Isnin Anang Marhana, - and Amelia Tantri Anggraeni, - (2018) Problem Terapeutik pada Empiema Terlokulasi karena Tuberkulosis. Jurnal Respirasi, 4 (3). pp. 86-93. ISSN 2407-0381

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Abstract

Background: Pleural effusion is the most common complication of pulmonary tuberculosis (TB). Some coexist with secondary infection could worsen clinical presentation as empyema. The incidence of pleural effusion in the early stage of empyema due to TB infection is about 31%. Somehow, untreated empyema increased in-hospital mortality. Case: A woman with unregulated diabetes mellitus was referred with organized empyema. The etiology of empyema is based on a specific process of TB infection with the ADA value of empyema fluid was 128 mg/dl. We decided to perform decortication with the result loculated empyema and bronchopleural fistula 2 cm in the inferior lobe of the right lung. The patient did not recover well. Unfortunately, fluidopneumothorax was found on a chest CT scan with contrast. Thoracotomy was performed and another bronchopleural fistula was found which length was about 1 cm in superior lobe of the right lung. Discussion: The worsening condition of the patient was caused by the occurrence of postoperative bronchopleural fistula. It was visualized as pulmonary TB with perforation of cavity nessessity. On the other hand, the condition could be worsened by the hyperglycemic state in an immunocompromised individual. Summary: Loculated empyema is a condition caused by bronchopleural fistula, the presence of a connecting cavity between pleural and bronchus which occurred less than 48 hours. Local and systemic factors might explain the development of bronchopleural fistula. Well management of the loculated empyema by knowing the etiology could improve the life survival of the patient.

Item Type:	Article
Uncontrolled Keywords:	Fluidopneumothorax, Bronchopleural Fistula, Loculated Empyema, Decortication, Thoracotomy
Subjects:	R Medicine > R Medicine (General) R Medicine > RC Internal medicine > RC705-779 Diseases of the respiratory system
Divisions:	01. Fakultas Kedokteran > Ilmu Penyakit Paru
Creators:	Creators NIM Isnin Anang Marhana, - NIDN8805800016 Amelia Tantri Anggraeni, - UNSPECIFIED
Depositing User:	arys fk
Date Deposited:	14 Feb 2023 07:33
Last Modified:	14 Feb 2023 07:33
URI:	http://repository.unair.ac.id/id/eprint/119976
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