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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

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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.
Effectiveness Test of The Use of Nigella Sativa Oil Compared with Sodium Docusate as A Therapy for Cerumen Impaction on Children at Puteri Aisyiyah Medan Orphanage in Vitro Siregar, Anandya Annisa Amri; Syahputra Nasution, Muhammad Edy
Buletin Farmatera Vol 9, No 2 (2024)
Publisher : Universitas Muhammadiyah Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30596/bf.v9i2.21255

Abstract

Abstract: Introduction: Cerumen Impaction is a hearing problem that most often results in decreased hearing function and ear pain. Treatment using natural ingredients is widely practised. One of them is the use of Nigella sativa Oil. The purpose of this study was to analyze the effectiveness of using Nigella sativa Oil and sodium docusate as a treatment for impaction of cerumen in children at the Puteri Aisyiyah Orphanage in Medan City in vitro at 5,10,15and 30 minutes. This type of research was a eksperimental study in vitro which in practice uses a probability sampling technique, namely simple random sampling on existing groups. Significance value of 0.000(p 0.05).So it can be stated that the use of the Nigella Sativa Oil solution and the Docusate Sodium solution have different effectiveness, while this difference can be seen from the Mean ± Deviation Standard value in each group, where the Nigella Sativa Oil solution has a higher Mean ± Deviation Standard value (0.788 ± 0.144) compared to sodium docusate solution (0.145 ± 0.125). The conclusion is that the use of Nigella Sativa Oil has significant effectiveness for the treatment of impaction of cerumen and the use of Sodium Docusate does not have significant effectiveness for the treatment of impaction of cerumen in children.
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.