Gambaran Karakteristik Limfadenitis Tuberkulosis di Rumah Sakit Al-Islam Bandung Tahun 2017-2018
Abstract
Abstrak
Tuberkulosis (TB) adalah penyakit menular yang secara langsung disebabkan oleh kuman dari kelompok Mycobacterium tuberculosis (MTB),yang dikenal sebagai bakteri tahan asam.1 Mycobacterium tuberculosis di Indonesia masih menyebabkan mortalitas dan morbiditas yang sangat tinggi. Lima provinsi dengan TB paru tertinggi adalah Jawa Barat (0.7%), Papua (0.6%), DKI Jakarta (0.6%), Gorontalo (0.5%), Banten (0.4%) dan Papua Barat (0.4%). Selain menginfeksi paru-paru mycobacterium tuberculosis dapat menyerang ke bagian organ tubuh lainnya yang disebut tuberkulosis ekstra paru.2 Limfadenitis tuberkulosis umumnya menyerang kelenjar getah bening di superfisial, kelenjar getah bening cervical, inguinal, axila, mesenteric, mediastinum, dan intramammary.3 Menurut penelitian pada tahun 2014 di Balai Besar Kesehatan Paru Masyarakat (BBKPM) Bandung, TB ekstraparu terbanyak adalah limfadenitis TB sebanyak 22 (68,7%) kasus dari total 32 (100%) kasus. Limfadenitis tuberkulosis lebih sering terjadi pada dekade ke-2 kehidupan dengan perbandingan 2:1 antara perempuan dan pria.4 Penelitian ini menggunakan metode deskriptif cross-sectional yang bertujuan untuk melihat karakteristik penderita Limfadenitis tuberculosis di Rumah Sakit Al-Islam Bandung periode 2017-2018. Â Data yang diperoleh yaitu berupa data sekunder yaitu catatan rekam medis. Hasil penelitian diperoleh 34 kasus limfadenitis tuberkulosis dengan usia terbanyak 26-35 tahun (26%), jenis kelamin perempuan (65%), Kategori indeks massa tubuh normal weight (38%), letak anatomis tersering adalah cervical (76%), dan gambaran histopatologi Epithelioid Cell Granulomas With Caseous Necrosis
Abstract
Tuberculosis (TB) is an infectious disease that is directly caused by germs from the Mycobacterium tuberculosis (MTB) group, known as acid-resistant bacteria.1 Mycobacterium tuberculosis in Indonesia still causes very high mortality and morbidity. The five provinces with the highest pulmonary TB were West Java (0.7%), Papua (0.6%), DKI Jakarta (0.6%), Gorontalo (0.5%), Banten (0.4%) and West Papua (0.4%). Apart from infecting the lungs mycobacterium tuberculosis can invade other parts of the body called extra pulmonary tuberculosis.2 Tuberculous lymphadenitis generally attacks the lymph nodes in the superficial, cervical, inguinal, axillary, mesenteric, mediastinal, and intramammary lymph nodes.3 According to the study in 2014 at the Bandung Center for Community Lung Health (BBKPM), the most extrapulmonary TB was TB (22.78%) cases of a total of 32 (100%) cases. Tuberculosis lymphadenitis is more common in the second decade of life with a ratio of 2: 1 between women and men.4 This study used a cross-sectional descriptive method that aims to see the characteristics of tuberculosis lymphadenitis patients in Al-Islam Bandung Hospital 2017-2018. Data used in the form of secondary data, namely medical records. The results obtained 34 cases of tuberculosis lymphadenitis with the highest age 26-35 years (26%), female sex (65%), normal weight body mass index category (38%), the most common anatomical location was cervical (76%), and description histopathology of Epithelioid Cell Granulomas With Caseous Necrosis.
Keywords
Full Text:
PDFReferences
Kumar V, Abbas AK, Fausto N, Aster JC. 2010. Robbins and Cotran. Basic Pathology Basis of Disease 8th. Ed. Philadelphia: Saunders.
Malhotra AS, Lahori M, Nigam A, Khajuria A. Profile of lymphadenopathy: An Institutional Based Cytomorphological Study. Int J Appl Basic Med Res.2017;7(2):100-103.
College MM, dahade T. Research treatment outcome of tuberculous lymphadenitis. Dr. R Gaikwad. 2017.
Inayat F, Jafar MS, Ali NS, Hussain Q, Hurairah A. Enigma of Extrapulmonary Tuberculosis: Where Do We Stand? Cureus. 2017;9(8).
Das B, Basumatari S. Incidence of Tuberculosis in Cervical Lymphadenopathy. A Clinico- Epidemiological Study. 2017;4(6):1254-1257.
Interleukin- R. crossm Tuberculous Lymphadenitis Is Associated with Enhanced Baseline and Antigen-. 2017;24(5):1-12.
Salvador F, Los-Arcos I, Sánchez-Montalvá A, et al. Epidemiology and diagnosis of tuberculous lymphadenitis in a tuberculosis low-burden country. Med (United States). 2015;94(4):3-8.
International Journal of Otorhinolaryngology and Head and Neck Surgery Munjal M et al. Int J Otorhinolaryngol Head Neck Surg, et al. Tubercular lymphadenitis presenting with facial palsy : a rare case report. 2017 Oct;3(4):1133-1135 http://www.ijorl.com
Khan AH, Sulaiman SAS, Muttalif AR, Hassali MA, Khan TM. Tuberculous lymphadenitis at Penang General Hospital, Malaysia. Med Princ Pract. 2010;20(1):80-84. doi:10.1159/000319764
Riana Setiawatti H. Gambaran Tuberkulosis Ekstra Paru di Puskesmas Kota Madya Bandung Tahun 2013, Universitas Kristen Maranatha 1. 2012;1:1-4.
Gul A, Nadeem S, Sultana N, Ali M. Role of fine needle aspiration cytology and zehn neelsen staining in diagnosis of patients with suspected tuberculous lymphadenitis. 2018
Smaoui S, Mezghanni MA, Hammami B, et al. Tuberculosis lymphadenitis in a southeastern region in Tunisia: Epidemiology, clinical features, diagnosis and treatment. Int J Mycobacteriology. 2015;4(3):196-201. doi:10.1016/j.ijmyco.2015.04.004
Fazal-i-Wahid, Habib-ur-Rehman, Ahmad I. Extrapulmonary tuberculosis in patients with cervical lymphadenopathy. J Pak Med Assoc. 2013;63(9):1094-1097. doi:10.1155/2015/791498
Sama JN, Chida N, Polan RM, Nuzzo J, Page K, Shah M. High proportion of extrapulmonary tuberculosis in a low prevalence setting: a retrospective cohort study. Public Health. 2016;138:101-107. doi:10.1016/j.puhe.2016.03.033
Marwat AA, Burki F, Ahmad A, Amanullah A, Iqbal K. Frequency and Distribution of deffrent types of cervical lymphadenopathy in patients in D.I. Khan District, Pakistan. 2018; 16(1):2016-2018
Dr. Neha Mukesh Goel. International Journal Of Scientific Research Cytodiagnosis of Tuberculous Lymphadenitis-A Study of 371 Cases Pathology. 2018;(7):63-64
Gupta R, Dewan D, Suri J. Study of Incidence and Cytomorphological Patterns of Tubercular Lymphadenitis in a Secondary Care Level Hospital of Jammu Region. Indian J Pathol Oncol. 2015;2(3):161-164. doi:10.5958/2394-6792.2015.00010.1
DOI: http://dx.doi.org/10.29313/kedokteran.v0i0.15236
  Â