Diagnosis dan Penatalaksanaan Otitis Media Tuberkulosis

Edward, Yan and Mulyani, Sri (2014) Diagnosis dan Penatalaksanaan Otitis Media Tuberkulosis. - . (Unpublished)

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Abstract

Abstrak Latar Belakang: Otitis media tuberkulosis merupakan kasus yang jarang sekitar 0,04% dari kasus otitis media supuratif kronik sehingga diagnosis sering terlambat. Otitis media tuberkulosis ditandai dengan otore yang persisten, gangguan pendengaran yang hebat, perforasi multipel membran timpani, jaringan granulasi yang banyak. Penanganan dilakukan dengan pengobatan anti tuberkulosis. Pembedahan diperlukan pada kasus untuk membuang sekuester dan meningkatkan drainase. Tujuan: Mempresentasikan gambaran klinik, diagnosis, dan penatalaksanaan otitis media tuberkulosis. Kasus: Satu kasus otitis media tuberkulosis pada seorang anak laki-laki usia 11 tahun. Penatalaksanaan: Pembedahan dan pengobatan antituberkulosis. Kesimpulan: Tingkat kecurigaan klinis yang tinggi diperlukan untuk diagnosis dini dan terapi anti tuberkulosis harus dimulai sesegera mungkin untuk mencegah komplikasi. Kata Kunci: otitis media, tuberkulosis, anti tuberkulosis Abstract Background: Tuberculous occurs in less than 0,04% of chronic suppurative otitis media cases and usually contribute to late diagnosis. Tuberculous otitis media was characterized by painless otorrhoea, severe hearing loss, multiple perforations of the tympanic membrane and subsequent appearance of profuse granulation tissue. Anti tubercular therapy is prescribed. Surgery may be required in some cases to remove sequester and improve drainage. Purposes : To present the clinical and diagnostic finding along with the management perfomed in a case tuberculous otitis media. Case : A case of tuberculous otitis media in 11th years old boy was reported. Management: Includes radical mastoidectomy and antituberculous therapy. Conclusion: A high level of clinical suspicius is needed for early diagnosis and antituberculous therapy should be started as soon as possible to prevent complication. Key words: otitis media, tuberculous, antituberculous

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