The re-emerging association between tuberculosis and diabetes: Lessons from past centuries.
Death
History
Treatment outcomes
Tuberculosis
Type 1 diabetes
Type 2 diabetes
Journal
Tuberculosis (Edinburgh, Scotland)
ISSN: 1873-281X
Titre abrégé: Tuberculosis (Edinb)
Pays: Scotland
ID NLM: 100971555
Informations de publication
Date de publication:
05 2019
05 2019
Historique:
received:
02
11
2018
accepted:
02
11
2018
pubmed:
16
5
2019
medline:
30
1
2020
entrez:
16
5
2019
Statut:
ppublish
Résumé
The association between tuberculosis (TB) and diabetes mellitus (DM) had a common place in the literature up to the first half of the 20th century, but virtually disappeared with the discovery of insulin to treat DM and antibiotics to cure TB. In the late 1990s the literature began to re-emerge with the worldwide increase in type 2 DM, particularly in TB-endemic countries. Today, type 2 DM is the most prevalent comorbidity among TB patients and the World Health Organization considers it a threat to TB control. We summarize the literature on TB and DM up to the 1960s. Then we evaluate unique aspects of this comorbidity in older times, such as the frequent diabetic comas that suggest challenges for proper DM management as insulin was being implemented, or the absence of antibiotics to cure TB. Despite the unique aspects of each study period, the literature across times is consistent in key aspects of the association. Namely, a higher TB prevalence among DM (versus non-DM patients), the importance of glucose control and chronic DM on TB susceptibility and the higher risk of death among patients with the co-morbidity. From the older literature, we can infer the likely contribution of type 1 DM to TB (in addition to type 2), regardless of their differing autoimmune or metabolic pathophysiology, respectively. Furthermore, in the older literature there was a notable reporting of DM development among TB patients, even though DM usually preceded TB. This observation deserves further epidemiological and basic studies to elucidate this intriguing aspect of the relationship between TB and DM.
Identifiants
pubmed: 31085129
pii: S1472-9792(19)30154-4
doi: 10.1016/j.tube.2019.04.015
pmc: PMC6626679
mid: NIHMS1528527
pii:
doi:
Types de publication
Historical Article
Journal Article
Research Support, N.I.H., Extramural
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
S89-S97Subventions
Organisme : NIA NIH HHS
ID : P01 AG051428
Pays : United States
Organisme : NIAID NIH HHS
ID : R01 AI116039
Pays : United States
Informations de copyright
Copyright © 2019 Elsevier Ltd. All rights reserved.
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