Peritonitis Tuberkulosis

Risal Wintoko; Muhamad Dwiky Tantona; Sofia Tyasni Darma Perbasya

doi:10.37287/jppp.v6i6.3611

Risal Wintoko Fakultas Kedokteran, Universitas Lampung
Muhamad Dwiky Tantona Fakultas Kedokteran, Universitas Lampung
Sofia Tyasni Darma Perbasya Fakultas Kedokteran, Universitas Lampung

DOI: https://doi.org/10.37287/jppp.v6i6.3611

Keywords: infeksi, peritoneum, peritonitis, tuberkulosis

Abstract

Peritonitis Tuberkulosis (PTB) merupakan inflamasi dari peritoneum parietal atau peritoneum viseral yang disebabkan oleh bakteri Mycobacterium tuberculosis dan sering mengenai seluruh peritoneum, organ-organ pada sistem gastrointestinal, mesenterium, atau organ genitalia interna. PTB merupakan kondisi klinis yang jarang terjadi dan sering terjadi kesalahan dalam diagnosis. Hal ini perlu digarisbawahi bahwa perlunya peningkatan kewaspadaan dalam mengetahui klinis dan diagnosis PTB. PTB didahului oleh infeksi Mycobacterium tuberculosis yang menyebar secara hematogen ke organ-organ di luar paru termasuk peritoneum yang diiringi dengan menurunnya daya tahan tubuh. Sementara, penjalaran langsung dapat terjadi dari kelenjar mesenterika atau dari tuberkulosis usus. Penelitian ini menggunakan metode literature review yang didapatkan dari beberapa sumber kepustakaan, antara lain dari Elsevier, PubMed, dan BMJ dengan kata kunci peritoneal, tuberculosis, dan abdominal tuberculosis yang diterbitkan dari tahun 2018 hingga tahun 2023. Metode analisis yang digunakan adalah systematic literature review yang mengidentifikasi, mengevaluasi, mengkaji serta mengembangkan secara sistematis penelitian yang ada dengan fokus topik yang sesuai dan relevan. Tujuan penelitian ini untuk mengetahui karakteristik PTB sehingga pasien dengan klinis PTB dapat didiagnosis dan ditatalaksana dengan baik. Diagnosis PTB dapat ditegakkan melalui anamnesis, pemeriksaan fisik, serta penunjang. Pasien dengan PTB mendapatkan terapi OAT seperti pada TB paru sementara intervensi bedah apabila ada obstruksi usus, perforasi usus, fistula, abses, dan perdarahan. Diagnosis yang segera dan pengobatan yang adekuat memberikan prognosis yang cukup baik.

References

Azencot, R., Rouvier, P., & Galichon, P. (2022). Peritoneal Tuberculosis. IDCases, 27. https://doi.org/10.1016/j.idcr.2022.e01431

Bagherpour, J. Z. (2023). Peritoneal Tuberculosis Pretending an Acute Abdomen: a Case Report and Literature Review. International Journal of Surgery Case Reports, 109, 1–5.

Barot, M., Yagnik, V. D., Patel, K., & Dawka, S. (2021). Surgical management of abdominal tuberculosis: A prospective single-center study. Tzu Chi Medical Journal, 33(3), 282–287. https://doi.org/10.4103/tcmj.tcmj_206_20

Cavalli, Z., Ader, F., Valour, F., Saison, J., Boussel, L., Dumitrescu, O., Perpoint, T., Chidiac, C., May, T., & Ferry, T. (2016). Clinical Presentation, Diagnosis, and Bacterial Epidemiology of Peritoneal Tuberculosis in Two University Hospitals in France. Infectious Diseases and Therapy, 5(2), 193–199. https://doi.org/10.1007/s40121-016-0113-2

Echeverri-Fernandez, E., Amezquita, M. A., Moncada, P. A., Escobar, J., & Fernandez-Trujillo, L. (2023). Peritoneal tuberculosis in an immunocompetent patient: A case report. IDCases, 32. https://doi.org/10.1016/j.idcr.2023.e01785

Hammami, F., Ben Ayed, H., Koubaa, M., Chakroun, A., Hsairi, M., Smaoui, F., Gargouri, L., Rekik, K., & Ben Jemaa, M. (2022). Clinical, laboratory and evolutionary features of abdominal tuberculosis in comparison with other forms of extrapulmonary tuberculosis. Indian Journal of Tuberculosis, 69(2), 184–190. https://doi.org/10.1016/j.ijtb.2021.07.017

Kemekes RI. (2023). Petunjuk Teknis Tata Laksana TBC Anak dan Remaja.

Kemenkes RI. (2024). Capai Eleminasi TBC dengan Semarak Gerakan Indonesia Akhiri Tuberkulosis (GIAT).

Kemenkes RI. (2024). Kasus TBC Tinggi karena Perbaikan Sistem Deteksi dan Pelaporan.

