmonary Tuberculosis: A Cross-Sectional Study. Therapeutics And Clinical Risk Management, 18, 595–602. https://doi.org/10.2147/tcrm.s363328
Downloads
Published
Issue
Section
Categories
License
Copyright (c) 2025 Hapsari Bunga Fatihah, S.Ked., dr. Muhammad Amar Latief, Sp. Rad., dr Menik Herdwiyanti, Sp. PD., FINASIM
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
GHMJ (Global Health Management Journal) conforms fully to The Budapest Open Access Initiative (BOAI) and DOAJ Open Access Definition. Authors, readers, and reviewers are free to Share ” copy and redistribute the material in any medium or format, and Adapt ” remix, transform, and build upon the material. Author(s) retain unrestricted copyrights and publishing rights of their work. The licensor cannot revoke these freedoms as long as you follow the license terms. Learn the details at the License policy.
How to Cite
