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All Journal Jurnal Respirasi (JR) Cerdika: Jurnal Ilmiah Indonesia
Darmayanti, Sheila Gerhana
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Humanities Economics, Econometrics & Finance Education Health Professions Medicine & Pharmacology Public Health Social Sciences

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Right Lung Agenesis Associated with Dextrocardia in Adulthood Krisnanda, Made Yogi; Sriandari, Luh Putu Feby; Darmayanti, Sheila Gerhana; Suwardana, Gede Ngurah Rsi
Jurnal Respirasi Vol. 10 No. 3 (2024): September 2024
Publisher : Faculty of Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jr.v10-I.3.2024.236-242

Abstract

Introduction: Pulmonary agenesis is a rare lung disease, occurring in approximately 1 out of every 100,000 births. Most cases of pulmonary agenesis result in death during the neonatal period. Although survival in cases of pulmonary agenesis is rare, it is possible to encounter lung agenesis in adults. Case: A 26-year-old female patient presented with progressive dyspnea. On physical examination, retraction of the breathing muscles, reduced chest excursions, and decreased breath sounds on the right side were observed. A chest X-ray raised suspicion of pulmonary agenesis. A computed tomography (CT) scan showed hypoplasia of the right lung, accompanied by mediastinal shift, hyperinflation of the left lung, and retraction of the diaphragm and liver to the right. Spirometry showed moderate obstruction. Conclusion:   Pulmonary agenesis in adult patients is extremely rare. Chest X-rays and CT scans are the main diagnostic modalities for pulmonary agenesis. There is no specific treatment for asymptomatic cases. Management focuses on conservative and symptomatic care.
Komplikasi Destroyed Lung Yang Berbahaya Pada Tuberkulosis Paru: Sebuah Laporan Kasus Pramana Suryawan Putra, Bayu; Anggelina, Kadek Devi Indah; Darmayanti, Sheila Gerhana
Cerdika: Jurnal Ilmiah Indonesia Vol. 5 No. 2 (2025): Cerdika: Jurnal Ilmiah Indonesia
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/cerdika.v5i2.804

Abstract

Tuberkulosis paru adalah infeksi oleh Mycobacterium tuberculosis yang dapat menyebabkan komplikasi destroyed lung yang berakibat timbulnya chronic airway obstruction. Destroyed lung merupakan penyebab morbiditas dan komplikasi yang sering ditemukan pada penderita TB. Kondisi ini dapat meningkatkan timbulnya komplikasi gagal napas sehingga sangat berbahaya. Pada pasien kasus ini, lelaki, 33 tahun, mengeluhkan sesak yang memberat 12 jam yang lalu, batuk berdahak dengan darah dan demam sejak 3 bulan, keringat malam, dan penurunan berat badan dengan tidak ada riwayat konsumsi obat anti-tuberkulosis. Pemeriksaan fisik dan penunjang dilakukan pada kasus ini sehingga tegaknya diagnosis tuberkulosis paru kasus baru dengan destroyed lung dextra, emphysematous lung sinistra compensata, chronic airway obstruction TB, dan cardiac shifting et causa destroyed lung dextra. Pasien diberikan terapi oksigen, cairan, simtomatis, obat anti-tuberkulosis. Terapi khusus penderita destroyed lung belum ditemukan hingga saat ini, beberapa pilihan terapi saat ini yaitu pembedahan berupa pulmonary resection atau pneumectomy. Namun, tindakan tersebut susah dan beresiko tinggi sehingga tidak dilakukan dan lebih cenderung memilih terapi konvensional.
Co-Authors Anggelina, Kadek Devi Indah Krisnanda, Made Yogi Pramana Suryawan Putra, Bayu Sriandari, Luh Putu Feby Suwardana, Gede Ngurah Rsi