De||n|s|

P McrLu: Hcn:en ccc|ch :ucIu penyckiI

infek:i krcni: ycng ci:eLcLkcn c|eh
kumcn MyccLccIerium Leprce ycng
menyercng :y:Iem :crcf Iepi, ku|iI, ccn
jcringcn IuLuh |cinnyc {kec. :i:Iem :crcf
pu:cI).
P Ncmc |cin : Ku:Ic, Leprc:y, Leprce
9|o|og|
P /ycccccte||un |ep|ce cengcn
pengeccIcn Zieh| Nie|:cn Ler:ifcI Ichcn
c:cm, LerLenIuk LcIcng Lerke|cmpck
ccn ccc ycng Ier:eLcr :cIu :cIu, hicup
cc|cm :e| IeruIcmc jcringcn ycng
Ler:uhu cingin ccn Iicck ccpcI ci ku|Iur
cc|cm mecic LucIcn.
5|dem|o|og|
W Negcrc LerkemLcng IeruIcmc ci /frikc
ccn /:ic
W :emuc u:ic IeruIcmc cewc:c mucc
ciLcwch u:ic 35 Ichun
W :emuc rc: ccn jeni: ke|cmin
W keLcnyckcn ci ccerch Ircpi: ccn
:uLIrcpic: ycng pcnc: |emLcL
W Lukcn merupckcn penyckiI keIuruncn
W fckIcr :ccic| ekcncmi cicnggcp
memegcng percncn penIing
!,9ogenes|s
. FckIcr :umLer penu|crcn
2. FckIcr kumcn ccri mcrLu: Hcn:en
3. FckIcr ccyc Ichcn IuLuh
Pemband|ng T|pe Paus|bas||er (P} T|pe Hu|t|bas||er (H}
Les| |u||l O |es|
O Va|u|a
r|pop|grerlas| alau
er|lera
O 0|slr|ous| l|da|
s|relr|s
O l||argrya sersas|
je|as
O Leo|r dar| |es|
O Va|u|a dalar, papu|
dar rodu|
O 0|slr|ous| s|relr|s
O Aresles| l|da| je|as
Kerusa|ar saral larya salu caoarg
saral
8arya| caoarg saral
D|,gnos|s
) Le:i ku|iI Lerupc hipcpigmenIc:i cIcu
mcku|: eriIemcIcu:
2) /ccnyc cne:Ihe:ic/ hipce:Ie:ic pccc
ke|cincn ku|iI
3) FeneLc|cn :crcf Iepi
4) DiIemukcn kumcn LcIcng Ichcn c:cm
pccc pemerik:ccn cengcn Zieh| Nie|:cn
!emer|ks,,n K||n|s
W n:pek:i : Le:i ccn keru:ckcn ku|iI
W Fc|pc:i : Ke|cincn ku|iI :eperIi nccu:, infi|IrcIe,
jcringcn pcruI, u|ku:
W Ke|cincn :crcf Iepi ycng ciperik:c ccc|ch n.
curiku|cri: mcgnu:, n.u|ncri:, n.percneu: ccn
n.IiLic|i: pc:Iericr. Scrcf ini ckcn mengc|cmi
peneLc|cn
W DiccIcI jugc cccnyc nyeri Iekcn pccc |e:i,
peneLc|cn :crcf Iepic cn rcuI wcjch pc:ien,
cpckch ke:ckiIcn cIcu Iicck pccc wckIu :crcf
circLc
!emer|ks,,n !enunj,ng
. Femerik:ccn 8ckIeric|cgik
2. Femerik:ccn Hi:IcpcIc|cgik
3. Ie: munc|cgik
%er,5|
1. Mu|9|b,s||er
W 2 cc:i: cc|cm 2- Lu|cn
W Dewc:c : Fifcmpi:in 00mg, Lcmpren
300mg ciminum :eIicp Lu|cn ci cepcn
peIugc:. DiIcmLch DDS 00mg :eIicp
hcri.
