• Medicina clinica · Sep 2021

    Review

    Diabetes and tuberculosis: a syndemic complicated by COVID-19.

    • Violeta Antonio-Arques, Josep Franch-Nadal, and Joan A Caylà.
    • Institut Universitari per a la Recerca en Atenció Primària (IDIAP) Jordi Gol, Barcelona, España; Equip d'Atenció Primària (EAP) Bordeta Magòria, Institut Català de la Salut, Barcelona, España.
    • Med Clin (Barc). 2021 Sep 24; 157 (6): 288293288-293.

    AbstractTuberculosis (TB) is the leading cause of infectious mortality in the world, affecting mainly developing countries (DC), while diabetes (DM) is one of the most prevalent chronic diseases. This review analyzes the fact that diabetes is currently an important risk factor for developing TB, also presenting more complicated TB, more relapses and higher mortality. The DCs and the fourth world of the large cities are those with the highest incidence of TB and an increase in DM, which will make it difficult to control tuberculosis disease. At the same time, the COVID-19 pandemic is complicating the management of both diseases due to the difficulty of access to control and treatment and the worsening of socioeconomic inequalities. It is necessary to establish a bidirectional screening for TB and DM and promote recommendations for the joint management of both diseases.Copyright © 2021 The Authors. Published by Elsevier España, S.L.U. All rights reserved.

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