Alcohol and Smoking and the Risk of Active Tuberculosis Alcohol and Smoking and the Risk of Active Tuberculosis
What is the association between alcohol consumption, smoking, and the risk for active tuberculosis?BMJ Open Respiratory Research
Publication date: Available online 12 November 2017 Source:The Lancet Author(s): Robert W Aldridge, Alistair Story, Stephen W Hwang, Merete Nordentoft, Serena A Luchenski, Greg Hartwell, Emily J Tweed, Dan Lewer, Srinivasa Vittal Katikireddi, Andrew C Hayward Background Inclusion health focuses on people in extremely poor health due to poverty, marginalisation, and multimorbidity. We aimed to review morbidity and mortality data on four overlapping populations who experience considerable social exclusion: homeless populations, individuals with substance use disorders, sex workers, and imprisoned individuals. Methods For th...
We present a case of an elderly man who presented to the emergency room with low-grade fever, cough and hemoptysis. Thoracic Multidetector row Computed Tomographic Angiography (MDCTA) showed left upper lobe consolidation with thick walled cavitary lesions and aneurysm along the apical segmental branch of left upper lobar pulmonary artery. Hemoptysis was successfully controlled with systemic artery embolization using polyvinyl alcohol (PVA) particles. He was treated with antitubercular chemotherapy and was followed for more than a year without further recurrence of hemoptysis.
It’s no secret that the United States is in the midst of an opiate epidemic. Almost 60,000 people died last year from overdoses, and overdose deaths are now the most common killer of Americans under the age of 50. Physicians and our patients have finally started the difficult conversation about what it will take to stop the suffering. But what’s been missing from this conversation is that this is not the first opiate epidemic to strike the United States. And what happened during that first epidemic almost 100 years ago offers valuable lessons for doctors and patients trying to navigate the second. Opium is an a...
CONCLUSIONS: The high levels of risky drinking among chronic care patients, particularly among patients receiving treatment for HIV and TB, are concerning. Instituting appropriate screening measures and referral to treatment would be an important first step in mitigating the effects of risky alcohol use among chronic care patients. PMID: 29025457 [PubMed - in process]
CONCLUSIONS: Despite differences in baseline characteristics including cardiovascular risk factors, mortality rates on follow-up were similar in men and women in this study. However, these different baseline characteristics probably suggest differences in the pathogenesis of PH in men and women in our setting that need further investigation. PMID: 29022535 [PubMed - in process]
Conditions: Tuberculosis; HIV/AIDS; Alcohol Abuse Interventions: Drug: Isoniazid 300 Mg ORAL TABLET; Drug: Pyridoxine 25 Mg Oral Tablet Sponsors: University of California, San Francisco; Boston University; Boston Medical Center; Mbarara University of Science and Technology Recruiting