W /nck cnck : Fifcmpi:in 450mg, Lcmpren
50mg ciminum :eIicp Lu|cn ci cepcn
peIugc:. DiIcmLch CDS 50mg :eIicp
hcri
. !,us|b,s||er
P cc:i: cc|cm - Lu|cn
P Dewc:c : Fifcmpi:in 00mg, DDS 00mg
ciminum :eIicp Lu|cn ci cepcn peIugc:
P /nck cnck : Fifcmpi:in 450mg, CDS
50mg ciminum :eIicp Lu|cn ci cepcn
peIugc:.
den9|9,s !,s|en
W Ncmc : Iucn FchmcI
W Umur : 42 Ichun
W Ke|cmin : Lcki |cki
W /|cmcI : Kc|ipcre , Mc|cng Se|cIcn
W Fekerjccn : 8uruh Icni ke|cpc :cwiI
W /gcmc : :|cm
W SIcIu: : Menikch
W Suku Lcng:c : Jcwc
n,mnes|s
W Ke|uh,n u9,m,
8ercck kemerchcn pccc wcjch, IuLuh ccn Icngcn
W #|w,,9 5en,k|9 sek,r,ng
Fc:ien ccIing cengcn ke|uhcn Lercck Lercck merch pccc
wcjch, IuLuh ccn Icngcn ycng IimLu| :ejck 2 Ichun ycng |c|u.
Ukurcn Lercck :emu|c :ekiIcr 2cm, kemucicn |cmc |cmc me|uc:
memenuhi wcjch :erIc Lcgicn IuLuh ccn Icngcn. Ierc:c IeLc|
pccc Lercck Lercck Ier:eLuI ccn Ierc:c ke:emuIcn
{Lringgingen) :ejck Lu|cn Ierckhir pccc Icngcn ccn kcki.
Icngcn ccn kcki mc:ih ccpcI cigunckcn unIuk ckIiviIc:
wc|cupun kcccng Ierc:c |emc: ccn kcku :ccI Lcngun Iicur.
Fc:ien jugc merc:c nyeri nyeri pccc per:encicn Icngcn ccn
kcki :ejck Lu|cn Ierckhir. Demcm :umer :umer :ejck 4 hcri
ycng |c|u.
W #|w,,9 5en,k|9 d,hu|u
Mempunyci riwcycI penyckiI kencing mcni: ccn pernch
MFS :ejck Lu|cn ycng |c|u. Fc:ien pernch mengc|cmi rc:c
IeLc| ci ku|iI, Icpi IeIcp Iercicgnc:c kencing mcni: :cjc.
W #|w,,9 5en,k|9 ke|u,rg,
Iicck ccc cnggcIc ke|ucrgc ycng menceriIc ke|uhcn :cmc
cengcn pc:ien. FiwcycI kcnIck cengcn penceriIc Iicck ccc.
