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Pleural Amebiasis without Hepar Involvement Handayani, Friska; Medison, Irvan; Fitrina, Dewi Wahyu; Mizarti, Dessy
MAGNA MEDICA Berkala Ilmiah Kedokteran dan Kesehatan Vol 10, No 2 (2023): August
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/magnamed.10.2.2023.229-238

Abstract

Background:  Pleuropulmonary amebiasis is the most common complication of amoebic liver abscess, occurring in 15% of patients with amoebic liver disease and in 1% of patients with amoebic dysentery. Most commonly occurs by direct extension of a right superior lobe hepatic abscess through the diaphragm to the right lower lobe of the lung with a mortality rate of 5-16%. Primary pleural amebiasis without liver involvement is rare.Case Presentation: Reported an 18-year-old male patient with pleural amebiasis from the results of parasitological examination of pleural fluid found Entamoeba histolytica. History, physical examination and support showed normal liver function. The patient has a history of poor sanitation with a dissertation of unhygienic habits. Patients without liver problems remain at risk for amoebiasis pleuraConclusion: Pleural amebiasis without liver involvement was a rare case. Further investigation was needed in patients with pleural amoebiasis to other organs, such as the liver and digestive tract. Diagnose pleural amebiasis should be the main focus in determining the etiology. Entamoeba histolytica may be involved in pleural inflammation and cause effusion.
Co-Existence of Tuberculosis and Lung Cancer Aribowo, Kornelis; Medison, Irvan; Mizarti, Dessy; Fitrina, Dewi Wahyu
MAGNA MEDICA Berkala Ilmiah Kedokteran dan Kesehatan Vol 9, No 1 (2022): February
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/magnamed.9.1.2022.51-61

Abstract

Background: Tuberculosis (TB) and lung cancer cause significant morbidity and mortality worldwide and pose a global health threat. Each year these two diseases account for more than 1.6 million deaths worldwide. The incidence of both diseases is still high in many developing countries, especially in Asian countries. TB and lung cancer are often confused and misdiagnosed, especially in countries with diagnostic challenges of low TB incidence and risk of missed diagnosis.Case Presentation: The following is a case report of a 53-year-old male patient diagnosed with pulmonary TB accompanied by right lung cancer, and the same respiratory complaints can be had by lung cancer and TB. However, the presence of facial edema (part of the superior vena cava syndrome) causes clinicians to focus more on lung cancer so that the diagnosis of TB is often overlooked.Conclusion: Tuberculosis should be a significant concern, especially in patients with malignancies such as lung cancer and located in TB endemic areas. Delay in diagnosis and or miss diagnosis will affect the patient's outcome.
Bysinosis: Occupational Lung Disease in The Textile Industry and Challenges in its Management Serly, Vicennia; Herman, Deddy; Mizarti, Dessy; Basyar, Masrul
Eduvest - Journal of Universal Studies Vol. 5 No. 2 (2025): Eduvest - Journal of Universal Studies
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/eduvest.v5i2.43689

Abstract

Byssinosis, also known as brown lung disease or Monday fever/Monday dyspnea, is a form of respiratory symptoms caused by exposure to raw non-synthetic textile materials during the production process in the industrial sector and is considered as a form of occupational lung disease. An increase in the prevalence of occupational lung diseases has been found in developing countries, particularly in South Asia. The etiology of byssinosis is the exposure to cotton dust in the textile industry, caused by exposure to endotoxins from the cell walls of gram-negative bacteria found in the dust of various plant fibers, including cotton. Diagnosing byssinosis requires taking a medical history, performing a physical examination, and conducting supporting examinations such as chest X-ray, high-resolution chest CT scan, and pulmonary function tests. In pulmonary function testing using spirometry, a decrease in the FEV1/FVC ratio may be observed. Based on clinical symptoms and lung function tests, the severity of byssinosis can be assessed using Schilling criteria. Inhalation medications such as short-acting and long-acting beta-agonists are choices for pharmacological management of byssinosis. Inhaled corticosteroids can be used in severe clinical conditions.
MULTI DRUG RESISTANT TUBERCULOSIS IN PREGNANCY muharam, maulana; Firina, Dewi Wahyu; Mizarti, Dessy
Andalas Obstetrics And Gynecology Journal Vol. 6 No. 1 (2022)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.6.1.1-15.2022

Abstract

Tuberculosis can develop to multi drug resistant tuberculosis, this will be a serious health problem, not only in Indonesia, also in the world. This disease complexity, length of treatment, adverse effect of drug, make it management become challenging. Pregnancy with physiological changes in it made pregnant woman susceptible to infection, include tuberculosis infection. Data about MDR TB in pregnancy were not much, because TB screening in pregnancy were not often done, also pregnancy it self almost exclude from any trial. Because of MDR TB regiment adverse effect, much of clinician suggest woman in MDR TB treatment to not get pregnant while on it. Management MDR TB on pregnancy use individual regiment, by keep secure and safety aspect of patient, also her fetus.