Publikasi Scopus FKUI 2021 per tanggal 31 Oktober 2021 (739 artikel)

Lestari D.A., Rahadiani N., Syaiful R.A.
57223975816;16426455700;57214818481;
Isolated spleen tuberculosis in an immunocompetent patient, a rare case report
2021
International Journal of Surgery Case Reports
83
105966
1
Digestive Surgery Division, Department of Surgery, Faculty of Medicine, Universitas Indonesia Cipto Mangunkusumo Hospital, Jl Diponegoro No 71, Salemba, Jakarta Pusat, 10430, Indonesia; Department of Anatomical Pathology, Faculty of Medicine, Universitas Indonesia Cipto Mangunkusumo Hospital, Jl Diponegoro No 71, Salemba, Jakarta Pusat, 10430, Indonesia
Lestari, D.A., Digestive Surgery Division, Department of Surgery, Faculty of Medicine, Universitas Indonesia Cipto Mangunkusumo Hospital, Jl Diponegoro No 71, Salemba, Jakarta Pusat, 10430, Indonesia; Rahadiani, N., Department of Anatomical Pathology, Faculty of Medicine, Universitas Indonesia Cipto Mangunkusumo Hospital, Jl Diponegoro No 71, Salemba, Jakarta Pusat, 10430, Indonesia; Syaiful, R.A., Digestive Surgery Division, Department of Surgery, Faculty of Medicine, Universitas Indonesia Cipto Mangunkusumo Hospital, Jl Diponegoro No 71, Salemba, Jakarta Pusat, 10430, Indonesia
Introduction: Tuberculosis (TB), as a major public health concern, is affecting almost 10 million people globally. At present, diagnostic and screening efforts mainly focus on positive smear results. Therefore, the number of extra pulmonary and negative sputum TB is rising and hampering the diagnosis and treatment process due to the large number of false negatives. Rare cases such as solitary splenic TB are usually seen in patients with splenic abnormalities, spleen trauma, immunosuppression, sickle cell disease, pyogenic infections, etc. Presentation of case: A 40-year-old female with no comorbidity came with chief complaint of early satiety every mealtime and epigastric pain in the last 6 months prior to admission. There was no significant positive examination except for positive IGRA test and enlargement of spleen with multiple cystic lesions on abdominal CT. We performed laparotomy with splenectomy followed by a histopathology examination which showed features of primary tubercular abscess. Discussion: In the immunocompromised patient, the visceral abdomen is usually involved and a part of miliary TB. However, this case revealed the rare possibility of a healthy person with primary isolated tubercular splenic abscess while being immunocompetent and lacking any comorbidity. Conclusion: Splenic TB diagnosis is difficult in patients lacking pulmonary involvement and without specific symptoms. Thorough examinations and clinical expertise are needed to provide accurate diagnosis and treat uncommon forms of TB and cases with negative smear results in consideration of rising prevalence and difficult disease control. ? 2021 The Authors
Case report; Immunocompetent; Infection; Spleen; Tuberculosis
gamma interferon; tuberculostatic agent; vaccine; adult; antibiotic therapy; Article; case report; clinical article; clinical feature; diagnostic imaging; epigastric pain; female; granulomatous inflammation; histopathology; hospital admission; human; human cell; human tissue; immunocompromised patient; infection risk; interferon gamma release assay; Langhans giant cell; laparotomy; leukocytosis; lymph node biopsy; lymphadenopathy; operative blood loss; pancreas cyst; priority journal; rare disease; risk reduction; satiety; spleen abscess; spleen cyst; splenectomy; splenic tuberculosis; splenomegaly; thrombocytosis; tissue necrosis; vaccination; x-ray computed tomography
Elsevier Ltd
22102612
Article
Q3
232
17549