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All Journal Jambi Medical Journal "Jurnal Kedokteran dan Kesehatan"
Maria Estela Carolina
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Medicine & Pharmacology

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CASE REPORT: PHARINGEAL TUBERCULOSIS WITH MILLIARY TUBERCULOSIS Desvita Sari; Mujahidah; Subakir; Maria Estela Carolina
Jambi Medical Journal : Jurnal Kedokteran dan Kesehatan Vol. 11 No. 1 (2023): Jambi Medical Journal: Jurnal Kedokteran dan Kesehatan
Publisher : FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS JAMBI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jmj.v11i1.21444

Abstract

Background: Tuberculosis (TB) based on its manifestations is divided into two, pulmonary and extra pulmonary. Extrapulmonary TB can be miliary TB and pharyngeal TB. Miliary TB is spread by hematogenous spread to several organs. The diagnosis of extrapulmonary TB takes a long time, an accurate examination can determine extrapulmonary TB infection. Case Presentation: A 47-year-old man complained of recurrent pharyngitis and with symptoms of the respiratory system. Physical examination revealed white granulomatous lesions of the pharyngeal mucosa. The results of the tissue biopsy were performed with Ziehl Neelsen staining. The chest x-ray showed miliary tuberculosis. Diagnostic confirmation using sputum and tissue culture on Lowenstein Jensen medium, MPT64, and niacin paper strip test. Gene Xpert results detected Mycobacterium TB and Rifampicin resistance. Antituberculosis is given for four months. Conclusion: Physical examination of the throat revealed granulomatous inflammation and chest X-ray revealed miliary tuberculosis. The results of sputum and tissue culture on Lowenstein Jensen medium, MPT64, and paper strip test for niacin showed positive TB. Keywords: Pharyngeal tuberculosis, miliary tuberculosis, extrapulmonary tuberculosis.
LEPTOSPIROSIS DENGAN GANGGUANG GINJAL : LAPORAN KASUS Mujahidah; Subakir; Desvita Sari; Maria Estela Carolina
Jambi Medical Journal : Jurnal Kedokteran dan Kesehatan Vol. 11 No. 1 (2023): Jambi Medical Journal: Jurnal Kedokteran dan Kesehatan
Publisher : FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS JAMBI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jmj.v11i1.25308

Abstract

Background: Leptospirosis is a public health problem throughout the world, especially in countries with tropical and subtropical climates and with high rainfall, such as Indonesia. Leptospirosis is a rat-originated disease that is classified as an emerging disease, caused by the Leptospira interrogans bacteria that are pathogenic to humans and animals. Leptospirosis can cause kidney problems due to toxins that can affect the immune system. Case report: A 56 year old woman with loss of consciousness, convulsions and fever. A positive Lateral flow examination and Microscopic Agglutination test (MAT) were carried out with the results showing Pomona serogroup, Pomona serovar, Pomona strain with a titer of 1:320 showing positive results. The results of examination of urea creatinine (6.5 mg/dl) and urea (234 mg/dl) showed a disturbance in the kidneys. Conclusion: Laboratory examinations in the form of Lateral flow and MAT showed Leptospira infection with renal impairment. Keywords: Leptospirosis, kidney disorders, Lateral flow, MAT
Co-Authors Desvita Sari Mujahidah Subakir