Efusi Perikardium Tuberkulosis
Abstract
Tuberkulosis merupakan salah satu penyebab perikarditis, yang gejala awalnya hanya demam. Tetapi dalam perjalanan penyakitnya, perlahan-lahan menjadi progresif karena timbulnya efusi perikardium yang dapat mengakibatkan tamponade jantung. Karena proses ini berlangsung perlahan, acap kali diagnosisnya terlambat. Terapi dengan anti tuberkulosis memberikan prognosis yang baik.Insidensi efusi perikardium tuberkulosis sekitar 1% dari jumlah kasus tuberkulosis, dengan angka kematian berkisar 3–40%. Efusi perikardium yang berlanjut menjadi tamponade jantung dan perikarditis konstriktif merupakan 2 penyebab kematian tersering. Oleh karenanya, semua pasien perikarditis tuberkulosis dianjurkan dirawat di rumah sakit, untuk observasi kemungkinan terjadi efusi perikardium atau tamponade jantung yang mengancam kehidupan.
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References
Cherian G, Habashy AG, Uthaman B, Hanna RM. Tuberculous pericardial effusion-mediastinal lymph glands: the cause and clue to the etiology. Indian Heart J 2003;55: 228-33.
Lorell BH. Pericardial diseases. In: Braunwald E, editor. Heart disease: a textbook of cardiovascular medicine. 5th ed. Philadelphia: WB Saunders Company; 1997. p. 1478-85.
Sagrista-Sauleda J, Permanyer-Miralda G, Soler-soler J. Tuberculous pericarditis: ten year experience with a prospective protocol for diagnosis and treatment. J Am Coll Cardiol 1988;2:724-8.
Long R, Younes M, Patton N, Harshfield E. Tuberculous pericarditis: long term outcome in patients who received medical therapy alone. Am Heart J 1989;117:1133-9.
Yang CC, Lee MH, Liu JW, Leu HS. Diagnosis of tuberculous pericarditis and treatment without corticosteroids at a tertiary teaching hospital in Taiwan: a 14-year experience. J Microbiol Immunol Infect 2005;38:47-52.
Fowler NO. Tuberculous pericarditis. JAMA 1991; 226: 99-103.
Corey GR, Campbell PT, Van TP, Kenney RT, Connor C, Sheikh KH, et al. Etiology of large pericardial effusions. Am J Med 1995;95:209-13.
Meyers DG, Meyers RE, Prendergast. The usefulness of diagnostic tests on pericardial fluid. Chest 1997;111:1213-21.
Ortbals DW, Avioli LV. Tuberculous pericarditis. Arch Intern Med 1979;139:231-34.
Otto CM. Pericardial disease: two dimensional echocardiographic and doppler findings. In: Otto CM, editor. Textbook of clinical echocardiography. 2nd ed. Philadelphia: WB Saunders Company; 1995. p. 213-28.
Iseman MD. Extrapulmonary tuberculous in adults. In: Iseman MD, editor. A clinician’s guide to tuberculous. Philadelphia: Lippincott Williams and Wilkins; 2000. p. 183-6.
Cameron J, Baldwin JC, Hancock EW. The etiologic spectrum of constrictive pericarditis. Am Heart J 1987;113:354-60.
Lilly LS. Disease of the pericardium. In: Lilly LS, editor. Pathophysiology of heart disease. 2nd ed. Philadelpia: Lippincott Williams and Wilkins; 1993. p. 289-301.
Kirklin JW, Boyes B. Pericardial disease. In: Barrat B, Kirklin JW, editors. Cardia surgery. Philadelpia: Lippincott Williams and Wilkins; 1993. p. 1683-93.
Wijayakusuma DA. Penyakit perikardium. Dalam: Rilantono LI, Roebiono PS, editors. Buku ajar kardiologi. Jakarta: Balai Penerbit FKUI; 1996. p. 286-71.
Liu PY, Li YH, Tsai WC, Tsai LM, Chao TH, Yung YJ, et al. Usefulness of echocardiographic intrapericardial abnormalities in the diagnosis of tuberculous pericardial effusion. Am J Cardiol 2001;87:1133-5.
Oh JK. Pericardial disease. In: Oh JK, Seward JB, Tajik, editors. The echo manual. 2nd ed. Philadelphia: Lippincott Williams and Wilkins; 1999. p. 181-94.
Anderson B. Doppler assessment of left ventricular systolic and diastolic function. In: Anderson B, editor. The normal echocardiography, the normal examination, and echocardiographic measurements. Australia: MGA Graphics; 2002. p. 189-224.
Light RW, Macgregor MI, Lushsinger PC. Pleural effusions: the diagnostic separation of transudates and exudates. Ann Intern Med 1972;77:507-13.
Cherian G, Habashy AG, Uthaman B. Detection and follow-up of mediastinal lymph node enlargement in tuberculous effusions using computed tomography. Am J Med 2003;114: 319-22.
Roneey JJ, Croco JA, Lyons HA. Tuberculous pericarditis. Ann Intern Med 1970;72:72-8.
World Health Organization. Treatment of tuberculous: guidelines for national programmes. Geneva 1993.
Strang JI, Kakaza HHS, Gibson DG. Controlled clinical trial of complete open surgical drainage and of prednisolone in treatment of tubercolous pericardial effusion in Transkei. Lancet 1988;2:759-64.
Dutt AK, Moers D, Stead WW. Short-course chemotherapy for extrapulmonary tuberculous: nine years experience. Ann Int Med 1986;104:7-12.
Strang JI, Kakaza HHS, Gibson DG. Controlled trial of prednisone as adjuvant in treatment of tuberculous contrictive pericarditis in Transkei. Lancet 1987;19:1418-22.
