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  • Dr. M. Fahrul Udin, Sp.a, M.kes - Case Presentation

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    maya susanti
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    1) A 16-year-old female presented with no TB symptoms but had a father recently diagnosed with TB; Xpert MTB/RIF was negative and TST was not performed, so further management was needed to determine if she had subclinical TB. 2) A 5-year-old male presented with weight gain issues but no other TB symptoms and no contact history; TST was positive at 15mm so he may need treatment despite normal CXR due to malnutrition. 3) A 9-year-old male's father had been on TB treatment for 2 months; he was well-nourished but Xpert was negative and TST was not done, so preventive treatment was being

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    Dr. M. Fahrul Udin, Sp.a, M.kes - Case Presentation (2)

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    1) A 16-year-old female presented with no TB symptoms but had a father recently diagnosed with TB; Xpert MTB/RIF was negative and TST was not performed, so further management was needed to determine if she had subclinical TB. 2) A 5-year-old male presented with weight gain issues but no other TB symptoms and no contact history; TST was positive at 15mm so he may need treatment despite normal CXR due to malnutrition. 3) A 9-year-old male's father had been on TB treatment for 2 months; he was well-nourished but Xpert was negative and TST was not done, so preventive treatment was being

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    8 views4 pages

    Dr. M. Fahrul Udin, Sp.a, M.kes - Case Presentation

    Uploaded by

    maya susanti
    1) A 16-year-old female presented with no TB symptoms but had a father recently diagnosed with TB; Xpert MTB/RIF was negative and TST was not performed, so further management was needed to determine if she had subclinical TB. 2) A 5-year-old male presented with weight gain issues but no other TB symptoms and no contact history; TST was positive at 15mm so he may need treatment despite normal CXR due to malnutrition. 3) A 9-year-old male's father had been on TB treatment for 2 months; he was well-nourished but Xpert was negative and TST was not done, so preventive treatment was being

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    © All Rights Reserved
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    of 4

    Cases 4

    N, female, 16 years
    Complaint: no TB symptoms
    History of contact: Her father had clinical TB, on TB
    therapy since 2 months ago
    Nutritional status:
    Weight: 47.9 kg
    Height: 155 cm
    Well-nourished

    Xpert MTB/RIF sputum: not detected


    Tuberculin skin test: not performed

    Subclinical TB or not TB ? Further management/follow up ?


    I, Male, almost 5 years
    Chief complaint: No weight gain, no other TB
    symptoms
    History of TB contact: None
    Nutritional status:
    Weight: 13 kg; height: 106.4 cm
    Weight for age: -3 < z < -2
    height for age: -1 < z < 0
    Weight for height z < -3

    Tuberculin skin test: 15 mm


    Normal CXR ? Treat for TB ?
    E, Male, almost 9 years
    Chief complaint: -
    History of contact: His father had clinical TB, currently on
    the 2nd month of TB therapy
    Nutritional status: well nourished, BMI 16
    Xpert/MTB rif: not detected
    Tuberculin skin test: not yet performed

    Should we give TB preventive treatment ?

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