HomeInternational Journal of Multidisciplinary: Applied Business and Education Researchvol. 4 no. 6 (2023)

Case Visit Activity Report An. S Patients with Short Stature Pulmonary Tuberculosis Through Family Medicine Approach

Ananda Josua Triagus Pahala Butar Butar | Paulina Sevilla | Justhina Ensly Mosso | Novendy Novendy

 

Abstract:

Tuberculosis can occur in all age groups adults and children. Tuberculosis (TB) in children occurs in children aged 0-14 years and most common at ages 1-14 years. In the working area of the Cikupa Health Center, there are patients a daughter named An.S who was diagnosed with a new case of pulmonary tuberculosis and has stature short based on results plotting so that need done intervention through family doctor visit. Solving the problem pulmonary tuberculosis infection with short stature in An. S. A female patient, An.S , aged 2 years and 8 months, came with a complaint Cough with fever for 2 weeks. In addition, high growth was also obtained age-appropriate body The patient has received antibiotics and concoction but complaints do not improve. The patient's grandmother also had similar complaints. In this case, an intervention using a family medicine approach with Mandala of Health For get diagnosis holistic And done governance in a manner comprehensive. After the intervention of An.S showed improvement and is currently undergoing treatment. Height has increased from 84 cm to 86 cm also weight from 11.2 kg to 13 kg. The family has understood about TB disease and is willing to do screening and implement PHBS. Known sources of tuberculosis infection in An. S suspected of coming from the patient's grandmother. TB infection experienced by patients has an impact on inhibiting the patient's growth so that the patient's height does not increase. After comprehensive treatment and education, the patient's family understands tuberculosis, disease transmission and prevention so that it is hoped that the treatment will be carried out completely and can catch up with age-appropriate growth.



References:

