scholarly journals Spondilitis tuberkulosis: perbaikan yang signifikan setelah intervensi dini

2020 ◽  
Vol 3 (3) ◽  
pp. 137-143
Author(s):  
Bayan Basalamah ◽  
Balqis Khansa Nabila ◽  
Yudhisman Imran ◽  
Mulia Rahmansyah
Keyword(s):  
Magnetic Resonance Imaging ◽  
Mycobacterium Tuberculosis ◽  
Magnetic Resonance ◽  
Rating Scale ◽  
Numeric Rating Scale ◽  
Resonance Imaging ◽  
Pott’S Disease ◽  
Magnetic Resonance Imaging Mri ◽  
Numeric Rating

LATAR BELAKANGTuberkulosis (TB) adalah penyakit menular yang disebabkan Mycobacterium tuberculosis. Salah satu bentuk TB ekstra paru adalah Spondilitis TB atau biasa dikenal dengan Pott’s disease (PD). DESKRIPSI KASUSPerempuan berusia 40 tahun datang ke unit gawat darurat (UGD) Rumah Sakit Hermina Daan Mogot dengan keluhan nyeri punggung bawah yang memberat sejak 3 bulan yang lalu. Keluhan demam, batuk lama, penurunan berat badan disangkal. Terdapat kontak dengan penderita TB.  Pemeriksaan fisik didapatkan numeric rating scale (NRS) 10, dan kekuatan motorik normal (5555) pada keempat anggota gerak. Pemeriksaan laboratorium menunjukkan leukositosis. Pemeriksaan radiologi rontgen lumbosakral menunjukkan penyempitan diskus intervertebralis pada vertebra L2 dan L3. Pasien kemudian diberikan tata laksana nyeri Non Steroidal Anti-Inflamatory Drugs (NSAID), antidepresan, dan opioid. Dalam perawatan pasien mengalami kelemahan tungkai kiri, kekuatan motorik turun menjadi ‘1155’. Pasien dirujuk untuk dilakukan Magnetic Resonance Imaging (MRI) lumbal dengan kontras dan tindakan operasi. Hasil MRI menunjukkan proses destruktif yang melibatkan L1, L2, dan L3 dan bukti ekstensi kanal paraspinal dan spinal yang menekan kantung thecal dan menyebabkan stenosis berat pada medula spinalis. Radiografi thoraks dalam batas normal. Dilakukan operasi dekompresi dan stabilisasi tulang belakang dan pemberian regimen standar obat anti tuberkulosis (OAT). Setelah menjalani operasi, klinis pasien menunjukkan perbaikan signifikan. Kekuatan motorik meningkat ke '5555' dan NRS turun menjadi 4. Pasien saat ini mengkonsumsi OAT bulan ke-14.   KESIMPULANSpondilitis TB adalah infeksi tulang belakang kronis yang dapat terjadi dengan atau tanpa tuberkulosis paru. Intervensi dini dapat memberikan perbaikan yang signifikan dan prognosis yang lebih baik.

scholarly journals Profil Pasien Spondilitis Tuberkulosis (Pott’s Disease) di Rumah Sakit Pusat Angkatan Darat Gatot Soebroto

2021 ◽  
Vol 36 (2) ◽  
pp. 49-54
Author(s):  
Irfan Y. Mijaya ◽  
Chyntia M. Sahetapy ◽  
Dewiyana A. Kusmana
Keyword(s):  
Magnetic Resonance Imaging ◽  
Mycobacterium Tuberculosis ◽  
Magnetic Resonance ◽  
Nutritional Status ◽  
Ct Scan ◽  
Resonance Imaging ◽  
Pott’S Disease ◽  
Army Hospital ◽  
History Of ◽  
Better Than