W #|w,,9 5engob,9,n
Fc:ien Le|um pernch mengc|cmi pengcLcIcn cpcpun
!emer|ks,,n F|s|k
. SIcIu: generc|i: : cLn
2. SIcIu: |ckc|i: : FeneLc|cn nervu: {+) ci n.curiku|cri: mcgnu:
3. SIcIu: cermcIc|cgi:
Lckc:i ci wcjch
Di:IriLu:i : Ier:eLcr :imeIri:, ukurcn |eLcr memenuhi wcjch
Fucm : p|cue eriIemcIcu:, LcIc: Iegc:, Iepi Iicck IercIur
Fermukccn: hc|u:, Lerki|cI Iicck IerIuIup :kucmc
/ne:Ie:i : + je|c:
Lcinnyc : mcccrc:i: {-), :ccc|e nc:e {-)
Lckc:i ci Ihcrcx cnI
Di:IriLu:i : Ier:eLcr :imeIri:, ukurcn |eLcr memenuhi :eLcgicn IuLuh
Fucm : mccu|c eriIemcIcu:, LcIc: Iicck je|c:, Iepi Iicck IercIur
Fermukccn : hc|u: Iicck IerIuIup :kucmc
/ne:Ie:i : hipce:Ie:i pccc LeLercpc IiIik :cjc
Lckc:i |engcn cIc: ccn Lcwch
Di:IriLu:i : Ier:eLcr :imeIri:, ukurcn |eLcr memenuhi Icngcn
Fucm : Mcku|c eriIemcIcu: keungucn, Iepi IercIu:, LcIc: Iicck je|c:
Fermukccn : cgck kc:cr ccn ku:cm, IerccpcI :kucmc
/ne:Ie:i : hipce:Ie:i pccc LeLercpc IiIik
#esume
In FchmcI u:ic 42 Ichun ccIing cengcn ke|uhcn uIcmc Lercck
kemerchcn pccc wcjch, IuLuh ccn Icngcn :ejck 2 Ichun ycng |c|u.
8ercck cwc|nyc keci| |cmc ke|cmccn me|uc: memenuhi wcjch,
:eLcgicn IuLuh ccn Icngcn. Fccc LeLercpc Lercck jugc Ierc:c
IeLc| ccn geringgingcn :ejck Lu|cn Ierckhir pccc Icngcn ccn
kcki, kcccng Ierc:c |emc: ccn kcku :ccI Lcngun Iicur. Fc:ien jugc
menge|uhkcn nyeri nyeri pccc per:encicn Icngcn ccn kcki :erIc
cemcm :umer :umer :ejck 4 hcri ycng |c|u. Fernch menceriIc
kencing mcni: ccn jugc perc:ccn IeLc| ci ku|iI Icpi hcnyc
Iercicgnc:i: kencing mcni:nyc :cjc.
SIcIu: generc|i: cc|cm LcIc: ncrmc|. Fccc wcjch ciccpcI |e:i
:imeIri: Lerupc p|cue eriIemcIcu:, LcIc: Iegc:, Iepi Iicck IercIur,
permukccn hc|u:, Iicck IerIuIup :kucmc, ukurcn |eLcr memenuhi
wcjch, cne:Ie:i {+), mcccrc:i: {-), :ccc|e nc:e {-), peneLc|cn
cuping Ie|ingc {+), peneLc|cn n.curicu|cri: mcgnu: {+). Fccc regicn
Ihcrck: cnIericr IerccpcI |e:i :imeIri: Lerupc mccu|c eriIemcIcu:,
LcIc: Iicck je|c:, Iepi Iicck IercIur, permukccn hc|u: Iicck IerIuIup
:kucmc, ukurcn |eLcr memenuhi cccc, hipce:Ie:i pccc LeLercpc
IiIik :cjc. Fccc regicn |egcn cIc: ccn Lcwch IerccpcI |e:i :imeIri:
Lerupc mccu|c eriIemcIcu: keungucn, Iepi je|c: ccn ccIcr, LcIc:
Iicck je|c:, permukccn rcIc cgck kc:cr ccn Ncmpck ku:cm,
IerccpcI :kucmc, ukurcn |eLcr memenuhi |engcn, hipce:Ie:i pccc
LeLercpc IiIik.
D|,gnos|s
McrLu: Hcn:en Iipe mu|IiLc:i|er
!en,9,|,ks,n,,n
Fegimen MDI mu|IiLc:i|er :e|cmc 2 Lu|cn
Hcri perIcmc
W Fifcmpi:in 00mg
W C|cfczimin {Lcmpren) 300mg
W Dcp:cn {DDS) 00mg/hcri
Hcri kecuc :cmpci hcri ke 2
W C|cfczimin {Lcmpren) 50mg/hcri
W Dcp:cn {DDS) 00mg/hcri
!rognos|s
DuLic cc Lcncm