  1. Akbaş, E., & Yiğitoğlu, G. T. (2020). Nursing Care For A Patient With Bipolar Disorder (Mixed Attack) Based On The Neuman Systems Model: A Case Report. Journal Of Psychiatric Nursing.
  2. Andani, N. M. L., & Savitri, P. D. (2022). Persistent Secondary Spontaneous Pneumothorax As A Complication Of Tuberculosis Infection: A Case Report. Intisari Sains Medis, 13(1), 131–135. https://doi.org/10.15562/Ism.V13i1.1260
  3. Benetti, E., Giliberti, A., Emiliozzi, A., Valentino, F., Bergantini, L., Fallerini, C., Anedda, F., Amitrano, S., Conticini, E., Tita, R., D’alessandro, M., Fava, F., Marcantonio, S., Baldassarri, M., Bruttini, M., Mazzei, M. A., Montagnani, F., Mandalà, M., Bargagli, E., … Mari, F. (2020). Clinical And Molecular Characterization Of Covid-19 Hospitalized Patients. Plos One, 15(11), E0242534. https://doi.org/10.1371/journal.pone.0242534
  4. Briones-Claudett, K. H., Briones-Claudett, M. H., Posligua Moreno, A., Estupiñan Vargas, D., Martinez Alvarez, M. E., & Grunauer Andrade, M. (2020). Spontaneous Pneumothorax After Rupture Of The Cavity As The Initial Presentation Of Tuberculosis In The Emergency Department. American Journal Of Case Reports, 21, E920393-1. https://doi.org/10.12659/ajcr.920393
  5. Christina, P. E., Tanzia, S., Nasution, M. A., & Tirtasari, S. (2023). Malnutrition Case In Patient With Pulmonary Tuberculosis Through A Family Medicine Approach. Science Midwifery, 10(6), 4861–4865. https://doi.org/10.35335/midwifery.v10i6.1128
  6. Desai, U. (2022). Complication And Sequelae Of Pulmonary Tuberculosis: A Tertiary Care Center Experience. International Journal Of Pulmonary & Respiratory Sciences, 5(5). https://doi.org/10.19080/ijoprs.2022.05.555674
  7. Haryati, H., Wicaksono, B., & Rahmawaty, D. (2022). Heimlich Valve As Ambulatory Treatment For Persistent Pneumothorax In A Patient With Pulmonary Tuberculosis: A Case Report And Literature Review. Journal Of Cardio-Thoracic Medicine, 10(4).
  8. Heo, J., Bak, S. H., Ryu, S. M., & Hong, Y. (2021). Tuberculosis-Infected Giant Bulla Treated By Percutaneous Drainage Followed By Obliteration Of The Pulmonary Cavity Using Talc: Case Report. Journal Of Chest Surgery, 54(5), 408–411. https://doi.org/10.5090/jcs.20.107
  9. Isrul, M., Idrus, M., Mashar, H. M., & Muthmainnah, A. (2018). Antimycobacterial Activity Of Gynura Procumbens Leaves Extract Against Mycobacterium Tuberculosis. International Journal Of Green Pharmacy, 12(3), 163–167. http://repo.poltekkes-palangkaraya.ac.id/id/eprint/66
  10. Kapoor, S., Thakkar, J., & Siddique, M. A. (2018). Septic Pulmonary Emboli Causing Recurrent Bilateral Pneumothoraces In A Patient With Right Sided Endocarditis: A Case Report And Review Of Literature. Sage Open Medical Case Reports, 6, 2050313x1878482. https://doi.org/10.1177/2050313x18784823
  11. Kesharwani, P. (2020). Nanotechnology Based Approaches For Tuberculosis Treatment. Academic Press.
  12. Liu, C.-W., Lin, C.-J., Hu, H.-C., Liu, H.-J., Chiu, Y.-C., Lee, S.-W., & Wu, L. S.-H. (2020). The Association Of Inflammasome And Tlr2 Gene Polymorphisms With Susceptibility To Tuberculosis In The Han Taiwanese Population. Scientific Reports, 10(1), 10184. https://doi.org/10.1038/S41598-020-67299-6
  13. Mirzai, S., Vashisht, R., & Ghosh, S. (2020). Loculated Pneumothorax Masquerading As Bullous Disease. The American Journal Of The Medical Sciences, 360(3), 314–315. https://doi.org/10.1016/j.amjms.2020.04.008
  14. Mizushima, R., Haruhara, K., Fukasawa, N., Satake, M., Fukui, A., Koike, K., Tsuboi, N., Takahashi, H., & Yokoo, T. (2022). Two Entities In Pulmonary Nodules Of A Diabetic Patient Receiving Corticosteroid Therapy For Bullous Pemphigoid: An Autopsy Case Report. Bmc Infectious Diseases, 22(1), 597. https://doi.org/10.1186/s12879-022-07566-1
  15. Qo’imah, A. N., Wardani, D. P. K., Sudarsono, T. A., & Mulyanto, A. (2022). Comparison Of Tsh Levels Pulmonary Tuberculosis Patients At The Phase 0 And 6 Months Treatment. Jurnal Ilmu Dan Teknologi Kesehatan, 10(1), 99–107. https://doi.org/10.32668/jitek.v10i1.910
