Motivos de hospitalización en pacientes con tuberculosis pulmonar en un hospital de referencia

purpose: to determine the prevalence of thoracic complications in hospitalized patients with pulmonary tuberculosis. setting: national referral hospital for the care, teaching and investigation of respiratory diseases. material and methods: this study is based on the retrospective analysis of pulmonary tuberculosis patients admitted from july 1 to december 31, 2003 and was conducted at the national institute of respiratory diseases (iner), mexico. results: seventy eight patients with pulmonary tuberculosis were included in the six month period; 35 (44.9%) were male; the bacteriological diagnosis was done by sputum smear in 51.3% (40/78), culture in 5.1% (4/78) and sputum smear and culture in 43.6% (34/78). patients were classified as who category i in 66.7% (52/78); 43.7% had diabetes mellitus (31/78). admission causes: for diagnosis in 46.2% (36/78); hemoptysis in 34.6% (27/78); infection in 5.2% (4/78); other causes in 14.0% (11/78); bronchiectasis were present in 85.7% (66/ 77); pneumonia in 6.4% (5/78); mycobacterium tuberculosis pneumonia in 5.1% (4/78); empyema in 5.1% (4/78); bronchopleural fistula in 3.9% (3/ 78); aspergilloma in 2.6% (2/78); tracheobronchial obstruction in 1.3% (1/78); fibrothorax in 12.8% (10/78). conclusions: hospitalized pulmonary tuberculosis patients show an elevated rate of pulmonary complications. almost half had diabetes mellitus; almost half were hospitalized for diagnosis