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Clinical Features of Pulmonary Tuberculosis in Young and Old Veterans
Author(s) -
Katz Paul R.,
Reichman William,
Dube David,
Feather John
Publication year - 1987
Publication title -
journal of the american geriatrics society
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.992
H-Index - 232
eISSN - 1532-5415
pISSN - 0002-8614
DOI - 10.1111/j.1532-5415.1987.tb01396.x
Subject(s) - medicine , tuberculosis , anorexia , pediatrics , pulmonary tuberculosis , weight loss , population , disease , young adult , mycobacterium tuberculosis , presentation (obstetrics) , surgery , pathology , obesity , environmental health
Pulmonary tuberculosis (TB) continues to pose a health threat to the elderly population. In order to delineate age‐related differences in disease presentation a comparison between young and old male veterans hospitalized over a five‐year period with culture proven Mycobacterium tuberculosis is reported. The study sample included 27 patients 60 years of age and older (range, 60 to 85; mean, 70) and 52 patients under 60 years of age (range, 22 to 59; mean, 51). The elderly were significantly less likely to demonstrate cavitary lesions on admission radiographs or present with hemoptysis but were more likely to present with right lower lobe infiltrates and complaints of dyspnea. Symptoms prior to admission occurring with equal frequency in both young and old subjects included fever, anorexia, weight loss, and cough. Although treatment was delayed in the elderly, there were no age‐related differences in mortality. Skin testing was underutilized in all patients regardless of age. The results support the notion that the clinical presentation of pulmonary TB is remarkably similar in young and old males.