Diabetes: A Contributor to Tuberculosis in Tropical Australia

Tahnee Bridson Australian Institute of Tropical Health and Medicine, James Cook University, Townsville, Queensland, Australia; Townsville Hospital, Townsville, Queensland, Australia

Search for other papers by Tahnee Bridson in
Current site
Google Scholar
PubMed
Close
,
Anthony Matthiesson Australian Institute of Tropical Health and Medicine, James Cook University, Townsville, Queensland, Australia; Townsville Hospital, Townsville, Queensland, Australia

Search for other papers by Anthony Matthiesson in
Current site
Google Scholar
PubMed
Close
,
Leigh Owens Australian Institute of Tropical Health and Medicine, James Cook University, Townsville, Queensland, Australia; Townsville Hospital, Townsville, Queensland, Australia

Search for other papers by Leigh Owens in
Current site
Google Scholar
PubMed
Close
,
Brenda Govan Australian Institute of Tropical Health and Medicine, James Cook University, Townsville, Queensland, Australia; Townsville Hospital, Townsville, Queensland, Australia

Search for other papers by Brenda Govan in
Current site
Google Scholar
PubMed
Close
,
Robert Norton Australian Institute of Tropical Health and Medicine, James Cook University, Townsville, Queensland, Australia; Townsville Hospital, Townsville, Queensland, Australia

Search for other papers by Robert Norton in
Current site
Google Scholar
PubMed
Close
, and
Natkunam Ketheesan Australian Institute of Tropical Health and Medicine, James Cook University, Townsville, Queensland, Australia; Townsville Hospital, Townsville, Queensland, Australia

Search for other papers by Natkunam Ketheesan in
Current site
Google Scholar
PubMed
Close
Restricted access

In countries with a high-burden of tuberculosis (TB), it has been well established that there is an increased incidence of TB among patients with diabetes. However, in countries with a low burden of TB there are conflicting reports. This study aimed to determine if diabetes was associated with TB in patients admitted to a teaching hospital in tropical Australia. A 20-year retrospective study found patients with comorbid diabetes were seven times overrepresented in the TB patient population when compared with the general population. This study demonstrates a strong association between TB and diabetes regardless of TB endemicity.

Author Notes

* Address correspondence to Tahnee Bridson, Australian Institute of Tropical Health and Medicine, James Cook University, Townsville, Queensland 4811, Australia. E-mail: tahnee.bridson@my.jcu.edu.au

Authors' addresses: Tahnee Bridson, Leigh Owens, Brenda Govan, and Natkunam Ketheesan, Australian Institute of Tropical Health and Medicine, James Cook University, Townsville, Queensland, Australia, E-mails: tahnee.bridson@my.jcu.edu.au, leigh.owens@jcu.edu.au, brenda.govan@jcu.edu.au, and n.ketheesan@jcu.edu.au. Anthony Matthiesson, Respiratory and Sleep Unit, Townsville Hospital, Townsville, Queensland, Australia, E-mail: anthony.matthiesson@health.qld.gov.au. Robert Norton, Pathology Queensland, Townsville Hospital, Townsville, Queensland, Australia, and Australian Institute of Tropical Health and Medicine, James Cook University, Townsville, Queensland, Australia, E-mail: robert.norton@health.qld.gov.au.

  • 1.

    World Health Organization, 2014. Global Tuberculosis Report 2014. Available at: http://www.who.int/tb/publications/global_report/en/. Accessed March 2015.

    • Search Google Scholar
    • Export Citation
  • 2.

    Faurholt-Jepsen D, 2013. The double burden. Dan Med J 60: B4673.

  • 3.

    Bridson TL, Govan BL, Norton RE, Schofield L, Ketheesan N, 2014. The double burden: a new-age pandemic meets an ancient infection. Trans R Soc Trop Med Hyg 108: 676–678.

    • Search Google Scholar
    • Export Citation
  • 4.

    Hodgson K, Morris J, Bridson T, Govan B, Rush C, Ketheesan N, 2015. Immunological mechanisms contributing to the double burden of diabetes and intracellular bacterial infections. Immunology 144: 171–185.

