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All Journal Jurnal Health Sains International Journal of Social Service and Research
Amori, Lakcandra Amar
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Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Environmental Science Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary

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Pneumothorax, Giant Bullae and Bronchiectasis in Pediatric Patients with a History of Pulmonary TB Arimbi, Muzaijadah Retno; Amori, Lakcandra Amar; Indrajanu, Intan Nurani; Nasrur Maulana, Eka; Tondi Winoto, Haryson
International Journal of Social Service and Research Vol. 5 No. 7 (2025): International Journal of Social Service and Research
Publisher : Ridwan Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/ijssr.v5i7.1278

Abstract

Pulmonary tuberculosis (TB) remains a major infectious disease in children, particularly in developing countries. Post-TB pulmonary complications, such as pneumothorax, giant bullae, and bronchiectasis, can significantly impair respiratory function over time. This case report highlights a 17-year-old girl with a history of BTA-positive pulmonary TB who developed pneumothorax, giant bullae, varicose bronchiectasis, and centrilobular emphysema. After completing OAT therapy in August 2024, she underwent VATS, bulectomy, and wedge resection due to persistent lung abnormalities. Thoracic CT imaging revealed extensive lung damage, including bronchiectasis and bullae. Currently, the patient is stable and asymptomatic. This case emphasizes the importance of early detection and comprehensive management of post-TB bronchiectasis in pediatric patients. Timely intervention can improve prognosis, especially given the high regenerative capacity of children's lungs. Early recognition of complications and appropriate treatment are crucial to prevent long-term respiratory impairment in children recovering from pulmonary TB.
Clinical Features and Management of Community-Acquired Pneumonia (CAP) In The Elderly Arimbi, Muzaijadah Retno; Amori, Lakcandra Amar; Soetedjo, Farida Anggraini; Haryanti, Elizabeth; Yaniari, Roethmia
Jurnal Health Sains Vol. 6 No. 8 (2025): Journal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v6i8.2657

Abstract

Community-Acquired Pneumonia (CAP) or pneumonia acquired outside health facilities is one of the main causes of morbidity and mortality in the elderly age group. As we age, immune function decreases and is accompanied by comorbidities such as diabetes, heart disease, and chronic lung disease that worsen the course of the disease. This study aims to find out the clinical picture and management of Community-Acquired Pneumonia (CAP) in the elderly. This study uses qualitative research methods. The data collection technique in this study is by studying case report documents. The data that has been collected is then analyzed in three stages, namely data reduction, data presentation and drawing conclusions. The results show that Community-Acquired Pneumonia (CAP) in the elderly is a complex condition with challenges in diagnosis and management, as the symptoms are often atypical and involve various risk factors. Clinical guidelines emphasize the importance of basic supporting examinations such as thoracic imaging and organ function evaluations, as well as prompt and appropriate administration of empirical antibiotics. Treatment should be adjusted to the severity of the patient's frailty, comorbidities, and frailty status. Supportive therapy plays an important role in recovery, while an individualized approach based on risk factors such as malnutrition, sarcopenia, and aspiration is needed to improve prognosis and lower mortality in the elderly with CAP.
Co-Authors Arimbi, Muzaijadah Retno Elizabeth Haryanti Farida Anggraini Soetedjo Indrajanu, Intan Nurani Nasrur Maulana, Eka Tondi Winoto, Haryson Yaniari, Roethmia