Seorang Wanita dengan TB Paru Kasus Baru dan TB Ekstra Paru Multiple
[New Case of Pulmonary and Multisite Extrapulmonary Tuberculosis in a Woman: A Case Report]
Downloads
Background; Tuberculosis (TB) is a contagious disease caused by Mycobacterium tuberculosis (Acid-Fast Bacilli/AFB) that still be a world burden. Extra Pulmonary TB occurred when there were infection and development of Mycobacterium tuberculosis outside lungs, which about 10% cases was Milliary TB. There will be reported case with Lung TB New Case coexistence with Multiple Extra Pulmonary TB. Case; A female, 39 y.o., came to the Soetomo General Teaching Hospital with chief complaint body weakness since 12 months ago following with cough, decrease of appetite, decrease of body weight, low grade fever, and night sweating. The cough was on and off, not productive, and didn`t improve with usual therapy. Her other complaint were painless mass at the left supraclavicular area, swollen and pain at the right knee, and pain at the backbones. Patient had subsequently given Anti Tuberculosis Drugs (ATD) with Streptomycin injection based on clinical judgement. Discussion; In several cases, Primary Focus as the result of AFB infection in the lung can spread to the other organs. The diagnosis had been made from comprehensive summary of clinical aspects, radiology data, laboratory data, and Histopathology data. Consideration of ATD choice based on grouping of TB diseases (Pulmonary/Extra Pulmonary), severity level of Extra Pulmonary TB and clinical judgement Conclusion; Had reported female patient diagnosed with Lung TB New Case, Osteomyelitis TB, Spondilitis TB, and Lymphadenitis TB. Based on therapeutic evaluation there was improvement condition of the patient after administration of ATD and injection of Streptomycin.
World Health Organization. Global Tuberculosis Report 2015. Available : http://www.who.int/tb/publications/global_report. (Diakses pada 15 Mei 2015, pukul 20.30 WIB).
Kementrian Kesehatan Republik Indonesia. Epidemiologi dan permasalahan TB dunia. Pedoman nasional pengendalian tuberkulosis. Jakarta : Direktorat Jenderal Pengendalian Penyakit dan Penyehatan Lingkungan Kementerian Kesehatan Republik Indonesia. 2014. Hal.: 1-2.
Janmeja AK, Mohapatra PR. Extrapulmonary tuberculosis. In: Jindal SK, Shankar PS, Raoof S, Gupta D, Agarwal AN, Agarwal R (eds). Text Book of Pulmonary and Critical Care Medicine. New Delhi: Jay Pee Brothers Medical Publishers Ltd, 1st Edition. 2011; pp: 622-40
Golden MP, Vikram HR. Extrapulmonary tuberculosis : an overview. Am Fam Physician. 2005; 72 (9) : 1761-8
Kementerian Kesehatan Republik Indonesia. Tatalaksana pasien tuberkulosis. Pedoman penyakit tuberkulosis dan penanggulangannya. Jakarta: Direktorat Jenderal Pengendalian Penyakit dan Penyehatan Lingkungan Kementerian Kesehatan Republik Indonesia. 2014. Hal.: 24
Raviglione MC, O`Brien RJ. Tuberculosis. In: Fauci AS, Kasper DL, Longo DL, Braunwald E, Hauser SL, Jameson JL, Loscalzo J (eds). Harrison`s Pulmonary and Critical Care Medicine. New York: McGraw-Hill, 17th Edition. 2010; pp: 115-38.
Philips JA, Ernst JD. Tuberculosis pathogenesis and immunity. Annu Rev Pathol. 2012; (7): 353-84
Reid A. Towards universal access to HIV prevention, treatment, care, and support : the role of tuberculosis/HIV collaboration. Lancet Infect Dis. 2006; (6): 483
Behr MA, Warren SA, Salamon H. Transmission of mycobacterium tuberculosis from patients smear negative for acid fast bacilli. Lancet 1999; 353 (9151) : 444-9
Caws M., Thwaites G., Dunstan S.. The Influence of host and bacterial genotype on the development of disseminated disease with mycobacterium tuberculosis. PloS Pathog. 2008; 4 (3).
Griffith D., Kerr C. Tuberculosis : disease of the past, disease of the present. J Perianesth Nurs. 1996; 11 (4) : 240-5
Konstantinos A. Testing for tuberculosis. Aust Prescr. 2010; 33 (1) : 12-18
Thomas CF. Tuberculosis. In: Habermann TM, Ghosh AK (eds). Concise Textbook of Mayo Clinic Internal Medicine. CRC Press. 2008; pp: 788-96
Thillai M., Pollock K., Pareek M. Interferon gamma release assays for tuberculosis. Expert Rev Respir Med. 2014; 8 (1) : 67-78
Volmink J, Garner P. Directly observed therapy for treating tuberculosis. Cochrane Database Syst Rev. 2007; 17 (4).
Wang JY, Hsueh PR, Wang SK, Jan IS, Lee LN, Liaw YS. Disseminated tuberculosis : a 10-year experience in a medical center. Medicine. 2007; 86 (1) : 39-46.
Copyright (c) 2019 Gandhi Estrada Atmanto, Daniel Maranatha
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
1. The journal allows the author to hold the copyright of the article without restrictions.
2. The journal allows the author(s) to retain publishing rights without restrictions.
3. The legal formal aspect of journal publication accessibility refers to Creative Commons Attribution Share-Alike (CC BY-SA).
4. The Creative Commons Attribution Share-Alike (CC BY-SA) license allows re-distribution and re-use of a licensed work on the conditions that the creator is appropriately credited and that any derivative work is made available under "the same, similar or a compatible license”. Other than the conditions mentioned above, the editorial board is not responsible for copyright violation.
JR (