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All Journal journal of internal medicine E-Jurnal Medika Udayana ISM (Intisari Sains Medis) : Jurnal Kedokteran Jurnal Respirasi (JR) Health and Medical Journal Indian Journal of Forensic Medicine & Toxicology Respiratory Science Public Health and Preventive Medicine Archive

Ida Bagus Ngurah Rai

School Of Specialist In Pulmonary Disease Faculty Of Medicine Udayana University

Author-ID : 329901

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

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Pin Point Trachea: A Case Report Ni Wayan Candrawati; Venny Singgih; Ketut Putu Yasa; Ida Bagus Ngurah Rai
Jurnal Respirasi Vol. 8 No. 1 (2022): January 2022
Publisher : Faculty of Medicine Universitas Airlangga

Introduction: Pin point trachea is a rare case. It is caused by tuberculosis (TB) and trauma due to intubation procedure. Main complication of this abnormality is respiratory failure. It can be diagnosed through bronchoscopy. Managements of this abnormality are interventional bronchoscopy and treating the etiology. Surgery is considered if interventional bronchoscopy failed or cannot be performed.Case: A 29-year-old woman came to the emergency room complaining shortness of breath and hoarseness since two months before hospitalized. The patient also experienced cough, decreased body weight and appetite since 7 months earlier. The patient was diagnosed with bacteriologically confirmed TB and anti-TB drug was given. Cough symptom was decreasing but shortness of breath and hoarseness remained after treatment. Physical examination showed decreased vesicular sound and stridor. Bronchoscopy revealed narrow tracheal lumen (pin point) with fibrosis. Thoracic computed tomography (CT) scan showed severe narrowing of tracheal lumen at thoracic vertebrae 1-2. Surgery was performed to cut the fibrotic tissue and tracheostomy was placed at stenosis area.Conclusion: Pin point trachea is a rare case. One of the causes is tracheobronchial TB. The main managements are optimal administration of anti-TB drugs and interventional bronchoscopy or surgery.

Tuberkulosis Serviks pada Penderita Tuberkulosis Paru: [Cervical Tuberculosis in Pulmonary Tuberculosis Patient] Renny Irviana Eka Tantri; Ida Bagus Ngurah Rai
Jurnal Respirasi Vol. 2 No. 2 (2016): Mei 2016
Publisher : Faculty of Medicine Universitas Airlangga

Background: Tuberculosis (TB) is a disease caused by infection of Mycobacterium tuberculosis complex. Global Tuberculosis Report 2011 stated the incidence of TB cases reached 8.7 million (1.1 million co-infected with HIV) and 990,000 people died because of TB. Twenty five percent of extrapulmonary TB occurs in cervix, which is 0.1 to 0.65% of all TB cases, and 5-24% of TB in urogenital tract. Case: We report the case of a woman, aged 28 years admitted with complaint hematuria since 6 months. With UTI treatment, Patient didn’t get improved. Gynecology examination within normal limit. The results of cervical biopsy were granulomatous chronic inflammation with suppuratif inflammatory process. Patient were diagnose with cervical TB. Patiens also complaint chronic cough with decrease of appetite and night sweating. Chest x-ray showed Lung TB with thickening of upper left pleural. AFB sputum examination with positive result, patient diagnosed with Lung TB. Patient got therapy ATD first chategory and after 2 weeks of therapy patient showed clinical improvement. Conclusion: Cervical TB is more common in women of childbearing age between 20-40 years. In this case, the possibility of Cervical TB occurs because through hematogenous dissemination of pulmonary tuberculosis.