Khan, S., & Linganna, M. (2023). Diagnosis and management of ascites, spontaneous bacterial peritonitis, and hepatorenal syndrome. In Cleveland Clinic Journal of Medicine (Vol. 90, Issue 4, pp. 209–213). Cleveland Clinic Educational Foundation. https://doi.org/10.3949/ccjm.90a.22028

Koegelenberg, C. F. N., Schoch, O. D., & Lange, C. (2021). Tuberculosis: The Past, the Present and the Future. In Respiration (Vol. 100, Issue 7, pp. 553–556). S. Karger AG. https://doi.org/10.1159/000516509

Lee, I. H., Kim, H. I., Kim, M. K., & Ahn, D. J. (2021). Spontaneous bacterial peritonitis in an adult patient with minimal change disease. American Journal of Case Reports, 22(1). https://doi.org/10.12659/AJCR.930677

Linh, N. N., Viney, K., Gegia, M., Falzon, D., Glaziou, P., Floyd, K., Timimi, H., Ismail, N., Zignol, M., Kasaeva, T., & Mirzayev, F. (2021). World Health Organization treatment outcome definitions for tuberculosis: 2021 update. European Respiratory Journal, 58(2). https://doi.org/10.1183/13993003.00804-2021

Löhr, J. M., & Panic, N. (2020). Systematic review on pancreatic tuberculosis: More questions. In United European Gastroenterology Journal (Vol. 8, Issue 4, p. 491). SAGE Publications Ltd. https://doi.org/10.1177/2050640620909214

Maeda, S., Yamaguchi, M., Maeda, K., Kobayashi, N., Izumi, N., Nagai, M., Obayashi, T., Ohashi, W., Katsuno, T., Nobata, H., & Ito, Y. (2019). Proton pump inhibitor use increases the risk of peritonitis in peritoneal dialysis patients. PLoS ONE, 14(11). https://doi.org/10.1371/journal.pone.0224859

Nonaka, M., Ishida, H., Manrai, M., & Takashima, A. (2024). Tuberculous peritonitis diagnosed following laparoscopic examination for suspected advanced ovarian cancer. BMJ Case Reports, 17(3). https://doi.org/10.1136/bcr-2023-257973

Ogah, I., Milne, F., & Zevin, B. (2021). Peritoneal Tuberculosis. CMAJ, 193(43). https://doi.org/10.1503/cmaj.210355

Ozturk, N. B., Tsagkaris, C., Dolek, N., & Iliaz, R. (2023). Clinical presentation of peritoneal tuberculosis. Baylor University Medical Center Proceedings, 36(2), 259–260. https://doi.org/10.1080/08998280.2022.2144706

Paulsrud, C., Poulsen, A., & Vissing, N. (2019). Think Central Nervous System Tuberculosis, Also in Low-Risk Children: A Danish Nationwide Survey. Infect Dis, 51, 368–372.

Plawgo, A., & Photo Library, S. (n.d.). Mycobacteria illustration, illustration. https://www.who.int/publications/i/

Pramugaria, E. L. , et al. (2018). Problematic Diagnosis of a Patient with Tuberculosis Peritonitis. Science and Technology Publications, 462–469.

Qin, Z., Sander, M., Rai, B., Titahong, C., Sudrungrot, S., & Laah, S. (2019). Using Artificial Intelligence to Read Chest Radiographs for Tuberculosis Detection: A Multi-site Evaluation of teh Diagnosis Accuracy of Three Deep Learning Systems. Sci Rep, 9(1).

Song, D. S. (2018). Spontaneous Bacterial Peritonitis. In The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi (Vol. 72, Issue 2, pp. 56–63). NLM (Medline). https://doi.org/10.4166/kjg.2018.72.2.56

Struller, F. et al. (2017). Peritoneal: Embryology and Functional Anatomy. Pleura and Peritoneum, 2(4), 151–163.

Wu, D. C., Averbukh, L. D., & Wu, G. Y. (2019). Diagnostic and therapeutic strategies for peritoneal tuberculosis: A review. In Journal of Clinical and Translational Hepatology (Vol. 7, Issue 2, pp. 140–148). Xia and He Publishing Inc. https://doi.org/10.14218/JCTH.2018.00062

Yamada, L., Saito, M., Aita, T., Min, A. K. T., Endo, E., Kase, K., Ujiie, D., Hanayama, H., Okayama, H., Sakamoto, W., Endo, H., Fujita, S., Saze, Z., Momma, T., Ohki, S., Hamaguchi, S., & Kono, K. (2020). Tuberculous peritonitis; The effectiveness of diagnostic laparoscopy and the perioperative infectious prevention: A case report. International Journal of Surgery Case Reports, 72, 326–329. https://doi.org/10.1016/j.ijscr.2020.06.046

Yandi, I. K. R., & Koesoemoprodjo, W. (2023). An Indonesian female with peritoneal tuberculosis mimicking ovarium carcinoma: A rare case. International Journal of Surgery Case Reports, 109. https://doi.org/10.1016/j.ijscr.2023.108493.