Abstrak Spondilitis tuberkulosis (TB) atau Pott’s disease adalah infeksi tulang belakang yang disebabkan Mycobacterium tuberculosis akibat TB ekstrapulmoner. Penyakit ini tergantung berbagai faktor seperti usia, status gizi, dan penyakit penyerta. Penelitian deskriptif ini dilakuakn untuk mengetahui Profil pasien spondilitis tuberkulosis di Rumah Sakit Pusat Angkatan Darat (RSPAD) Gatot Soebroto. Data diperoleh dari rekam medis sebanyak 75 sampel. Penelitian ini menunjukkan jenis kelamin laki – laki (50,7%), kelompok usia 21 – 29 tahun (29,3%), dan status gizi normal (33,3%) merupakan kelompok yang terbanyak terkena spondilitis tuberkulosis (TB). Jenis pekerjaan terbanyak merupakan ibu rumah tangga (28,0%). Sebanyak 69 pasien (92%) tidak memiliki riwayat merokok dan semua pasien tidak memiliki riwayat mengonsumsi alkohol. Hanya 1 orang pasien spondilitis TB yang memiliki hasil basil tahan asam (BTA) positif. Sebanyak 41 orang (54,7%) pasien spondilitis TB didiagnosis melalui Magnetic Resonance Imaging/ Computerized Tomographic Scan (MRI/CT SCAN) dengan lesi spondilitis TB terbanyak terdapat pada torakal. Kemampuan MRI mendiagnosis lebih baik dibandingkan PCR dan BTA.   Kata kunci: Status Gizi, Torakal, Basil Tahan Asam   The Profile of Tuberculosis Spondylitis patients (Pott's Disease) at Rumah Sakit Pusat Angkatan Darat Gatot Soebroto   Abstract Tuberculous spondylitis (TB) or Pott's disease is a spinal infection caused by Mycobacterium tuberculosis due to extrapulmonary TB. This disease depends on various factors such as age, nutritional status, and comorbidities. This descriptive study was conducted to determine the profile of tuberculosis spondylitis patients at the Gatot Soebroto Central Army Hospital (RSPAD). Data obtained from medical records of 75 samples. This study showed that male gender (50.7%), age group 21-29 years (29.3%), and normal nutritional status (33.3%) were the groups most affected by tuberculosis spondylitis (TB). Most types of work were housewives (28.0%). A total of 69 patients (92%) had no history of smoking and all patients had no history of consuming alcohol. Only 1 TB spondylitis patient had positive acid-resistant bacilli (AFB). A total of 41 people (54.7%) TB spondylitis patients were diagnosed through Magnetic Resonance Imaging / Computerized Tomographic Scan (MRI / CT SCAN) with the most TB spondylitis lesions found in the thoracic. The ability of MRI to diagnose is better than PCR and BTA.   Key words: Nutritional Status, Thoracic, Acid Resistant Basil

scholarly journals Not All ENT Granulomas Are Wegener’s – Keep Tuberculosis in Mind

2020 ◽  
Author(s):  
Bárbara Pedro ◽  
Marta Meleiro ◽  
António Marinho
Keyword(s):  
Magnetic Resonance Imaging ◽  
Mycobacterium Tuberculosis ◽  
Magnetic Resonance ◽  
Middle Ear ◽  
Granulomatosis With Polyangiitis ◽  
Immunosuppressive Treatment ◽  
Tympanic Cavity ◽  
Resonance Imaging ◽  
Biopsy Result ◽  
Magnetic Resonance Imaging Mri

Mycobacterium tuberculosis affects the middle ear in rare cases and is a challenging diagnosis. In this case, we present a 57-year-old patient diagnosed with anti-neutrophil cytoplasmic antibody (ANCA)-negative granulomatosis with polyangiitis (GPA) following a biopsy result of nasal granulomas, who was immediately started on immunosuppressive treatment. Years later, she developed progressive hypoacusis. Magnetic resonance imaging (MRI) revealed an extensive mass in the tympanic cavity extending to the mastoid. A biopsy of the mass was positive for Mycobacterium tuberculosis. Immunosuppressants were weaned and the patient was started on anti-tuberculous therapy with resolution of the complaints and findings. Tuberculous infections are difficult to diagnose and frequently mimic other illnesses, but in our case, we believe that an indolent tuberculous process was present from the beginning and evolved under immunosuppressive therapy.

Top-Ten Tips for Imaging the Brachial Plexus with Ultrasound and MRI

2019 ◽  
Vol 23 (04) ◽  
pp. 405-418 ◽  
Author(s):  
James F. Griffith ◽  
Radhesh Krishna Lalam
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Brachial Plexus ◽  
Muscle Denervation ◽  
Resonance Imaging ◽  
Neural Injury ◽  
Clinical Indications ◽  
Magnetic Resonance Imaging Mri ◽  
High Level ◽  
Extensive Involvement

AbstractWhen it comes to examining the brachial plexus, ultrasound (US) and magnetic resonance imaging (MRI) are complementary investigations. US is well placed for screening most extraforaminal pathologies, whereas MRI is more sensitive and accurate for specific clinical indications. For example, MRI is probably the preferred technique for assessment of trauma because it enables a thorough evaluation of both the intraspinal and extraspinal elements, although US can depict extraforaminal neural injury with a high level of accuracy. Conversely, US is probably the preferred technique for examination of neurologic amyotrophy because a more extensive involvement beyond the brachial plexus is the norm, although MRI is more sensitive than US for evaluating muscle denervation associated with this entity. With this synergy in mind, this review highlights the tips for examining the brachial plexus with US and MRI.