Seorang Wanita Muda dengan Tuberkulosis Usus Menyerupai Apendiksitis Akut : [Pemphigus Paraneoplastic in Thymoma: A Rare Case] Kadek Widianiti; Tutik Kusmiati; Ida Bagus Ngurah Rai
Jurnal Respirasi Vol. 4 No. 1 (2018): Januari 2018
Publisher : Faculty of Medicine Universitas Airlangga

Background: Tuberculosis has become a global health problem, with increasing numbers of cases in line with the increasing number of immunocompromised patients. Intestinal of tuberculosis is believed to be a form of extrapulmonary tuberculosis which will occur most often in the future . Case: This case presents a young woman, 20 years old, suspected of acute appendicitis with suspected perforation, had right abdominal pain since 1 month and getting worse since 5 days PTA (prior to admission). The abdomen enlarges and feels hard on the right abdomen after being treated for 3 days. Fever,body weaknes,decreased of appetite, decreased of body weight approximately 7 kg since 2 months PTA. There are nausea, vomiting, diarea with runny mucus since 2 weeks PTA. The chest x-ray, abdominal ultrasound, endoscopy was normal result and plain abdominal radiograph showed that intestinal dilatation and step ladder features suspicious obstructive ileus. Discussion: After 2 months of therapy abdominal symptoms improved and weight began to gradually increase. Intestinal of tuberculosis is a challenge for clinicians to diagnose despite using modern medical techniques because the clinical and laboratory features are not specific especially when active pulmonary infection is absent and there are similarities with other abdominal diseases. The histological features will provide a diagnose. The delay in diagnosis will lead to more severe complications. Conclusion: At present a combination of clinical, radiological and pathological features continues to be the key to diagnosing intestinal tuberculosis. Medical management with antituberculosis drugs will produce a significant resolution of symptoms.

Challenging Treatment of Drug-Resistant Tuberculosis during Pregnancy: A Case Report Ni Luh Putu Eka Arisanti; Ni Putu Ayu Widiasari; Ni Wayan Candrawati; Ida Ayu Jasminarti Dwi Kusumawardani; Ida Bagus Ngurah Rai; Made Ary Sarasmita
Jurnal Respirasi Vol. 8 No. 3 (2022): September 2022
Publisher : Faculty of Medicine Universitas Airlangga

Introduction: Globally, drug-resistant tuberculosis (TB) still has a high number of cases. Pregnant women are one of the high-risk populations for TB infection, especially multidrug resistance (MDR)/Rifampicin resistance (RR) TB. Physiological differences in pregnant women and the safety of the fetus make drug resistance TB treatment challenging. Case: A 20-year-old woman was 22 weeks pregnant while undergoing the third month of the late phase for short-regimen. Thus, Kanamycin was one of her early phase treatment combinations during the first trimester of pregnancy. After we consulted with other departments, especially the obstetric department, we decided not to change her regimen. Her chief complaint before treatment was cough with white sputum and fluctuated shortness of breath for two months. The patient only experienced minor side effects in the early treatment phase. The patient was cured of MDR TB on 8 October 2020 at 34 weeks of gestation. Her baby was born on 10 November 2020 at 37 weeks without congenital abnormality. Observation for her baby continued by the pediatric department. The last follow-up of her baby in the middle of 2022 found no abnormality in the child’s growth and development. Conclusion: Drug-resistant TB therapy in pregnant women requires the collaboration of a multidisciplinary team to consider the benefits and risks of the therapy based on gestational age and disease severity.

Co-Authors Dyah Pradnyaparmita Duarsa I Gede Ketut Sajinadiyasa I Made Agus Satrya Wibawa I Nyoman Mangku Karmaya I Wayan Dary I Wayan Gede Artawan Eka Putra Ida Ayu Jasminarti Dwi Kusumawardani Ida Bagus Putu Putrawan IGN Bagus Artana Kadek Widianiti Ketut Putu Yasa Kusmiati, Tutik Ni Luh Putu Eka Arisanti Ni Luh Putu Karminiasih Ni Made Ary Sarasmita Ni Putu Ayu Widiasari Ni Putu Ayu Widiasari Ni Putu Ayu Widiasari Ni Wayan Candrawati Raka-Sudewi A. A. Renny Irviana Eka Tantri Senja Decy Ningrum Venny Singgih Victor Nugroho Wijaya Wayan Evie Frida Yustin Wayan Rismayanti

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