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Secondary Spontaneous Pneumothorax in Former Pulmonary Tuberculosis: a Case Report Rijal, Syamsu; Aisyah, Windy Nurul; Natsir, Bulkis; Yasin, Julian Muhammad
Journal La Medihealtico Vol. 5 No. 2 (2024): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v5i2.1228

Abstract

A 36-year-old male presented to the hospital with a chief symptom of dyspnea that began one day before admission and increased during the night upon admission. The individual does not experience nausea, vomiting, heartburn, and has regular urination and normal bowel movements. Loss of appetite and fatigue. There is no prior record of comparable grievances. The existence of a history of trauma cannot be refuted. Past medical history: The patient had pulmonary TB and completed treatment in April 2023. During the physical examination, the patient's overall condition was observed to be moderately unwell, with a clear and alert state of consciousness. Assessment of vital signs revealed a blood pressure of 117/84 mmHg, a pulse rate of 65 beats per minute, a respiratory rate of 25 breaths per minute, a body temperature of 37°C, and an oxygen saturation level of 94%. In the thoracic region, the examination reveals the following findings: - Inspection shows movement of the chest wall on the left side. - Palpation detects weakened tactile fremitus on the left side. - Percussion produces a hypersonor sound on the left side. - Auscultation reveals normal vesicular sounds on the right side and weak vesicular sounds on the left side. Rhonchi are not present, but wheezing is heard in both sides of the chest. The supporting studies yielded a complete blood count within normal range, a VCT examination showing non-reactive HIV antibodies, a TCM sputum examination with undetectable MTB findings, and a chest X-ray examination indicating left pneumothorax and active pulmonary TB.
Hubungan Antara Karakteristik Klinis Pasien TB Paru dengan Gambaran Radiologi CT Scan Thorax: The Relationship Between Clinical Characteristics of Pulmonary TB Patients and Radiologic Features of Thorax CT Scan Utami, Nurfika; Rahmawati, Rahmawati; Natsir, Bulkis
Journal of Aafiyah Health Research (JAHR) Vol. 6 No. 1 (2025): JANUARY-JUNE
Publisher : Postgraduate Program in Public Health, Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52103/jahr.v6i1.2011

Abstract

ABSTRAK Latar Belakang: Infeksi tuberkulosis menjadi salah satu infeksi manusia yang paling umum dan berbahaya. Infeksi tuberkulosis adalah masalah kesehatan yang jumlahnya sepertiga penduduk dunia terinfeksi Mycobacterium tuberculosis. penegakan diagnosis TB masih terbatas pada hasil pemeriksaan klinis, pemeriksaan laboratorium sputum BTA dan foto X-ray thorax konvensional. Sementara itu, CT scan belum menjadi modalitas standar, karena biayanya yang mahal dan tidak tersedia di berbagai pusat pelayanan kesehatan primer. Namun CT-scan dianggap memiliki kelebihan dalam mendiagnosis lesi-lesi minimal, membedakan kondisi aktif dan non-aktif, menilai perluasan endobronkial, serta mendiagnosis TB paru dengan hasil pemeriksaan sputum bakteri tahan asam (BTA) negatif secara lebih baik. Metode: Metode yang digunakan yaitu literature review dengan desain Narrative Review untuk mengidentifikasi dan merangkum artikel yang telah diterbitkan sebelumnya mengenai hubungan antara karakteristik klinis pasien TB Paru dengan gambaran radiologi CT Scan. Hasil: Dari 4 artikel yang dirangku, banyaknya variasi yang tidak khas dari gambaran CT-scan thorax pasien TB paru membuat penegakan diagnosis TB paru menjadi lebih rumit. Dibutuhkan ketelitian dan kerjasama yang baik antara ahli radiologi dengan klinisi untuk bersama-sama menegakkan diagnosis TB paru secara tepat. ABSTRACT Background: Tuberculosis infection is one of the most common and dangerous human infections. Tuberculosis infection is a health problem in which one-third of the world's population is infected with Mycobacterium tuberculosis. The diagnosis of TB is still limited to the results of clinical examination, laboratory examination of BTA sputum and conventional thoracic X-rays. Meanwhile, CT scanning has not yet become a standard modality, due to its high cost and unavailability in many primary health care centres. However, CT scans are considered to have advantages in diagnosing minimal lesions, differentiating active and inactive conditions, assessing endobronchial expansion, and better diagnosing pulmonary TB with negative acid-resistant bacteria (BTA) sputum examination results. Method: The method used was a literature review with a Narrative Review design to identify and summarise previously published articles on the relationship between clinical characteristics of pulmonary TB patients and CT scan radiological images. Results: From the 4 articles summarised, it was found that the large number of variations that are not typical of thoracic CT scans of pulmonary TB patients make the diagnosis of pulmonary TB more complicated. It takes precision and good cooperation between radiologists and clinicians to jointly make a correct diagnosis of pulmonary TB.