Manifestasi Klinis Tuberkulosis ( TBC

)
Gejala penyakit TBC dapat dibagi menjadi gejala umum dan gejala khusus yang timbul sesuai dengan
organ yang terlibat. Gambaran secara klinis tidak terlalu khas terutama pada kasus baru, sehingga cukup
sulit untuk menegakkan diagnosa secara klinik.
Gejala sistemik/umum, antara lain sebagai berikut:

Gejala umum Tb paru adalah batuk lebih dari 4 minggu dengan atau tanpa sputum , malaise , gejala
flu , demam ringan , nyeri dada , batuk darah . ( Mansjoer , 1999)

Gejala lain yaitu kelelahan, anorexia, penurunan Berat badan ( Luckman dkk, 93 )

Gejala khusus, antara lain sebagai berikut:

Tergantung dari organ tubuh mana yang terkena, bila terjadi sumbatan sebagian bronkus (saluran
yang menuju ke paru-paru) akibat penekanan kelenjar getah bening yang membesar, akan
menimbulkan suara “mengi”, suara nafas melemah yang disertai sesak.

Kalau ada cairan dirongga pleura (pembungkus paru-paru), dapat disertai dengan keluhan sakit
dada.

Bila mengenai tulang, maka akan terjadi gejala seperti infeksi tulang yang pada suatu saat dapat
membentuk saluran dan bermuara pada kulit di atasnya, pada muara ini akan keluar cairan nanah.

Pada anak-anak dapat mengenai otak (lapisan pembungkus otak) dan disebut sebagai meningitis
(radang selaput otak), gejalanya adalah demam tinggi, adanya penurunan kesadaran dan kejangkejang.

Komplikasi Tuberkulosis ( TBC )
Menurut Depkes RI (2002), merupakan komplikasi yang dapat terjadi pada penderita
tuberculosis paru stadium lanjut yaitu :
 Hemoptisis berat (perdarahan dari saluran napas bawah) yang dapat mengakibatkan
kematian karena syok hipovolemik atau karena tersumbatnya jalan napas.
 Atelektasis (paru mengembang kurang sempurna) atau kolaps dari lobus akibat
retraksi bronchial.
 Bronkiektasis (pelebaran broncus setempat) dan fibrosis (pembentukan jaringan ikat
pada proses pemulihan atau reaktif) pada paru.
 Penyebaran infeksi ke organ lain seperti otak, tulang, persendian, dan ginjal.

6. 5. chest pain.A common symptom of pulmonary TB is more than 4 weeks cough with or without sputum. If there is fluid in the pleural cavity (lungs wrappers). in the mouth it will discharge pus. anorexia. Clinical picture is not very typical. so it is quite difficult to diagnose clinically.The spread of infection to other organs such as the brain. flu-like symptoms. Depending on which organs are affected. Complications of Tuberculosis (TB) is a complication that can occur in patients with locally advanced lung tuberculosis are: 1. malaise. 1999) 2. 2. are as follows: 1. Symptoms of systemic / general. .Bronchiectasis (widening local broncus) and fibrosis (the formation of connective tissue in the recovery process or reactive) in the lungs. may be accompanied by chest pains. When the bone. 4.atelectasis (lung expands less than perfect) or the collapse of the lobe due to bronchial retraction. make noise "wheezing" sound accompanied by shortness of breath weakened. 93) Specific symptoms include the following: 3. Other symptoms are fatigue. In children can about the brain (brain wrapper layer) and is referred to as meningitis (inflammation of the lining of the brain). the symptoms are high fever. 4. a decrease of consciousness and seizures. coughing up blood. especially in new cases. mild fever. (Mansjoer. joints. bones.Clinical Manifestations of Tuberculosis (TB) Symptoms of TB disease can be divided into general symptoms and specific symptoms that arise according to the organ involved. 3. and kidneys. decreased weight (Luckman et al. in case of partial bronchial obstruction (the tube leading to the lungs) due to suppression of enlarged lymph nodes. severe hemoptysis (bleeding from the lower respiratory tract) that may result in death due to hypovolemic shock or due to blockage of the airway. there will be symptoms such as bone infection at some point to form a channel and lead to the overlying skin.

coughing up blood. flu-like symptoms.Bronchiectasis (widening local broncus) and fibrosis (the formation of connective tissue in the recovery process or reactive) in the lungs. (Mansjoer. chest pain. 4. there will be symptoms such as bone infection at some point to form a channel and lead to the overlying skin. 93) Specific symptoms include the following: 1. severe hemoptysis (bleeding from the lower respiratory tract) that may result in death due to hypovolemic shock or due to blockage of the airway. may be accompanied by chest pains. In children can about the brain (brain wrapper layer) and is referred to as meningitis (inflammation of the lining of the brain). a decrease of consciousness and seizures. 2. anorexia. malaise. in the mouth it will discharge pus. Clinical picture is not very typical. decreased weight (Luckman et al. 3. 2.Clinical Manifestations of Tuberculosis (TB) Symptoms of TB disease can be divided into general symptoms and specific symptoms that arise according to the organ involved. 3.especially in new cases. Depending on which organs are affected. . Symptoms of systemic / general.A common symptom of pulmonary TB is more than 4 weeks cough with or without sputum. so it is quite difficult to diagnose clinically. mild fever. are as follows : 1. the symptoms are high fever. If there is fluid in the pleural cavity (lungs wrappers). in case of partial bronchial obstruction (the tube leading to the lungs) due to suppression of enlarged lymph nodes. Complications of Tuberculosis (TB) Complications of Tuberculosis is a complication that can occur in patients with locally advanced lung tuberculosis are : 1. make noise "wheezing" sound accompanied by shortness of breath weakened. Other symptoms are fatigue. When the bone.atelectasis (lung expands less than perfect) or the collapse of the lobe due to bronchial retraction. 1999) 2.

joints.4.The spread of infection to other organs such as the brain. bones. and kidneys. .