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Ulfahimayati, Ulfahimayati
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Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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Secondary Spontaneous Pneumothorax in Recurrent Pulmonary Tuberculosis: A Case Report Aprilia, Dhea; Ar Nur, Buti Ariani; Ulfahimayati, Ulfahimayati
Medical and Health Journal Vol 5 No 2 (2026): February
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.mhj.2026.5.2.18042

Abstract

Background: Secondary spontaneous pneumothorax is a potentially life threatening complication that may occur in patients with underlying pulmonary diseases, including pulmonary tuberculosis. In recurrent pulmonary tuberculosis, residual lung damage such as cavitation, fibrosis, and bullae increases the risk of alveolar rupture, leading to pneumothorax. Objective: To describe the clinical presentation, diagnostic findings, management, and outcome of a patient with secondary spontaneous pneumothorax associated with recurrent pulmonary tuberculosis. Case Presentation: A 21 year old male with a history of pulmonary tuberculosis two years prior presented to the emergency department with sudden onset shortness of breath and pleuritic chest pain. Physical examination and chest radiography revealed an avascular radiolucent area in the right lung, consistent with pneumothorax. A rapid molecular sputum test was positive for Mycobacterium tuberculosis. A diagnosis of right sided secondary spontaneous pneumothorax due to recurrent pulmonary tuberculosis was established. The patient underwent needle decompression followed by the placement of a water sealed drainage (WSD) system. Anti tuberculosis therapy was reinitiated according to the national treatment protocol. Results: Follow up chest radiographs demonstrated progressive lung re expansion, accompanied by significant clinical improvement. The patient’s condition stabilized, and no further complications were observed during hospitalization. Conclusion: Secondary spontaneous pneumothorax in patients with recurrent pulmonary tuberculosis represents an emergency condition that requires rapid diagnosis and appropriate management. The combination of WSD insertion and anti tuberculosis therapy proved effective in promoting lung re-expansion and improving clinical outcomes. Heightened clinical awareness of this complication is essential to improve prognosis in patients with recurrent pulmonary tuberculosis.
Laporan Kasus : Karsinoma Paru Jenis Sel Skuamosa Pada Pasien Dengan Riwayat Kanker Payudara Pramanik, Deyang Maysa; Arnur, Buti Ariani; Ulfahimayati, Ulfahimayati
Jurnal Ilmu Kedokteran dan Kesehatan Vol 13, No 4 (2026): Volume 13 Nomor 4
Publisher : Prodi Kedokteran Fakultas Kedokteran Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jikk.v13i4.22919

Abstract

Kanker paru merupakan penyebab utama kematian terkait kanker di dunia, termasuk di Indonesia, dengan prognosis yang relatif buruk. Pasien dengan riwayat kanker payudara yang telah menjalani radioterapi memiliki peningkatan risiko terjadinya second primary lung cancer (SPLC). Dilaporkan seorang wanita berusia 50 tahun dengan riwayat kanker payudara kiri yang telah menjalani mastektomi dan radioterapi pada tahun 2022. Pemeriksaan foto toraks menunjukkan lesi kavitas berdinding tebal dengan air-fluid level. CT toraks memperlihatkan massa sentral paru, dan bronkoskopi menemukan massa infiltratif pada bronkus intermedius. Pemeriksaan histopatologi dari biopsi paru kanan menegakkan diagnosis Squamous Cell Carcinoma (SCC) non-keratinisasi berdiferensiasi baik. Gambaran radiologis berupa lesi kavitas dengan air-fluid level pada kasus ini dapat menyerupai proses infeksi paru, sehingga memerlukan evaluasi lanjutan untuk memastikan diagnosis. Lokasi tumor yang sentral serta keterlibatan bronkus utama juga konsisten dengan karakteristik umum SCC paru. Pasien mendapatkan terapi kemoterapi kombinasi Carboplatin dan Paclitaxel. Kasus ini menunjukkan pentingnya mempertimbangkan kemungkinan keganasan paru pada pasien dengan riwayat kanker sebelumnya yang datang dengan gejala respirasi kronik, serta perlunya pendekatan diagnostik yang komprehensif melalui pencitraan, bronkoskopi, dan pemeriksaan histopatologi untuk menegakkan diagnosis secara tepat.
Co-Authors Aprilia, Dhea Ar Nur, Buti Ariani Arnur, Buti Ariani Pramanik, Deyang Maysa