POLA KLINIK TUBERKULOSIS EKSTRA PARU DI RSUP Dr. KARIADI SEMARANG PERIODE JULI 2013- AGUSTUS 2014

Abstract

Backgrounds : Extrapulmonary Tuberculosis (TB) is an infectious disease caused by the bacteria Mycobacterium tuberculosis mostly attacks the organs out of the lungs. According to the WHO in the year 2012 the number of cases of extrapulmonary TB were 17.420 cases of all TB 331.424. Diagnosis of extrapulmonary TB is very difficult to be established, it means needs strong clinical symptoms to eliminate another diagnose. Accuracy of diagnosis highly dependent on the method of examination materials collection, the availability of diagnostic tools, such as anatomical pathology, microbiology, and radiology. The purpose of this study was to determine the clinical pattern of Extrapulmonary tuberculosis were treated in the department of Internal Medicine Ward dr. Kariadi Semarang Methods: The study design was a retrospective descriptive study, using 68 medical records of hospitalized patients in the Internal Medicine Ward period July2013- August 2014 as the sample. The data was described in the form of tables and figures. Results : Number of patients with extrapulmonary TB total of 68 patients, larger proportion is male 64,7% and most age group that 18-28 years. According the location of infection, it is more common at tuberculosis of pleurisy TB 30,9%. Most of clinical symptom are cough for pleurisy TB and limfadenitis TB, back pain for Bone TB, abdominal pain for peritonitis TB and headache for meningitis TB. Most of clinical signs are dyspneu fot pleurisy TB, Swelling of lymph nodes for limfadenitis TB, motor weakness for bone TB, muscle tension for peritonitis TB and loss of consciousness for meningitis TB. Extra-pulmonary TB cases with microbiology examination was found as many as 72,5% cases. Biopsy 67,6%, radiology 85,3%, and hematology 69,1%. A majority complication of pleurisy TB is fibrosis, abscess for limfadenitis tb, paraplegy for bone TB, acites for peritonitis TB, and hydrocephalus for meningitis TB. For length of stay patients is over 2 weeks and with treatment outcome 76,5% recovered. Conclusions: Proper diagnosis, adequate treatment can be decreased prevalence of extrapulmonary TB Keywords: Extrapulmonary TB, Description of Extrapulmonary TB.