  16. Qubro, D. Z., & Nusadewiarti, A. (2020). Holistic Management Of Seborrheic Dermatitis Through The Family Doctor’s Approach. Majority, 9(2), 55–62.
  17. Quincho-Lopez, A., Quincho-Lopez, D. L., & Hurtado-Medina, F. D. (2020). Case Report: Pneumothorax And Pneumomediastinum As Uncommon Complications Of Covid-19 Pneumonia—Literature Review. The American Journal Of Tropical Medicine And Hygiene, 103(3), 1170–1176. https://doi.org/10.4269/ajtmh.20-0815
  18. Sari, N. P. W. P., & Sari, A. K. E. (2020). Comparison Of Stress Level And Coping Strategy Between Therapeutic Phases In Newly Diagnosed Tuberculosis. International Journal Of Public Health, 9(2), 145–152.
  19. Selvaraju, S., Malaisamy, M., Dolla, C. K., Murali, L., Karikalan, N., Saravanan, B., Tholkappian, A. S., & Tripathy, S. P. (2022). Application Of Mobile Phone Technology As Intervention For The Management Of Tuberculosis Patients Diagnosed Through Community Survey. Indian Journal Of Medical Research, 155(2), 301–305.
  20. Shao, M., Wu, F., Zhang, J., Dong, J., Zhang, H., Liu, X., Liang, S., Wu, J., Zhang, L., Zhang, C., & Zhang, W. (2021). Screening Of Potential Biomarkers For Distinguishing Between Latent And Active Tuberculosis In Children Using Bioinformatics Analysis. Medicine, 100(5), E23207. https://doi.org/10.1097/md.0000000000023207
  21. Sufriyana, H., Wu, Y.-W., & Su, E. C.-Y. (2020). Artificial Intelligence-Assisted Prediction Of Preeclampsia: Development And External Validation Of A Nationwide Health Insurance Dataset Of The Bpjs Kesehatan In Indonesia. Ebiomedicine, 54, 102710. https://doi.org/10.1016/j.ebiom.2020.102710
  22. Sui, J., Qiao, W., Xiang, X., & Luo, Y. (2022). Epigenetic Changes In Mycobacterium Tuberculosis And Its Host Provide Potential Targets Or Biomarkers For Drug Discovery And Clinical Diagnosis. Pharmacological Research, 179, 106195. https://doi.org/10.1016/j.phrs.2022.106195
  23. Suri, T., Makkar, N., Ray, A., & Sood, R. (2019). A Unique Case Of Hydropneumothorax In Allergic Bronchopulmonary Aspergillosis. Medical Mycology Case Reports, 25, 29–31. https://doi.org/10.1016/j.mmcr.2019.07.003
  24. Swaminathan, S., Narendran, G., Venkatesan, P., Iliayas, S., Santhanakrishnan, R., Menon, P. A., Padmapriyadarsini, C., Ramachandran, R., Chinnaiyan, P., Suhadev, M., Sakthivel, R., & Narayanan, P. R. (2010). Efficacy Of A 6-Month Versus 9-Month Intermittent Treatment Regimen In Hiv-Infected Patients With Tuberculosis. American Journal Of Respiratory And Critical Care Medicine, 181(7), 743–751. https://doi.org/10.1164/rccm.200903-0439oc
  25. Thakkar, P. A., Pansuriya, H. G., Bharani, S., & Taneja, K. K. (2021). Clinical Profile, Outcome And Risk Factors For Mortality Of Neonates Requiring Mechanical Ventilation At Tertiary Care Centre Of Central Gujarat, India. Journal Of Nepal Paediatric Society, 41(1), 29–34. https://doi.org/10.3126/jnps.v41i1.30630
  26. Tiberi, S., Torrico, M. M., Rahman, A., Krutikov, M., Visca, D., Silva, D. R., Kunst, H., & Migliori, G. B. (2019). Managing Severe Tuberculosis And Its Sequelae: From Intensive Care To Surgery And Rehabilitation. Jornal Brasileiro De Pneumologia, 45.
  27. Wijayanti, E. (2020). The Correlation Between Behavior Intention And Family Support On Adult Pulmonary Tb Patients In Central Jakarta. International Journal Of Public Health Research, 10(2), 1209–1214. https://spaj.ukm.my/ijphr/index.php/ijphr/article/view/247
  28. Wu, H., Wei, J., & Yu, D. (2020). Application Of Ngs In Diagnosis Of Tuberculous Pleurisy With Multiple Negative Tests: A Case Report. Infection And Drug Resistance, 3543–3550.
  29. Zargar, A. S., Borole, K., & Rai, R. (2023). Correlation Of Polymorphism In Toll-Like Receptor (Tlr1 And Tlr2) Genes With Susceptibility Of Pulmonary Tuberculosis In Doda Region Of India. Indian Journal Of Tuberculosis. https://doi.org/10.1016/j.ijtb.2023.03.018