Pendekatan Diagnosis dan Tatalaksana Tuberkulosis Intestinal

Murwaningrum, Artati; Abdullah, Murdani; Makmun, Dadang

doi:10.7454/jpdi.v3i3.28

Cited by 5 publications

(8 citation statements)

References 17 publications

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“…Infective colitis includes tuberculous colitis, amoebic colitis, shigellosis, pseudomembranous colitis, and colitis caused by viruses, parasites, or other bacteria. 2,[4][5][6] Colitis causes damage to enterocytes caused by bacteria or toxins that cause inflammation and clinical manifestations of diarrhea, abdominal pain, mucus and bloody diarrhea, and fever. 2,[4][5][6][7][8][9] In this study, we found that there were more female than male patients, which was 65% (Table 2).…”

Section: Discussionmentioning

confidence: 99%

“…2,[4][5][6] Colitis causes damage to enterocytes caused by bacteria or toxins that cause inflammation and clinical manifestations of diarrhea, abdominal pain, mucus and bloody diarrhea, and fever. 2,[4][5][6][7][8][9] In this study, we found that there were more female than male patients, which was 65% (Table 2). Studies by Cosnes et al and Betterige et al reported similar results with this study.…”

Section: Discussionmentioning

confidence: 99%

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Blood Zinc Profile and Fecal Analysis of Colitis Patients in Cipto Mangunkusumo General Hospital

Indrasari

Pattiasina

Fauzi

et al. 2022

InaJGHE

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Background: Colitis is a gastrointestinal disease that poses a major problem in Indonesia. Zinc (Zn) is an important trace element which plays role as antimicrobial in intestinal mucosa, increases gastrointestinal barrier, and immune function. Colitis can cause histologic changes in gastrointestinal tract epithelial which will disrupt the absorption and excretion of Zn causing zinc deficiency. This study aims to evaluate the difference of Zn level in colitis and healthy subjects, as well as the fecal analysis profile of colitis patients in Cipto Mangunkusumo General Hospital. Method: The design of this study was cross-sectional and was performed in colitis and healthy subjects. Colitis patients were recruited consecutively in patients in Gastroenterology Clinic and Gastrointestinal Endoscopy Centre in Cipto Mangunkusumo General Hospital. Zinc examination from blood sample was performed using spectrophotometry. Fecal analysis was performed manually. The level of zinc from colitis subjects was compared to healthy subjects. Fecal analysis examination consists of macroscopic, microscopic, and chemical examinations of the feces.Results: There were 40 colitis subjects and 16 healthy subjects in August 2019 - May 2020. There were significant differences in Zn levels between colitis and healthy subjects, which were 10.9 ± 1.9 mol/L and 12.3 ± 1 mol/L, respectively (p = 0.011). There were 45% (18/45) colitis subjects who were also suffering from Zn deficiency. The stool analysis in colitis subjects showed soft stool consistency in 90% subjects, slimy stools in 17.5%, increased in erythrocyte count in 60%, increased in leukocyte count in 5%, positive stool starch in 20%, positive stool fat in 7.5%, acid pH in 97.5%, positive stool occult blood in 37.5%, and fungi in stool in 7.5%.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Blood Zinc Profile and Fecal Analysis of Colitis Patients in Cipto Mangunkusumo General Hospital

Indrasari

Pattiasina

Fauzi

et al. 2022

InaJGHE

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“…Penyakit TB merupakan infeksi multi sistemik yang spesifik, yang dapat menyebabkan manifestasi klinis yang beragam pada tiap sistem organ, sehingga, presentasi klinis penyakit ini juga cukup beragam (Murwaningrum et al, 2017).…”

Section: Pendahuluanunclassified

Education on the Importance of Bta Examination to Detect Tuberculosis in Improving Healthy Life in Community

Trianes¹

2022

khidmah

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Pemeriksaan BTA sangat penting dilakukan untuk membantu masyarakat menurunkan angka kejadian penyakit tuberculossis, kegiatan pemeriksaan untuk mendeteksi penyakit tuberculossis kepada masyarakat umumnya untuk memberikan pengetahuan tentang pentingnya mencegah penyakit tuerculossis. Penyuluhan pemeriksaan BTA untuk mendeteksi penyakit tuberculossis dilakukan di Desa Kertabayang dengan metode edukasi melalui media leaflet. Pada hasil penyuluhan pentingnya pemeriksaan BTA untuk mendeteksi penyakit tuberculossis di Desa Kertabayang telah mengetahui gejala-gejala penyakit tuberculosis sehingga jika terdapat gejala penyakit tuberculosis untuk dilakukan pemeriksaan BTA. Pemeriksaan BTA sangat berpengaruh untuk menurunkan angka kejadian terjadinya penyakit tubberculossis.

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“…GI TB is defined as MTB infection of the peritoneum, abdominal organs, or abdominal lymphatic system. 5 Clinical manifestation and pathology finding of GI TB are highly variable. It can be nonspecific and mimic other gastrointestinal tract disorders, such as Chron's disease, ulcerative colitis, amoebic enteritis, actinomycosis, enterocolitis, or even malignancy.…”

Section: Case Reportmentioning

confidence: 99%

Appendicular Tuberculosis as Manifestation of Gastrointestinal Tuberculosis: A Case Report

Yuliza

Rosyid

Effendi

et al. 2021

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Introduction: Gastrointestinal tuberculosis (GI TB) is quite rare with 3% incidence of all extrapulmonary involvement. Appendicular TB may occur in 0.1 - 3% of cases. Diagnosis is often difficult because the patient usually complains about chronic abdominal pain and fever. A definite diagnosis is based on histopathological examination of resected specimens from the appendectomy procedure.Case: We present a 37-year-old male patient admitted to the hospital with chronic abdominal pain, fever, nausea, and loss of body weight. The patient never had a persistent cough, hemoptysis, or night sweating. Physical examination showed pain and muscular rigidity in the right iliac area during palpation with Blumberg's sign and Rovsing's sign positive. Abdomen ultrasound imaging showed an appendicular abscess. The patient underwent appendectomy afterwards with histopathology result showing TB. The patient was treated with first category anti-tuberculosis drugs (ATD).Discussion: Diagnosis of appendicular TB is difficult due to unspecific clinical presentations. Appendicular TB patients often complain of signs and symptoms which are similar to acute appendicitis. These conditions can delay ATD treatment because the definitive diagnosis could be made after histopathological examination.Summary: Appendicular TB is a rare case of extrapulmonary TB. It can present as acute appendicitis. The definitive diagnosis is based on the histopathological examination. It is recommended to check the appendicectomy specimens histopathologically to exclude TB or other diseases.

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Pendekatan Diagnosis dan Tatalaksana Tuberkulosis Intestinal

Cited by 5 publications

References 17 publications

Blood Zinc Profile and Fecal Analysis of Colitis Patients in Cipto Mangunkusumo General Hospital

Blood Zinc Profile and Fecal Analysis of Colitis Patients in Cipto Mangunkusumo General Hospital

Education on the Importance of Bta Examination to Detect Tuberculosis in Improving Healthy Life in Community

Appendicular Tuberculosis as Manifestation of Gastrointestinal Tuberculosis: A Case Report

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