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MDR PATIENT AND DM WITH CAVITARY FUNGUS BALL DUE TO HAEMOPTOE RECURRENT: A CASE REPORT Pakpahan, Edwin Anto; Pratiwi, Annisa Nola; Putri, Frisca Indriani; Harahap, Putri Yana; Gunawan, Qibran Aziz; Siregar, Anandya Annisa Amri
Majalah Ilmiah METHODA Vol. 13 No. 3 (2023): Majalah Ilmiah METHODA
Publisher : Universitas Methodist Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

A 53-year-old man was admitted to Drs. H. Amri Tambunan Hospital with complaints of extreme weakness since today, coughing up blood was found 3 days every time he coughed. Right chest pain like stabbing is found 4 days. Nausea is found 3 days, vomiting is found just today, the contents of what is eaten, decreased appetite and weight are found. The patient is currently taking MDR anti-tuberculosis drugs. Physical examination showed chest wall retraction, weak peristalsis in the abdomen. Thorax examination revealed right Koch Pulmonum or right pulmonary TB with right Aspergillosis/fungus ball of right superior lobe. Lab examination showed that the patient was diabetic. Surgical lobectomy was performed to find a mass of 3 cm in diameter, white-white grey-brown in color, spongy in consistency. The diagnosis of aspergilloma was confirmed by microscopic examination. Tuberculosis and type 2 DM have impaired immunity due to insulin resistance, this is exacerbated by malnutrition which results in ineffective absorption of anti-tuberculosis drugs. This condition makes patients susceptible to fungal infections such as Aspergillus sp. Patients need to maintain blood glucose levels and improve nutritional status to improve their treatment prognosis. Lobectomy surgery on the superior lobe of the right lung also promotes a better prognosis in treatment.
Indeks Massa Tubuh, Lingkar Perut, Dan Lingkar Lengan Atas Tidak Berhubungan Terhadap Kadar Glukosa Darah Puasa Pada Mahasiswa Fakultas Kedokteran Universitas Muhammadiyah Sumatera Utara Pratiwi, Annisa Nola; Thristy, Isra
JURNAL PANDU HUSADA Vol 6, No 1 (2025)
Publisher : Universitas Muhammadiyah Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30596/jph.v6i1.21511

Abstract

Abstrak: : Berat badan lebih dan obesitas diketahui dapat mengganggu metabolisme tubuh, diantaranya dalam proses metabolisme glukosa darah. Akumulasi lemak yang berlebih dapat mengganggu metabolisme insulin sehingga menyebabkan hiperinsulinemia dan resistensi insulin. Berat badan lebih dan obesitas dapat ditentukan menggunakan pemeriksaan sederhana seperti indeks massa tubuh, lingkar perut dan lingkar lengan atas. Maka dari itu penelitian ini bertujuan untuk mengetahui apakah ada atau tidak hubungan antara indeks massa tubuh, lingkar perut dan lingkar lengan atas terhadap kadar glukosa darah puasa pada mahasiswa. Penelitian ini merupakan penelitian observasional analitik  dengan desain cross sectional. Tujuan dalam penelitian ini untuk mengetahui ada atau tidak adanya hubungan antara indeks massa tubuh, lingkar perut dan lingkar lengan atas terhadap kadar glukosa darah puasa pada mahasiswa Fakultas Kedokteran Universitas Muhammadiyah Sumatera Utara. Jumlah subjek yang diteliti adalah 40 mahasiswa. Hasil uji memperlihatkan bahwa tidak adanya hubungan pada setiap variabel. Tidak adanya hubungan indeks massa tubuh, lingkar perut dan lingkar lengan atas terhadap kadar glukosa darah puasa pada mahasiswa Fakultas Kedokteran Universitas Muhammadiyah Sumatera Utara.
MDR PATIENT AND DM WITH CAVITARY FUNGUS BALL DUE TO HAEMOPTOE RECURRENT: A CASE REPORT Pakpahan, Edwin Anto; Pratiwi, Annisa Nola; Putri, Frisca Indriani; Harahap, Putri Yana; Gunawan, Qibran Aziz; Siregar, Anandya Annisa Amri
Majalah Ilmiah METHODA Vol. 13 No. 3 (2023): Majalah Ilmiah METHODA
Publisher : Universitas Methodist Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46880/methoda.Vol13No3.pp234-241

Abstract

A 53-year-old man was admitted to Drs. H. Amri Tambunan Hospital with complaints of extreme weakness since today, coughing up blood was found 3 days every time he coughed. Right chest pain like stabbing is found 4 days. Nausea is found 3 days, vomiting is found just today, the contents of what is eaten, decreased appetite and weight are found. The patient is currently taking MDR anti-tuberculosis drugs. Physical examination showed chest wall retraction, weak peristalsis in the abdomen. Thorax examination revealed right Koch Pulmonum or right pulmonary TB with right Aspergillosis/fungus ball of right superior lobe. Lab examination showed that the patient was diabetic. Surgical lobectomy was performed to find a mass of 3 cm in diameter, white-white grey-brown in color, spongy in consistency. The diagnosis of aspergilloma was confirmed by microscopic examination. Tuberculosis and type 2 DM have impaired immunity due to insulin resistance, this is exacerbated by malnutrition which results in ineffective absorption of anti-tuberculosis drugs. This condition makes patients susceptible to fungal infections such as Aspergillus sp. Patients need to maintain blood glucose levels and improve nutritional status to improve their treatment prognosis. Lobectomy surgery on the superior lobe of the right lung also promotes a better prognosis in treatment.