Elieza L. Pramugaria and Iswan Abbas Nusi and Poernomo Boedi Setiawan and Herry Purbayu and Titong Sugihartono and Ummi Maimunah and Ulfa Kholili and Budi Widodo and Husin Thamrin and Amie Vidyani and Muhammad Miftahussurur (2017) Problematic Diagnosis of a Patient with Tuberculosis Peritonitis. In: Proceedings of Surabaya International Physiology Seminar. SCITEPREES-Science and Technology Publications, Lda., Surabaya, pp. 462-469. ISBN 978-989-758-340-7

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Abstract

Tuberculosis Peritonitis is a parietal or visceral peritoneal inflammation caused by Mycobacterium tuberculosis bacteria. Pathogenesis Tuberculosis peritonitis is preceded by infection with M. tuberculosis followed by spreading to the peritoneum. This is a report of a young female patient with a major complaint of overall abdominal pain and weight loss accompanied by other non-specific clinical symptoms such as fever, enlargement (ascites), with malnutrition, and a history of the patient's child being treated for tuberculosis lymphadenitis. The investigation showed anemia, erythrocyte sedimentation rate (ESR) and increased CRP, and ascites fluid analysis showed an exudate, ascites glucose ratio with blood < 0.96. Radiological examination of abdominal ultrasound found ascites, with abdominal CT scan examination finding thickening of the intestinal wall, supporting tuberculosis (TB) with bilateral ovarian cyst appearance. Diagnosis of tuberculosis peritonitis is based on histologic tiss ue examination by laparotomy. This laparotomy examination is performed because anamnesis, physical examination, and other support are not able to determine a definitive diagnosis. Furthermore, patients receive Fixed Drug Combination (FDC) therapy consisting of Rifampicin, Isoniazid, Pyrazinamide, and Ethambutol for 2 months, followed by a combination of Rifampicin and Isoniazid for 7-10 months. The prognosis of tuberculosis peritonitis is sufficient if the diagnosis is immediate and patients are adequately treated

Item Type:	Book Section
Uncontrolled Keywords:	Tuberculous peritonitis, parietal peritoneum, abdomen, diagnostic problems, FDC therapy
Subjects:	R Medicine > R Medicine (General) R Medicine > RC Internal medicine
Divisions:	01. Fakultas Kedokteran > Ilmu Penyakit Dalam
Creators:	Creators NIM Elieza L. Pramugaria UNSPECIFIED Iswan Abbas Nusi NIDN0028025003 Poernomo Boedi Setiawan NIDN8886900016 Herry Purbayu NIDN8884800016 Titong Sugihartono NIDN8836800016 Ummi Maimunah NIDN8896900016 Ulfa Kholili NIDN0004047511 Budi Widodo NIDN8804800016 Husin Thamrin NIDN8825800016 Amie Vidyani NIDN0028018002 Muhammad Miftahussurur NIDN0029097909
Depositing User:	arys fk
Date Deposited:	05 Dec 2019 08:23
Last Modified:	05 Dec 2019 08:23
URI:	http://repository.unair.ac.id/id/eprint/92044
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