Diabetes Melitus Tipe 2 dan Empiema Tuberkulosis
Abstract
Pendahuluan: Diabetes melitus menjadi salah satu faktor risiko terjadinya empiema. Pasien diabetes melitus memiliki risiko 1.65 kali lebih tinggi terkena empiema. Empiema didefinisikan sebagai kumpulan pus atau nanah pada rongga pleura. Angka kejadian empiema tuberkulosis mencapai 38.7% dari kejadian empiema bukan karena tuberkulosis sebanyak 61.3%. Insiden empiema pleura pada pasien diabetes terjadi lebih banyak dibandingkan pasien nondiabetes.
Laporan Kasus: Telah dirawat pasien perempuan usia 36 tahun dengan empiema TB dan diabetes melitus tipe 2. Pasien dilakukan evakuasi pus melalui pemasangan chest tube, pemeriksaan enzim adenosine deaminase (ADA), BTA dan kultur pus. Terapi diabetes tipe 2 pada pasien diberikan injeksi insulin.
Kesimpulan: Manajemen empiema tuberkulosis dengan komorbid diabetes melitus secara komprehensif yaitu drainase pus, pemberian obat anti tuberkulosis yang efektif dan tatalaksana terhadap infeksi sekunder dan komorbid.
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Mccauley L, Dean N. Pneumonia and empyema : causal , casual or unknown. J Thorac Dis. 2015;2(6):992–8.
Helmia Hasan DA. Empiema Pleura. 2018;4(1):26–32.
Sahn SA. Diagnosis and management of parapneumonic effusions and empyema. Clin Infect Dis. 2007;45(11):1480–6.
Kundu S, Mitra S, Mukherjee S, Das S. Adult thoracic empyema: A comparative analysis of tuberculous and nontuberculous etiology in 75 patients. Lung India. 2010;27(4):196–201.
Alam S, Hasan MK, Neaz S, Hussain N, Hossain MF, Rahman T. Diabetes Mellitus: Insights from Epidemiology, Biochemistry, Risk Factors, Diagnosis, Complications and Comprehensive Management. Diabetology. 2021;2(2):36–50.
Jais M, Tahlil T, Susanti SS. Dukungan Keluarga dan Kualitas Hidup Pasien Diabetes Mellitus yang Berobat di Puskesmas. J Keperawatan Silampari. 2021;5(1):82–8.
Lai S, Lin C, Liao K. Population-based cohort study investigating the correlation of diabetes mellitus with pleural empyema in adults in Taiwan. Med journak. 2017;36:93–8.
Wen P, Wei M, Han C, He Y, Wang M. Risk factors for tuberculous empyema in pleural tuberculosis patients. 2019;5–10.
Aujayeb A, Conroy K. A Case of Empyema and a Review of Practice in a District General Hospital. 2019;(November):91–6.
Sahu GK, Das P, Das NP, Patnaik J. Profile of Tuberculosis Empyema at a Tertiary Care Centre. :1–3.
Yauba MS, Ahmed H, Imoudu IA, Yusuf MO, Makarfi HU, Presentation C. Case Report Empyema Necessitans Complicating Pleural Effusion Associated with Proteus Species Infection : A Diagnostic Dilemma. hindawi J. 2015;1–6.
Banerjee S, Biswas S, Ray A. Expansile cough impulse : a useful clinical sign for empyema necessitans. BMJ Open. 2019;1–2.
Light RW. Pleural Disease. In: Parapneumonic Effusions and Empyema. 2013. p. 209–56.
Marks DJB, Fisk MD, Koo CY, Pavlou M, Peck L, Lee SF, et al. Thoracic Empyema : A 12-Year Study from a UK Tertiary Cardiothoracic Referral Centre. PLoS One. 2012;7(1):1–8.
Lu H, Liao K. Risk of empyema in patients with COPD. 2018;317–24.
Kolahian S, Leiss V, Nürnberg B. Diabetic lung disease: fact or fiction? Rev Endocr Metab Disord. 2019;20(3):303–19.
Irfan M, Jabbar A, Haque AS, Awan S, Hussain SF. Pulmonary functions in patients with diabetes mellitus. Lung India. 2011;28(2):89–92.
Shen KR, Bribriesco A, Crabtree T, Denlinger C, Eby J, Eiken P, et al. THORACIC : AATS EXPERT CONSENSUS GUIDELINES : EMPYEMA The American Association for Thoracic Surgery consensus guidelines for the management of empyema. J Thorac Cardiovasc Surg [Internet]. 2017;153(6):e129–46. Available from: http://dx.doi.org/10.1016/j.jtcvs.2017.01.030
Aggarwal AN, Agarwal R, Sehgal IS, Dhooria S. Adenosine deaminase for diagnosis of tuberculous pleural effusion: A systematic review and meta-analysis. PLoS One. 2019;14(3):1–11.
Baker EH, Wood DM, Brennan AL, Clark N, Baines DL, Philips BJ. Hyperglycaemia and pulmonary infection. Proc Nutr Soc. 2006;65(3):227–35.