    • Search Google Scholar
    • Export Citation
  • 5.

    Kumar NP, Banurekha VV, Nair D, Sridhar R, Kornfeld H, Nutman TB, Babu S, 2014. Coincident pre-diabetes is associated with dysregulated cytokine responses in pulmonary tuberculosis. PLoS ONE 9: e112108.

    • Search Google Scholar
    • Export Citation
  • 6.

    Jeon CY, Murray MB, 2008. Diabetes mellitus increases the risk of active tuberculosis: a systematic review of 13 observational studies. PLoS Med 5: e152.

    • Search Google Scholar
    • Export Citation
  • 7.

    Viswanathan V, Kumpatla S, Aravindalochanan V, Rajan R, Chinnasamy C, Srinivasan R, Selvam JM, Kapur A, 2012. Prevalence of diabetes and pre-diabetes and associated risk factors among tuberculosis patients in India. PLoS ONE 7: e41367.

    • Search Google Scholar
    • Export Citation
  • 8.

    Leegaard A, Riis A, Kornum JB, Prahl JB, Thomsen VO, Sorensen HT, Horsburgh CR, Thomsen RW, 2011. Diabetes, glycemic control, and risk of tuberculosis: a population-based case-control study. Diabetes Care 34: 2530–2535.

    • Search Google Scholar
    • Export Citation
  • 9.

    Dobler CC, Flack JR, Marks GB, 2012. Risk of tuberculosis among people with diabetes mellitus: an Australian nationwide cohort study. BMJ Open 2: e000666.

    • Search Google Scholar
    • Export Citation
  • 10.

    Restrepo BI, Fisher-Hoch SP, Crespo JG, Whitney E, Perez A, Smith B, McCormick JB, 2007. Type 2 diabetes and tuberculosis in a dynamic bi-national border population. Epidemiol Infect 135: 483–491.

    • Search Google Scholar
    • Export Citation
  • 11.

    International Diabetes Federation, 2011. IDF Diabetes Atlas Fifth Edition. Available at: http://www.idf.org/diabetesatlas. Accessed March 2015.

    • Search Google Scholar
    • Export Citation
  • 12.

    Pan SC, Ku CC, Kao D, Ezzati M, Fang CT, Lin HH, 2015. Effect of diabetes on tuberculosis control in 13 countries with high tuberculosis: a modelling study. Lancet Diabetes Endocrinol 3: 323–30.

    • Search Google Scholar
    • Export Citation
  • 13.

    Restrepo BI, Fisher-Hoch SP, Pino PA, Salinas A, Rahbar MH, Mora F, Cortes-Penfield N, McCormick JB, 2008. Tuberculosis in poorly controlled type 2 diabetes: altered cytokine expression in peripheral white blood cells. Clin Infect Dis 47: 634–641.

    • Search Google Scholar
    • Export Citation
  • 14.

    Baker M, Harries A, Jeon C, Hart J, Kapur A, Lonnroth K, Ottmani SE, Goonesekera S, Murray M, 2011. The impact of diabetes on tuberculosis treatment outcomes: a systematic review. BMC Med 9: 81.

    • Search Google Scholar
    • Export Citation
  • 15.

    Wang CS, Yang CJ, Chen HC, Chuang SH, Chong IW, Hwang JJ, Huang MS, 2009. Impact of type 2 diabetes on manifestations and treatment outcome of pulmonary tuberculosis. Epidemiol Infect 137: 203–210.

    • Search Google Scholar
    • Export Citation
  • 16.

    Viswanathan V, Vigneswari A, Selvan K, Satyavani K, Rajeswari R, Kapur A, 2014. Effect of diabetes on treatment outcome of smear-positive pulmonary tuberculosis-a report from south India. J Diabetes Complications 28: 162–165.

    • Search Google Scholar
    • Export Citation
Past two years Past Year Past 30 Days
Abstract Views 21 21 3
Full Text Views 395 69 0
PDF Downloads 40 4 0
 
Membership Banner
 
 
 
Affiliate Membership Banner
 
 
Research for Health Information Banner
 
 
CLOCKSS
 
 
 
Society Publishers Coalition Banner
Save