Article Sidebar

Submitted
July 10, 2019
Accepted
July 23, 2019
Published
August 30, 2019
Download
PDF
Statistic
Read Counter : 631 Download : 849

Main Article Content

Abstract

Diabetes mellitus increases the risk of pulmonary tuberculosis, whereas pulmonary tuberculosis can aggravate glycemic control. Pulmonary tuberculosis with diabetes mellitus in pregnancy is the complex problems to concern about maternal and fetal complications. We report a 38-year-old pregnant woman with a bloody cough for two days as a chief complaint-volume ± 400 millilitres in every cough. She also complained a chronic cough, dyspnea, fatigue and weight loss approximately eight kg in six months. Four months ago, she had a bloody cough one tablespoon.  The patient was hospitalized. The patient also felt thirsty and urinate frequently, but she did not check the plasma glucose level. The patient had a baby with weight birth 4600 gram, her son 3 year-old received TB drugs and her sister with diabetes mellitus. In physical examination, pale conjunctiva, and crackles in the lower region of the right lung and all regions of the left lung. The results of laboratory are Hb 10.7 g/dL, monosit 11%, ESR 31%, fasting plasma glucose 137 mg/dl, A1C 7.3%, spot 3+ early morning 3+ spot 2+ (sputum). A chest x-ray showed an infiltrate in the field of the left lung. The patient had a pulmonary tuberculosis and diabetes mellitus in pregnancy. The patient was cared by internist, obstetrician and nutritionist.pulmonary tuberculosis and diabetes mellitus in pregnancy can increase morbidity of maternal and fetal. Evaluation of plasma glucose level was needed to determine diagnosis of type 2 diabetes mellitus or gestational diabetes. Integrated management of internist, obstetrician and nutritionist were needed to treat it.

 

Keywords

Pulmonary tuberculosis diabetes mellitus in pregnancy

Article Details

License

Authors who publish in the Jurnal Kedokteran dan Kesehatan Indonesia agree to the following terms:

  1. Authors retain copyright and grant Jurnal Kedokteran dan Kesehatan Indonesia right of first publication with the work simultaneously licensed under a Creative Commons Attribution Licence that allows others to adapt (remix, transform, and build) upon the work non-commercially with an acknowledgement of the work's authorship and initial publication in Jurnal Kedokteran dan Kesehatan Indonesia.
  2. Authors are permitted to share (copy and redistribute) the journal's published version of the work non-commercially (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in Jurnal Kedokteran dan Kesehatan Indonesia.
How to Cite
Lestari, M. A., & Amir, A. (2019). Pulmonary tuberculosis in gestational patient with diabetes mellitus in regional public hospital Dumai, Riau Province: a case report. JKKI : Jurnal Kedokteran Dan Kesehatan Indonesia, 10(2), 206–210. https://doi.org/10.20885/10.20885/JKKI.Vol10.Iss2.art14
Download Citation
Endnote/Zotero/Mendeley (RIS)
BibTeX

References

  1. U.S. Department of Health and Human Services Food and Drug Administration Center for Drug Evaluation and Research (CDER). Guidance for Industry diabetes mellitus — evaluating cardiovascular risk in new antidiabetic therapies to treat type 2 diabetes. Clinical/Medical. 2008;1-5.
  2. Suyono S. Diabetes melitus di Indonesia. In: Sudoyo AW, Setiyohadi B, Alwi I, Simadibrata M, Setiati S, editor. Ilmu penyakit dalam. V. Jakarta: Interna Publishing; 2009.
  3. Depkes RI. Profil kesehatan Indonesia 2008.Jakarta:Departemen Kesehatan Republik Indonesia. 2009.
  4. Critchley JA, Restrepo BI, Ronacher K, Kapur A, Bremer AA, Schlesinger LS, et al. Defining a research agenda to address the converging epidemics of tuberculosis and diabetes. Chest [Internet]. 2017;152(1):165–73. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0012369217307304
  5. Riza AL, Pearson F, Ugarte-gil C, Alisjahbana B, van de Vijver S, Panduru NM, et al. Clinical management of concurrent diabetes and tuberculosis and the implications for patient services. 2014;2(9):740–53.
  6. Adam J, Purnamasari D. Diabetes mellitus gestasional. In: Sudoyo AW, Setiyohadi B, Alwi I, Simadibrata M, Setiati S, editor. Ilmu penyakit dalam. V. Jakarta: Interna Publishing; 2009. p. 1952–5.
  7. Schwartz SS, Epstein S, Corkey BE, Grant SFA, Gavin JR, Aguilar RB. The time is right for a new classification system for diabetes: Rationale and implications of the ß-cell-centric classification schema. Diabetes Care. 2016;39(2):179–86.
  8. Amin Z, Bahar A. Tuberkulosis paru. In: Sudoyo AW, Setiyohadi B, Alwi I, Simadibrata M, Setiati S, editor. Ilmu penyakit dalam. V. Jakarta: Interna Publishing; 2009. p. 2230–47.
  9. Persatuan Dokter Paru Indonesia. Pedoman diagnosis dan penatalaksanaan tuberkulosis di Indonesia (Konsensus TB). 2009;1–55.