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Meningoencefalitis TB Definisi-Etiologi-Faktor Risiko-Patofisiologi

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MENINGOENCEPHALITIS TB

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Meningoencefalitis TBDefinisi-Etiologi-Faktor Risiko-Patofisiologi

Definisi

EtiologiMeningitis disebabkan oleh mikroorganisme, seperti virus, bakteri, jamur, atau parasit yang menyebar dalam darah ke cairan otak.Penyebab infeksi ini dapat diklasifikasikan atas :

1. Bakteri: • Pneumococcus • Meningococcus • Haemophilus influenza • Staphylococcus • Escherichia coli • Salmonella • Mycobacterium tuberculosis

2. Virus : • Enterovirus3. Jamur : • Cryptococcus neoformans • Coccidioides immitris

Pada kasus meningitis tuberkulosa ini, mycobacterium tuberculosis merupakan faktor penyebab paling utama dalam terjadinya penyakit meningitis.

Meningitis TB. 2016 . dalam : Penanggulangan Tuberkulosis Terpadu. Sub Direktorat Tuberkulosis. Ditjen PP & PL. Kemenkes RI

Patofisiologi

https://www.aic.cuhk.edu.hk/web8/TB-meningitis.htm

Tata Laksana• First Line• Second LineTx Antimikroba

• recommended regimen for children is dexamethasone 12 mg/day IM (8 mg/day for children weighing ≤25 kg) for three weeks, followedby gradual taper over the next three weeks

Tx Adjunctive Corticosterois

• Prevent hypovolemia if symptomatic, acute hyponatremia does not respond to anti-TB treatment and appropriate fluid restriction (while maintaining euvolemia)

• ADH receptor antagonist Fluid Management

• Ventriculoperitoneal shunt placement • Endoscopic third ventriculostomy

Surgical Intervention in TBM Hydrocephalus

PustakaMediLexicon International Ltd. (2016, 05 24). medilexicon medical dictionary. Diambil kembali dari medilexicon: http://www.medilexicon.com/medicaldictionary.php?t=54120

Anonim. Meningitis TB. 2016 . dalam : Penanggulangan Tuberkulosis Terpadu. Sub Direktorat Tuberkulosis. Ditjen PP & PL. Kemenkes RI

Grace E . Marx and Edward D. Chan. 2011. Review Article Tuberculous Meningitis: Diagnosis and Treatment Overview. Tuberculosis Research and Treatment, Hindawi Publisihing

https://www.aic.cuhk.edu.hk/web8/TB-meningitis.htm

http://www.medilexicon.com/medicaldictionary.php?t=54120

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