TB Pleuritis with Elevated Transaminase Enzyme in Young Male Adults: A Case Report
Keywords:
TB Pleuritis, Elevated transaminase enzyme, Young male adultsAbstract
Introduction: Tuberculosis infection caused by Mycobacterium tuberculosis associated with a fluid accumulation in the pleural space generates the Tuberculosis pleuritis. In areas with high incidence of tuberculosis have the most cases of TB pleuritis which affect more in younger people. Therefore, the treatment is different from usual TB infection.
Case: A 30-year-old male patient was admitted with complaints of shortness of breath, dry cough, fever, weight loss, nausea and vomiting once. Physical examinations found asymmetrical chest movement with right hemithorax was left behind; decrease tactile fremitus and 2/3 dim percussion in right hemithorax, including a positive Ellis-Damoiseau line, a positive egophony and a decrease vesicular sound in right hemithorax. The most outstanding laboratory examination was the transaminase enzyme, where SGPT and SGOT changing were increased in just one week (121.9 to 173.2; and 81.2 to 100.6). CT-scan examination illustrated fibrosis in the apical segment of the superior lobe of the right lung, and enlargement of the right and upper supraclavicular lymph nodes in the right trachea. The patient was administered therapies such as paracetamol, N-acetylcysteine, streptomycin, levofloxacin, ethambutol, metoclopramide, sucralfate suspension, two capsules of curcuma, also thoracocentesis and chest physiotherapy.
Conclusion: It is quite uncommon to have TB pleuritis with high transaminase enzyme without prior liver illness. Usually, it occurs after TB therapy. The patient's condition and the PDPI TB guideline are both used to inform the course of treatment in this situation.
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