Sidero-Siliko Tuberkulosis pada Penderita Efusi Pleura Masif Dekstra yang Awalnya Dicurigai Keganasan

Winariani Koesoemoprodjo, Hapsari Paramita Narendrani

= http://dx.doi.org/10.20473/jr.v3-I.3.2017.81-88
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Abstract


Background: Pneumoconiosis defined as the accumulation of dust in the lungs and causes tissue reactions to mineral materials from various industries that affect the respiratory system. Among the causes of pneumoconiosis are silica dust (silicosis) and iron dust (ciderosis). Pneumoconiosis provides a pathological reaction in lung tissue due to inhaled deposition of mineral particulate dust or persistent fiber material. The risk of infection with tuberculosis is higher in patients with pneumoconiosis, especially silicosis. Most cases of pleural effusion are found in malignancies or infections such as tuberculosis but can also be a complication of pneumoconiosis. Case: A man, 55 years old, reported with a 2-week congested complaint that was getting worse, with a cough for almost 1 month. Patients with work history as iron lathers for 25 years with comorbid diabetes mellitus. From the results of our chest x-rays we get a picture of massive pleural effusion with a total evacuation of approximately 9 liters, whereas on the chest CT scan get a solid mass picture in the right lung field with multiple nodules in the liver. The results of bronkoalveolar rinses obtained silica and iron content, and obtained Mycobacterium tuberculosis culture in pleural fluid culture. Conclusion: Illustration of a case report of a 55-year-old man diagnosed as a sidero-silico-tuberculosis with a periodic picture of tuberculosis and pleural effusion in the right lung undergoing resolution with OAT treatment.

Keywords


Sidero-silico tuberculosis, TB pleural effusion

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References


Murray N. Textbook of Respiratory Medicine. 6th ed. (Mason RJ, Ernst JD, King TE, Lazarus SC, Murray JF, Nadel JA, Slutsky AS GM, ed.). Canada: Elsevier; 2016.

Ngurah Rai I. No Title. In: Pneumokoniosis: Patogenesis Dan Ganggan Fungsi. In: Abdullah A, Patau J, Susilo HJ, Saleh K, Tabri NA, Mappangara, et Al. Naskah Lengkap Pertemuan Ilmiah Khusus (PIK) X Perhimpunan Dokter Paru Indonesia. Makassar: Sub-bagian paru Bagian Penyakit Dalam Fakultas Kedokteran Universitas Hasanuddin; 2003:183–216.

Kim E, Kang S. Historical review of the List of Occupational Diseases recommended by the International Labour organization (ILO). 2013;25(1):1. doi:10.1186/2052-4374-25-14

Kim K, Kim CW, Lee MK, et al. Imaging of Occupa- tional Lung Disease 1 OBJECTIVES. 2001:1371-1391.

Hamlin L. Sidero-siliko Tuberculosis in Foundry Employee. Ind Med Surq. 1963;Januari;Vo:81-89.

Han J, Kwon OJ, Kim TS. Pneumoconiosis : Com- parison of Imaging and Pathologic Findings 1 OBJECTIVES. 2006:59–78.

Kuschner, WG and Stark P. Occupationnal Lung Disease. Part2, Discovering the Cause of Diffuse Parenchymal Lung Disease. Postgr Med J. 2003;113:81–88.

Feng, Y and Yang Z. Pneumoconiosis: High-resolution CT Characteristics and Pathophysiology. Sheng Wu Yi Xue Gong Cheng Xue ZaZhi. 2010;27:219–221.

Mccormick LM, Goddard M, Mahadeva R. Journal of Medical Case Reports Pulmonary fibrosis secondary to siderosis causing symptomatic respiratory disease : a case report. 2008;3:1–3. doi:10.1186/1752-1947-2-257

Article R, Karkhanis VS, Joshi JM. Review Article. 2012.

Susanto AD. Pneumokoniosis. :503-510.

Hnizdo E, Murray J. Risk of pulmonary tuberculosis relative to silicosis and exposure to silica dust in South African gold miners. 2000;8:496-502.

Corbett EL, Churchyard GJ, Clayton TIM, et al. Risk Factors for Pulmonary Mycobacterial Disease in South African Gold Miners A Case-Control Study. 1996.

Adverse Effect of Crystalline Silica Exposure. Am Thorac Soc Comm Sci Assem Environ Occup Heal. 1997;155(2). doi:https:// doi.org/10.1164/ajrccm.155.2.9032226

Bhatt, MLB, Kant, Surya and Bhaskar R. Pulmonary tuberculosis as differential diagnosis of lung cancer. South Asian J Cancer. 2012;1(1):36-42. doi:10.4103/2278-330X.96507

Martins P, Marchiori E, Muccillo A, et al. Case Report Cavitated Conglomerate Mass in Silicosis Indicating Associated Tuberculosis. 2010;2010. doi:10.1155/2010/293730


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