Use of Magnetic Resonance Imaging (MRI) to Determine the 3D Geometry in the Human Rectum

Endoscopy ◽  
2004 ◽  
Vol 36 (10) ◽  
Author(s):  
BP McMahon ◽  
JB Frøkjær ◽  
A Bergmann ◽  
DH Liao ◽  
E Steffensen ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Resonance Imaging ◽  
3D Geometry ◽  
Human Rectum ◽  
Magnetic Resonance Imaging Mri

Magnetic resonance imaging in study of lungs

2019 ◽  
pp. 10-23
Author(s):  
T. A. Akhadov ◽  
S. Yu. Guryakov ◽  
M. V. Ublinsky
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Medical Society ◽  
Resonance Imaging ◽  
Iodinated Contrast ◽  
Long Time ◽  
Women And Children ◽  
Magnetic Resonance Imaging Mri ◽  
A Current ◽  
Lung Mri

For a long time, there was a need to apply magnetic resonance imaging (MRI) technique for lung visualization in clinical practice. The development of this method is stimulated by necessity of the emergence of an alternative to computed tomography, especially when radiation and injection of iodine-containing contrast agents are contraindicated or undesirable, for example, in pregnant women and children, people with intolerance to iodinated contrast. One of the reasons why lung MRI is still rarely used is lack of elaborated standardized protocols that would be adapted to clinical needs of medical society. This publication is a current literature review on the use of MRI in lung studies.

26. Nothing but the truth, so help me God: The history of magnetic resonance imaging

2007 ◽  
Vol 30 (4) ◽  
pp. 41
Author(s):  
A. Dechant
Keyword(s):  
Magnetic Resonance Imaging ◽  
New York ◽  
Nuclear Magnetic Resonance ◽  
Magnetic Resonance ◽  
Nobel Prize ◽  
Resonance Imaging ◽  
Solid State Physics ◽  
Magnetic Resonance Imaging Mri ◽  
The Times ◽  
Nuclear Magnetic

On the morning of October 10, 2003, the residents of New York awoke to find that an entire page of their beloved paper, The Times, had been usurped for the sole purpose of flagrant self-promotion and protestation. On his own behalf, Dr. Raymand Damadian had purchased a one page spread bemoaning his exclusion in the Nobel Prize for Medicine that year which had previously been awarded to Paul Laterbur and Peter Mansfield for their contributions to the development of Magnetic Resonance Imaging (MRI). Over the course of the next few months, the public was to witness a series of such articles proclaiming that a shameful wrong had been committed, and that the truth would eventually prove Dr. Damadian’s accusations. That truth lay in the early theoretical and technical foundations that led to the discovery of MRI. Described just after the Second World War, nuclear magnetic resonance (NMR) was hailed as a breakthrough in physical chemistry for which Felix Bloch and Edward Purcell were awarded the Nobel Prize in Physics in 1952. Two decades later, in 1971, Dr. Damadian discovered that differences between the NMR signals of cancerous and normal tissue might provide a rapid means of cancer detection. However, Laterbur and Mansfield were the first to actually demonstrate images of live tissue using the application of magnetic gradients – the key to modern MRI. Though speculation exists that Dr. Damadian may have been excluded from the prize due to his religious beliefs or political rivalry, only time will reveal the whole truth when the Nobel files are opened 50 years hence. Bradley W. The Nobel Prize: Three Investigators Allowed but Two Were Chosen. Journal of Magnetic Resonance Imaging 2004; 19:520. Laterbur P. Image formation by induced local interactions: examples of employing nuclear magnetic resonance. Nature 1973; 242:190-191. Mansfield P, Grannell P. “NMR diffraction in solids?” Journal of Physics C: Solid State Physics 1973; 63:L433-L426.

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