Made Agustya Darma Putra Wesnawa, I Nyoman Nama Putra
Bagian/SMF Paru RSUD Buleleng
Abstract
Background: Tuberculosis (TB) is common in patient with HIV infection. Clinical symptoms, acid fast bacilli, chest radiography are often unspecific for TB. Aim of this study was to describe TB-HIV coinfection patients according to clinical symptoms, acid fast bacilli, chest radiography, total lymphocyte count, erythrocyte sedimentation rate, and liver function test.
Method: Descriptive study from medical record of 35 TB-HIV coinfection patients in Buleleng Hospital Bali in September 1th 2014 – 30th September 2015.
Result: of 35 TB-HIV coinfection patients. Most patients are 20-40 year (80%). The most common clicinal symptom is cough (40%). Smear positive acid fast bacilli were found on 4 patient (11,4%). Chest radiography show infiltrate apex on 14 patients (40%). Total lymphocyte count decrease on 22 patients (62,9%). elevation of erythrocyte sedimentation rate were found on 34 patient (97,1%). Elevation of SGOT were found on 20 patients (57,1%), and elevation of SGPT were found on 13 patient (25,7%).
Conclusions : Commonest symptom is cough, smear positive were found in 11,4% patient, common radiology reature is infiltrate apex (40%), Most patients showed decreasing in total lymphocyte count (62,9%), elvation of erythrocyte sedimentation rate (97,1%), and elevation in SGOT (57,1%). (J Respir Indo. 2016; 36: 175-81)
Keywords: TB-HIV coinfection, acid fast bacilli, chest radiography, total lymphocyte count