Seorang Penderita Siliko Tuberkulosis dengan Penyulit Pneumotoraks

Winariani Koesoemoprodjo, Vinodini Merinda

= http://dx.doi.org/10.20473/jr.v2-I.3.2016.76-81
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Abstract


Background: Silicosis is a lung disease caused by the work because of respirable crystalline silica. Often occurs in workers mining gold, iron, tin, granite, sandstone, slate, foundries, cement, ceramics and glass. The risk of silicosis develop into lung tuberculosis (TB) is higher than patients without silicosis. Another complication of silicosis is secondary spontaneous pneumothorax. Case : A man, 45 years old with a history of work as a bricklayer for 5 years with complaints shortness of breath since three days before admitted to the hospital, chest pain in the right hemithorax, and had chronic cough. Patients is on ATD therapy. From radiographic there is collapse lung, it was shown collapse line on the right hemithorax, and fibroinfiltrat with multiple cavities on both hemithorax. Patients then got chest tube insertion and evaluation for 3 weeks, but the lung has not expanded. From thoracoscopy, there is fibrotic band on the pleural space with conclution right trapped lung. From forcep biopsy on visceral pleura showed a widened alveolar epithelial layer coated with a pile of inflammatory lymphocytes and dust pigments. From broncoscopy, there is chronic lung inflamation. Spectrophotometric analysis from BAL specimens results showed a silica content of 4.25 ppm SiO2 from left BAL an 14.34 ppm SiO2 on the right BAL. Furthurmore, this patient got pleurodesis using betadine agent and continue the ATD. Evaluation the lung is fully expanded. Conclusion : This case illustrates the secondary spontaneous pneumothorax as a complication of silicotuberkulosis. No drug has proven effective for silicosis. Treatment is aimed to the disease complications that occur, in this case is secondary spontaneous pneumothorax and lung TB. Prevention at workplaces that have a risk of silicosis is very important.


Keywords


Silicotuberculosis, Secondary spontaneous pneumothorax

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References


K. Winariani, Buku Ajar Ilmu Penyakit Paru: Penyakit paru kerja dan pencemaran udara, Wibisosno MJ., Winariani, Hariadi S., Departemen Ilmu Penyakit Paru FK Unair-RSUD Dr. Soetomo Surabaya 2013: 126–145.

Barbozal CE, Winter DH, Seiscento M, et al. Tuberculosis and silicosis: epidemiology, diagnosis and chemoprophylaxis, J Bras Pneumol. 2008; 34 (11): 961–968.

Mason RJ, Broaddus VC, Martin TR, et al. Murray & Nadels’s Textbook of Respiratory Medicine: Environmental And Occupational Disorders, Saunders 2010: 1586–1596.

Calvert G M, Rice F L, Boiano J M, et al. Occupational silica exposure and risk of various diseases: an analysis using death certificates from 27 states of the United States, Occup Environ Med 2003; 60: 122–129.

P. Mishra, ES. Jacob, D. Basu, MK Panigrahi, V. Govindaraj, Bilateral spontaneous pneumothorax in chronic silicosis: a case report, Case Rep Pathol.2014: 561861.

Hinshaw HC, Murray JF. Silicosisin diseaseof the chest. In: Murray editor. Textbook of respiratory medicine. Philadelphia: WB Saunders Company; 1998. P. 716–22.

Davis GS, Occupational disorders of the lung: Silikosis. Hendrick DJ, Burge S, Beckett WS, Churg A, WB Saunders, 2002. P 105–12.

Seaton A., Occupational lung disease: Silicosis. WB Saunders, 1996. P. 250–322.

Susanto AD., Pneumokoniosis, J. Indon Med assoc, 2011, 61: 503–510.

Hnizdo E, Murray J. Risk of pulmonary tuberculosis relative to silicosis and exposure to silica dust in South African gold miners. Occup Environ Med. 1998; 55(7): 496-502. Erratum in: Occup Environ Med 1999; 56(3): 215–6.

Corbett EL, Churchyard GJ, Clayton T, Herselman P, Williams B, Hayes R, et al. Risk factors for pulmonary mycobacterial disease in

South African gold miners. A case-control study. Am J Respir Crit Care Med. 1999; 159(1): 94–9.

Adverse effects of crystalline silica exposure. American Thoracic Society Committee of the Scientific Assembly on Environmental and Occupational Health. Am J Respir Crit Care Med. 1997; 155(2): 761–8.

Gardner Lu., Silicosis and relationship to toberculosis, Am Rev Respir Dis, 1987; 115: 221–34.

I. Mohebbi, E. Hassani, S. Salarilak, and A.R. Bahrami, Do bullae and emphysema increase risk of pneumothorax in silicosis? Journal of Occupational Medicine and Toxicology, 2007 vol. 2 no. 1, p. 8.

Sahn SA, Heffner JE. Spontaneus pneumothorax. N Eng J Med 2000; 342: 868–74

Banks DE, Interstisial Lung Disease: The health effects of silica and coal dust exposure, 5th edition, Schwarz, King, 2011, p. 499–541.

Antao VC, Pinheiro GA, Terra-Filho M, Kavakama J, Müller NL. High-resolution CT in silicosis: correlation with radiographic findings and functional impairment. J Comput Assist Tomogr. 2005; 29(3): 350–6.

Ikhsan ML, Marlond R, Swidarmoko B. Bunga Rampai Penyakit Paru Kerja dan Lingkungan: Silikosis, Ikhsan M, Yunus Faisal, Susanto AD., FK UI 2009: 27–38.

Rees D, Murray J., Silica, silicosis and tuberculosis, Int J Tuberc Lung Dis. 2007 May, 11(5): 474–84.


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