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Terapi TB Paru Kasus Baru MTB Not Detected Disertai Peningkatan Fungsi Hati: Laporan Kasus Apriliana, Dian; Putri, Dewi Novita; Pangestu, Mulyoto
Sanus Medical Journal Vol. 6 No. 2 (2024)
Publisher : Universitas Muhammadiyah Prof. Dr. Hamka (UHAMKA Press)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22236/sanus.v6i2.18201

Abstract

Tuberculosis (TB) is caused by Mycobacterium tuberculosis and can infect various organs, including the lungs and extrapulmonary. Standard treatment uses anti-TB drugs (OAT) such as rifampicin, isoniazid, ethambutol, and pyrazinamide, which can cause hepatotoxic side effects or Drug-Induced Liver Injury (DILI). This study aims to analyze the incidence of DILI in TB patients receiving OAT FDC therapy. The method used is a case study on a 24-year-old patient who experienced nausea, vomiting, and jaundice after receiving FDC therapy. Laboratory examinations showed increased ALT and AST, indicating DILI. Data were analyzed with periodic monitoring of liver enzymes and clinical changes. The results showed that temporary cessation of OAT and administration of hepatoprotective curcuma supplements were effective in improving liver function. This study suggests routine liver enzyme examination in patients receiving OAT therapy to prevent DILI. Alternative OAT therapy can be considered in patients with severe DILI.   Tuberkulosis (TBC) disebabkan oleh Mycobacterium tuberculosis dan dapat menginfeksi berbagai organ, termasuk paru dan ekstra paru. Pengobatan standar menggunakan obat anti-TBC (OAT) seperti rifampisin, isoniazid, ethambutol, dan pyrazinamid, yang dapat menyebabkan efek samping hepatotoksik atau Drug-Induced Liver Injury (DILI). Penelitian ini bertujuan untuk menganalisis kejadian DILI pada pasien TBC yang menerima terapi OAT FDC. Metode yang digunakan adalah studi kasus pada pasien berusia 24 tahun yang mengalami mual, muntah, dan ikterus setelah menerima terapi FDC. Pemeriksaan laboratorium menunjukkan peningkatan ALT dan AST, yang mengindikasikan DILI. Data dianalisis dengan pemantauan berkala enzim hati dan perubahan klinis. Hasil menunjukkan bahwa penghentian sementara OAT dan pemberian suplemen hepatoprotektor curcuma efektif dalam perbaikan fungsi hati. Penelitian ini menyarankan pemeriksaan rutin enzim hati pada pasien yang menerima terapi OAT untuk mencegah DILI. Alternatif terapi OAT dapat dipertimbangkan pada pasien dengan DILI berat.
Hubungan Kadar Leukosit Dan Hiperurisemia Pada Individu Non Infeksi Di Rumah Sakit Mulya Tangerang Dewi, Cici Julia Sri; Putri, Dewi Novita; Feriza, Eka; Syahrajab, Salzabilla
Jurnal Ilmu Kedokteran dan Kesehatan Vol 12, No 7 (2025): Volume 12 Nomor 7
Publisher : Prodi Kedokteran Fakultas Kedokteran Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jikk.v12i7.19308

Abstract

Hiperurisemia dapat menginduksi terjadinya hipertensi melalui aktivasi saluran natrium di epitel ginjal, dan hiperurisemia berkaitan dengan peningkatan kadar leukosit dari hasil peradangan sistemik. Peradangan ini melibatkan hipertensi dan hiperurisemia. Prevalensi penderita hiperurisemia 24% usia 20 tahun, 30% usia 45-59 tahun, dan 40% diatas usia 60 tahun. Pemeriksaan kadar leukosit pada pasien hiperurisemia dapat menjadi acuan awal untuk mengetahui tanda inflamasi. Penelitian ini bertujuan untuk melihat apakah selalu terjadi peningkatan kadar leukosit pada pasien hiperurisemia. Metode yang digunakan adalah analisis potong lintang dengan subjek semua pasien hiperurisemia yang juga melakukan pemeriksaan leukosit selama tahun 2024 di Rumah Sakit Mulya Tangerang. Jumlah sampel penelitian yang memenuhi kriteria sebanyak 120 orang. Kesimpulan yang didapatkan yaitu terdapat korelasi positif antara hiperurisemia dengan kadar leukosit (r; 0,370) dan signifikansi korelasi nya < 0,01.
Gambaran Duplex Sonography Plaque Arteri Karotis pada Pasien Hypertensive Heart Disease (HHD) Lestari, Arum Lintang; Pudyastuti, Erlina; Fredy, Felix Chikita; Putri, Dewi Novita
ARKAVI [Arsip Kardiovaskular Indonesia] Vol. 8 No. 01 (2025): Arsip Kardiovaskular Indonesia
Publisher : UHAMKA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22236/arkavi.v8i01.12544

Abstract

Background: Hypertensive Heart Disease (HHD) is a condition characterized by increased blood pressure that causes disturbances in the heart's hemodynamic balance. One of its impacts is atherosclerosis, which can develop into the accumulation of hard fatty plaques in blood vessels. Early detection of atherosclerotic plaques can be performed through duplex sonography, a non-invasive imaging technique that allows for the evaluation of the structure and blood flow in the carotid arteries. Method: Case study on two patients with HHD. Results: In patient 1, B-mode duplex sonography examination showed stable plaques in the right and left carotid arteries with intima-media thickness (IMT) >2 mm. Meanwhile, in patient 2, unstable plaques were found in both carotid arteries with similar IMT values (>2 mm). Conclusion: Both patients with HHD showed the presence of atherosclerotic plaques in the carotid arteries with IMT >2 mm, indicating an increased cardiovascular risk. Duplex sonography can be an effective tool for detecting and monitoring the progression of atherosclerosis in patients with chronic hypertension.
TEKNIK PENGUKURAN TINGKAT KEPARAHAN TRICUSPID REGURGITATION (TR) PADA PASIEN DENGAN PULMONARY HYPERTENSION (PH) Sandi, Bunga Fadila; Shahab, Fahmi Idrus; Putri, Dewi Novita
ARKAVI [Arsip Kardiovaskular Indonesia] Vol. 8 No. 01 (2025): Arsip Kardiovaskular Indonesia
Publisher : UHAMKA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22236/arkavi.v8i01.12576

Abstract

Background: pulmonary hypertension (PH) is a condition where there is an increase in blood pressure in the pulmonary arteries caused by a blockage of blood vessels to the lungs. Increased pulmonary pressure indicates an increase in right ventricular afterload causing further valve problems, one of which is the occurrence of a leak in the tricuspid valve or often known as Tricuspid Regurgitation (TR). The severity of TR in patients with PH can be measured using echocardiography. Method: case study. Results: an echocardiographic examination was performed on PH patients with the measurement results of the vena contracta 0.6 cm, jet area TR 61 cm. The echocardiography examination procedure uses 3 modalities M-Mode, Color doppler, and Spectrum doppler. Conclusion: the echocardiographic examination procedure in TR patients with PH using 4 measurements obtained moderate and severe results.