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COVID-19 and tuberculosis coinfection: A case-control study from a tertiary care center in South India
Ist Teil von
Journal of family medicine and primary care, 2023-12, Vol.12 (12), p.3200-3203
Ort / Verlag
India: Medknow Publications and Media Pvt. Ltd
Erscheinungsjahr
2023
Link zum Volltext
Quelle
Electronic Journals Library
Beschreibungen/Notizen
Coronavirus disease 2019 (COVID-19) and tuberculosis (TB), are presently the major infectious diseases imposing a consequential public health threat and their coinfection has a significant impact on the outcome.
To evaluate the clinical features and outcomes of COVID-19-TB coinfected cases compared to solely COVID-19-infected cases.
A retrospective observational study was conducted between August 1, 2020, to February 28, 2022, at a tertiary care hospital.
In this case-control study, an equal number of gender-age-matched COVID-19 and TB coinfected patients and COVID-19 cases without TB were included using simple random sampling.
The data was analyzed using SPSS v 26. Categorical variables were compared using the Chi-square test, and an independent
-test or Mann-Whitney U test was applied for the quantitative variables in the univariate analysis. A
-value of less than 0.05 was considered significant.
A total of 27 patients were included in each group. Upper lobe involvement (44%) and pleural effusion (22%) were significantly more common in TB-COVID-19 cases when compared to the control group (7% and 4%, respectively;
< 0.05). Moreover, median levels of C-reactive protein and ferritin were significantly higher in TB-COVID-19 coinfection.
Chest radiology and a higher level of certain biomarkers like C-reactive protein and ferritin can help to suspect TB in COVID-19 patients and vice-versa.