KATA PENGANTAR

Segala puji bagi Allah Tuhan Semesta Alam karena atas izin-Nyalah
penulis dapat menyelesaikan makalah Presentasi kasus yang berjudul TB Kasus
Baru dengan susp HIV/AIDS + Hepatomegali + Syndrom Dispepsia + Acne
Vulgaris ini dengan sebagaimana mestinya.
Makalah Presentasi kasus ini merupakan salah satu tugas kepaniteraan
klinik di Bagian Pulmonologi RSUD Solok.
Makalah Presentasi kasus ini disusun berdasarkan tinjauan pustaka dari
berbagai sumber dan referensi yang terpercaya. Makalah. Presentasi kasus ini
menyajikan tinjauan pustaka analisis laporan kasus mengenai TB Paru dan TB
dengan HIV/AIDS.
Penulis mengucapkan terima kasih kepada pembimbing dr.Sari
Nikmawati, Sp.P yang telah memberikan pengarahan dalam menyelesaikan
makalah Presentasi kasus ini.
Penulis menyadari bahwa dalam penulisan makalah ini masih terdapat
kekurangan. Oleh karena itu, penulis mengharapkan kritik dan saran yang bersifat
membangun dari para pembaca. Atas perhatiannya penulis mengucapkan terima
kasih.

Solok, Februari 2017

Penulis

1
 DAFTAR ISI

Kata Pengantar.......................................................................................................i
Daftar Isi.................................................................................................................ii
Daftar Tabel...........................................................................................................iv
Daftar Skema.........................................................................................................v

BAB I PENDAHULUAN.......................................................................................1
1.1 LatarBelakang....................................................................................................1
1.2 Tujuan.................................................................................................................2
1.3 Manfaat..............................................................................................................2

BAB II TINJAUAN PUSTAKA............................................................................3

2.1 TB Paru..............................................................................................................3
2.1.1 Definisi............................................................................................................3
2.1.2 Etiologi............................................................................................................3
2.1.3 Patofisiologi....................................................................................................4
2.1.4 Klasifikasi.......................................................................................................4
2.1.5 Gejala Klinis....................................................................................................6
2.1.6 Pemeriksaan Fisik...........................................................................................7
2.1.7 Pemeriksaan Penunjang..................................................................................8
2.1.8 Pengobatan TB.............................................................................................11
2.1.9 Komplikasi....................................................................................................19
2.2 TB Paru dengan HIV/AIDS.............................................................................19
2.2.1 Definis..........................................................................................................19
2.2.2 Etiologi.........................................................................................................19
2.2.3 Gejala Klinis.................................................................................................20
2.2.4 Pemeriksaan Fisik.........................................................................................22
2.2.5 Pemeriksaan Penunjang................................................................................23
2.2.6 Penatalaksanaan............................................................................................24

2
BAB III LAPORAN KASUS...............................................................................27
3.1 Identitas Pasien.................................................................................................27
3.2 Anamnesis........................................................................................................29
3.3 Pemeriksaan Fisik............................................................................................29
3.4 Pemeriksaan Penunjang...................................................................................31
3.5 Diagnosis Kerja................................................................................................31
3.6 Diagnosa Banding............................................................................................31
3.7 Penatalaksanaan...............................................................................................31
3.8 Pemeriksaan anjuran........................................................................................32
3.9 Follow up.........................................................................................................32

DAFTAR PUSTAKA..........................................................................................38

3
 DAFTAR TABEL

Tabel 1. Jenis dan dosis OAT................................................................................13

Tabel 2. Dosis obat Antituberkulosis kombinasi...................................................14
Tabel 3. Efek samping obat...................................................................................15
Tabel 4. Defenisi kasus hasil Pengobatan.............................................................18
Tabel 5. Obat ART................................................................................................25
Tabel 6. Pilihan Paduan pengobatan ARV pada ODHA dengan TB....................26

4
 DAFTAR SKEMA

Skema 1. Patofisiologi TB............................................................................4

Skema 2. Alur diagnosis TB paru pada orang dewasa......................................11