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All Journal Jambi Medical Journal : Jurnal Kedokteran dan Kesehatan Medical Journal of Indonesia
Graciela, Yemima
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Medicine & Pharmacology

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Tuberculous Meningoencephalitis in Lost To Follow-Up Patient: A Case Report Graciela, Yemima; Wisnuwardhani, Dian; Hamdani, Ismi Adhanisa
Jambi Medical Journal : Jurnal Kedokteran dan Kesehatan Vol. 12 No. 1 (2024): JAMBI MEDICAL JOURNAL: Jurnal Kedokteran dan Kesehatan
Publisher : FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS JAMBI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jmj.v12i1.29103

Abstract

Background: Tuberculous meningoencephalitis (TBME) is a rare extrapulmonary TB that accounted for less than 1-2% with high mortality and morbidity rate. Loss of follow-up (LTFU) TB cases are also associated with worse prognosis, treatment failure, drug-resistant cases, decompensations, and complications. The objective of this study is to present a TBME case in LTFU patient as both conditions are correlated with worse outcomes for the patient. Case report: A 20-year-old man with a history of discontinued TB therapy presented to the emergency room (ER) with complaints of depressed consciousness, absence seizure, fever, shivers, nausea, vomiting, and holo-cranial headache. The diagnosis of TBME was confirmed by contrast-enhanced radiological findings, detection of M. tuberculosis in sputum, and blood investigations. Early initiation of anti-tuberculous drugs was given and showed marked clinical improvement followed by complete relief after a month follow-up. Conclusion: TBME should be diagnosed in patients living in high-rate TB countries with presumptive symptoms and signs supported by laboratory investigations as well as radiological findings to initiate early treatment. LTFU patients should be monitored with family or social group support while improving TB regimens in healthcare facilities. Keywords: Tuberculosis, meningoencephalitis, loss-to-follow up
Corrigendum: Quadrigeminal plate arachnoid cyst presenting with eye movement related migraine: a rare case report Graciela, Yemima; Shen, Robert; Tjahjadi, Mardjono
Medical Journal of Indonesia Vol. 32 No. 3 (2023): September
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13181/mji.cg.237355

Abstract

[This corrects the article DOI: 10.13181/mji.cr.236858]
Co-Authors Hamdani, Ismi Adhanisa Shen, Robert Tjahjadi, Mardjono Wisnuwardhani, dian