Pankuweit S, Ristic AD, Seferovis PM, Maisch B. Bacterial pericarditis: diagnosis and management. Am J Cardiovascular Drug 2005;5:103-12.
Quale JM, Lipschik GY, Heurich AE. Management of tuberculous pericarditis. Ann Thorac Surg 1987;43:653-5.
Pozniak AL, Weinberg J, Mahari M, Neill P, Houston S, Latif A. Tuberculosis pericardial effusion associated with HIV infection: a sign of disseminated disease. Tubercle and lung dis 1994;75:297-300.
Lorell BH. Pericardial diseases. In: Braunwald E, editor. Heart disease: a textbook of cardiovascular medicine. 5th ed. Philadelphia: WB Saunders Company; 1997. p. 1478-85.
Sagrista-Sauleda J, Permanyer-Miralda G, Soler-soler J. Tuberculous pericarditis: ten year experience with a prospective protocol for diagnosis and treatment. J Am Coll Cardiol 1988;2:724-8.
Long R, Younes M, Patton N, Harshfield E. Tuberculous pericarditis: long term outcome in patients who received medical therapy alone. Am Heart J 1989;117:1133-9.
Yang CC, Lee MH, Liu JW, Leu HS. Diagnosis of tuberculous pericarditis and treatment without corticosteroids at a tertiary teaching hospital in Taiwan: a 14-year experience. J Microbiol Immunol Infect 2005;38:47-52.
Fowler NO. Tuberculous pericarditis. JAMA 1991; 226: 99-103.
Corey GR, Campbell PT, Van TP, Kenney RT, Connor C, Sheikh KH, et al. Etiology of large pericardial effusions. Am J Med 1995;95:209-13.
Meyers DG, Meyers RE, Prendergast. The usefulness of diagnostic tests on pericardial fluid. Chest 1997;111:1213-21.
Ortbals DW, Avioli LV. Tuberculous pericarditis. Arch Intern Med 1979;139:231-34.
Otto CM. Pericardial disease: two dimensional echocardiographic and doppler findings. In: Otto CM, editor. Textbook of clinical echocardiography. 2nd ed. Philadelphia: WB Saunders Company; 1995. p. 213-28.
Iseman MD. Extrapulmonary tuberculous in adults. In: Iseman MD, editor. A clinician’s guide to tuberculous. Philadelphia: Lippincott Williams and Wilkins; 2000. p. 183-6.
Cameron J, Baldwin JC, Hancock EW. The etiologic spectrum of constrictive pericarditis. Am Heart J 1987;113:354-60.
Lilly LS. Disease of the pericardium. In: Lilly LS, editor. Pathophysiology of heart disease. 2nd ed. Philadelpia: Lippincott Williams and Wilkins; 1993. p. 289-301.
Kirklin JW, Boyes B. Pericardial disease. In: Barrat B, Kirklin JW, editors. Cardia surgery. Philadelpia: Lippincott Williams and Wilkins; 1993. p. 1683-93.
Wijayakusuma DA. Penyakit perikardium. Dalam: Rilantono LI, Roebiono PS, editors. Buku ajar kardiologi. Jakarta: Balai Penerbit FKUI; 1996. p. 286-71.
Liu PY, Li YH, Tsai WC, Tsai LM, Chao TH, Yung YJ, et al. Usefulness of echocardiographic intrapericardial abnormalities in the diagnosis of tuberculous pericardial effusion. Am J Cardiol 2001;87:1133-5.
Oh JK. Pericardial disease. In: Oh JK, Seward JB, Tajik, editors. The echo manual. 2nd ed. Philadelphia: Lippincott Williams and Wilkins; 1999. p. 181-94.
Anderson B. Doppler assessment of left ventricular systolic and diastolic function. In: Anderson B, editor. The normal echocardiography, the normal examination, and echocardiographic measurements. Australia: MGA Graphics; 2002. p. 189-224.
Light RW, Macgregor MI, Lushsinger PC. Pleural effusions: the diagnostic separation of transudates and exudates. Ann Intern Med 1972;77:507-13.
Cherian G, Habashy AG, Uthaman B. Detection and follow-up of mediastinal lymph node enlargement in tuberculous effusions using computed tomography. Am J Med 2003;114: 319-22.
Roneey JJ, Croco JA, Lyons HA. Tuberculous pericarditis. Ann Intern Med 1970;72:72-8.
World Health Organization. Treatment of tuberculous: guidelines for national programmes. Geneva 1993.
Strang JI, Kakaza HHS, Gibson DG. Controlled clinical trial of complete open surgical drainage and of prednisolone in treatment of tubercolous pericardial effusion in Transkei. Lancet 1988;2:759-64.
Dutt AK, Moers D, Stead WW. Short-course chemotherapy for extrapulmonary tuberculous: nine years experience. Ann Int Med 1986;104:7-12.
Strang JI, Kakaza HHS, Gibson DG. Controlled trial of prednisone as adjuvant in treatment of tuberculous contrictive pericarditis in Transkei. Lancet 1987;19:1418-22.
Pankuweit S, Ristic AD, Seferovis PM, Maisch B. Bacterial pericarditis: diagnosis and management. Am J Cardiovascular Drug 2005;5:103-12.
Quale JM, Lipschik GY, Heurich AE. Management of tuberculous pericarditis. Ann Thorac Surg 1987;43:653-5.
Pozniak AL, Weinberg J, Mahari M, Neill P, Houston S, Latif A. Tuberculosis pericardial effusion associated with HIV infection: a sign of disseminated disease. Tubercle and lung dis 1994;75:297-300.
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How to Cite
Nagawidjaya, B. (1). Efusi Perikardium Tuberkulosis. Indonesian Journal of Cardiology, 28(6), 454-459. https://doi.org/10.30701/ijc.v28i6.213
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