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All Journal Indonesian Journal of Rheumatology Jurnal EduHealth
Gurmeet Singh
Divisi Respirologi Dan Penyakit Kritis, Kelompok Staf Medis Ilmu Penyakit Dalam, Fakultas Kedokteran Universitas Indonesia- RSUPN Dr Cipto Mangunkusumo
Health Professions Medicine & Pharmacology Public Health Veterinary

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RADIOLOGICAL FEATURES OF LUNG ABSCESS Vina Tri Septiana; Budi Yulhasfi Febrianto; Rahmi Afifi; Gurmeet Singh
Jurnal EduHealth Vol. 11 No. 2 (2021): March, Jurnal EduHealth
Publisher : Sean Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1208.705 KB) | DOI: 10.54209/jurnaleduhealth.v11i2.152

Abstract

Lung abscess is still a significant cause of morbidity and mortality. The worldwide mortality rate ranges from 15% to 20%. Radiologically, lung abscesses appear as single or multiple cavities that can mimic many other pulmonary pathological processes which pose a challenge for radiologists to understand this disease. Failure in early diagnosis and treatment can lead to a poor prognosis. Radiological examinations such as conventional radiography, computed tomography (CT) scan, ultrasonography (US and magnetic resonance imaging are available in establishing the diagnosis of lung abscess where CT scan has the best diagnostic performance. The use of appropriate radiological modalities is expected to help rule out many other differential diagnoses, so that an accurate diagnosis can be made.
Osteoarticular Tuberculosis: A Secondary Manifestations to Tuberculous Pleural Effusion Gurmeet Singh; Cleopas M Rumende; Bambang Setyohadi
Indonesian Journal of Rheumatology Vol. 5 No. 1 (2014): Indonesian Journal of Rheumatology
Publisher : Indonesian Rheumatology Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (161.136 KB) | DOI: 10.37275/ijr.v5i1.50

Abstract

Tuberculosis appears to be increasing throughout the world after years of continuous decline, despite the introduction of effective chemotherapy. This resurgence is related to the increasing number of patients immunocompromised by chemotherapeutic agents used to treat other diseases or Acquired Immunodeficiency Syndrome (AIDS); the appearance of multiple drug-resistant strains of tuberculosis, and aging population. Musculoskeletal tuberculosis arises from haematogenous seeding of the bacilli soon after the initial pulmonary infection.1 Osteoarticular TB can occur in the knee - one study found of 1074 cases, 8.3 percent - or 90 cases - affected the knee.2 The clinical  symptoms are insidious onset, pain, swelling of the joint and limited range of movements. Investigations for suspected cases include: Mantoux test, radiological imaging, fine needle aspiration biopsy, surgical biopsy, bacteriological examination, histopathological examination, and polymerase chain reaction (PCR) of a suitable specimen. The mainstay of treatment is multidrug antitubercular chemotherapy. The main reason for poor outcome is delayed diagnosis.1 We report a case of osteoarticular manifestation of tuberculosis infection affecting the left knee presenting in a man with a history of tuberculosis pleural effusion. This case highlights, firstly, osteoarticular disease is always secondary to a primary lesion in the lung and, secondly, the diagnosis of tubercular arthritis can be challenging, particularly in the presence of confounding factors such as preexisting arthritis. Ethical approval was not required for this case study.
Co-Authors Adityo Susilo, Adityo Alvina Widhani, Alvina Bambang Setyohadi Borries Foresto Buharman Bramantya Wicaksana Budi Yulhasfi Febrianto Ceva W. Pitoyo Cleopas M Rumende Cleopas Martin Rumende Cynthia Olivia Maurine Jasirwan Edwin Wijaya Erni Juwita Nelwan, Erni Juwita Evy Yunihastuti Firda Annisa Harini Oktadiana Herikurniawan Herikurniawan Khie Chen Kuntjoro Harimurti Leonard Nainggolan Maradewi Maksum Mira Yulianti Noto Dwimartutie Rahmi Afifi Robert Sinto Sukamto Koesnoe Vina Tri Septiana Widayat Djoko Santoso Wifanto Saditya Jeo