Made Agustya Darmaputra Wesnawa
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DEBRIDEMENT SEBAGAI TATALAKSANA ULKUS KAKI DIABETIK Made Agustya Darmaputra Wesnawa
E-Jurnal Medika Udayana vol 3 no 1 (2014):e-jurnal medika udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (59.166 KB)

Abstract

Reported a case of female patient 45 years old with diagnose Diabetes Mellitus Type 2 withDiabetic Foot Ulcer Wagner grade 2 at region pedis dextra. Debridement was done in thispatient. The type of debridement was surgical debridement. The purpose of this procedure is toremove necrotic tissue and hyperkeratosis until reach the health tissue. After debridement, thewound was dressed with kassa sterile and elastic bandage. During treatment, there were no pus,bleeding, and unpleasant odor on wound, granulation tissue begin to appear, and pain on thepedis was reduced.
Drug Induced Hepatitis pada Tuberkulosis Paru dengan Multisite Tuberkulosis Ekstraparu : [Drug-Induced Hepatitis in Mixed Pulmonary and Extrapulmonary Tuberculosis] Made Agustya Darma Putra Wesnawa; Tutik Kusmiati
Jurnal Respirasi Vol. 5 No. 2 (2019): Mei 2019
Publisher : Faculty of Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (390.862 KB) | DOI: 10.20473/jr.v5-I.2.2019.34-40

Abstract

Background: Tuberculosis (TB) continues to be a major health problem in developing country. Lung is the most common site for Mycobacterium tuberculosis (MTB) infection, but dissemination may occur to any part of the body resulting in extrapulmonary TB. Hepatotoxicity is one of the most frequent adverse events that occur during TB treatment. Case: A 35-year-old female patient came with cough, dyspnea, fever, abdominal pain, history of mass in right inguinal lymph node, and malnutrition. Histopathology from excisional biopsy of inguinal lymph node showed granulomatous inflammation. Computed tomography of abdomen showed intraabdominal TB. Chest X-ray showed right pleural effusion, with exudate pleural fluid and mononuclear dominant. After 1 week consuming antituberculous drug, patient got nausea and vommiting, increased of ALT and AST, total and direct bilirubin. Antituberculous drug was stopped and switched to levofloxacin, ethambutol, and streptomycin. After clinical improvement and liver function return to normal, desensitization of rifampicin and isoniazide was started. Desensitization started with rifampicin for three days, and followed with isoniazide for three days. In total, the patient got rifampicin, isoniazide, and ethambutol for 9 months. Evaluation of treatments are clinical improvement and weight gain. Acid fast baccili sputum was negatif, no pleural effusion on chest X-ray, and normal abdominal ultrasound. Conclusion: MTB can spread to other organs which cause multisite extrapulmonary TB. Side effect can occur during TB treament, and this is not the reason to stop the therapy. Individual ATD therapy shows good response in this case.
Diagnosis dan Tatalaksana Pleuritis Tuberkulosis. Made Agustya Darma Putra Wesnawa
Cermin Dunia Kedokteran Vol 43, No 5 (2016): Infeksi
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v43i5.55

Abstract

Pleuritis tuberkulosis adalah infeksi Mycobacterium tuberculosis pada pleura yang sering bermanisfestasi sebagai efusi pleura. Pemeriksaan radiologi diperlukan untuk menentukan adanya lesi intrapulmonal. Diagnosis pleuritis tuberkulosis dapat dengan mudah ditegakkan melalui pemeriksaan kadar adenosine deaminase (ADA) cairan pleura. Penatalaksanaan  awal dengan obat antituberkulosis dan torakosentesis untuk mencegah perkembangan penyakit dan mengurangi keluhan pasien.