Imaging Radiology in Tropical Diseases
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Transcript of Imaging Radiology in Tropical Diseases
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Ana MajdawatiDepartement of Radiology
Medical Faculty UMY
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MALARIA DF/DHF TYPHOID FEVER TB : M.TBC DAN M.LEPRAE LEPTOSPIROSIS FILARIASIS MORBILI DIFTERI
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PERTUSIS TETANUS TORCH VARICELLA CYSTICERCOSIS MIKOSIS
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Imaging Radiology Infectious
DiseasesMicroorganisme
○ Bacterial○ Viral○ Parasit○ micosis
Tropical MedicineMicroorganisme
○ M.tbc○ M.leprae○ S. Tiphy○ Dengue viral○ Plasm Malariae???
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IMAGING RADIOLOGY
TROPICAL DISEASES
DIAGNOSIS ??TERAPI/TREATMENT ??
EVALUASI ??
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TUBERCULOSE
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PENDAHULUANRADIOLOGI
SkriningPenegakan diagnosisEvaluasi pengobatan
Gambaran radiologis TB Tipikal Atipikal (unusual) keterlambatan diagnosis
keterlambatan pengobatan
Pengetahuan ahli radiologi
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CARA PENULARAN
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PATOGENESIS TB Droplet nuklei terhirup
Ditelan oleh makrofag alveolarBasil bereplikasiMakrofag mati/lisis
Ghon’s focus migrasi ke saluran limfatik (lmfangitis)
KGB regional (limfadenopati)
Kompleks primer (Rankhe)
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Kompleks primerAsimtomatik
SEMBUH REAKTIVASITuberkulosisPasca primer
Acute pulmonary diseasePenyebaran sistemik
Asimtomatik/simtomatik
Organ lainRenal / CNS etc
TBC milierParu-parumeningitis
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Plain chest radiography Primary tb
- Ghon focus- Hilar and mediastinal limphadenitis- Segmental opacity- Calcified healed primary complex- Hematogenous dissemination : miliary andexudative pleuritis
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GAMBARAN RADIOLOGIS TB PARU TIPIKAL - PRIMERKarakteristik : Lesi parenkim
Lokasi : di mana saja, tersering di lapang tengah, lapang bawah, atau segmen anterior lobus atas
Konsolidasi atau nodulPenyembuhan komplit, fibrosis, kalsifikasi
Limfadenopati perihiler atau paratrakheaunilateral atau bilateralKonsolidasi (+) / (-)Penyembuhan kalsifikasi
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GAMBARAN RADIOLOGIS TB PRIMER
LESI PARENKIM
Gambar 5 (A) Foto toraks seorang anak berusia 4 tahun menunjukkan pembesaran KGB perihiler (panah) disertai konsolidasi pada lobus superior kanan13 (B) Foto toraks anak berusia 4 tahun dengan tuberkulosis, tampak
perselubungan opak di lobus superior14
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GAMBARAN RADIOLOGIS TB PRIMER
Gambar 6 (A) Tampak lesi opak di lobus inferior kanan (fokus Ghon) disertai limfadenopati perihiler kanan. (B)
Tampak nodul kalsifikasi di perifer disertai kalsifikasi KGB perihiler kanan, dikenal sebagai kompleks Rankhe14
(A) (B)
LIMFADENOPATI
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Postprimer tb
Mostly in the apical-posterior segments of the upper lobe
fine-coarse nodular infiltration Cloudy-homogeneous opacification Cavitation Calcification Fibrosis Tuberculoma Pleural effusion
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GAMBARAN RADIOLOGIS TB PARU TIPIKAL – PASCA PRIMERKarakteristik Lesi konsolidasi dengan preferensi lokasi
Air space consolidation patchy atau konfluen95% segmen apikal atau posterior lobus
superior segmen superior lobus inferior
Kavitas Tanda-tanda kronik
Fibrosis volume lossKalsifikasi
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GAMBARAN RADIOLOGIS TB PASCA PRIMER
Gambar 8 Wanita berusia 82 tahun dengan sputum BTA positif : (a) Pada foto toraks tampak bercak di lobus superior disertai dengan kalsifikasi.
(b) Pada CT scan tampak infiltrat disertai nodul-nodul kalsifikasi (panah) di daerah segmen apikal.13
a b
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GAMBARAN RADIOLOGIS TB PARU ATIPIKAL
Beberapa batasan TB paru atipikal : Gambaran TB primer pada orang
dewasa Gambaran TB paru yang tidak khas baik
dari lokasi maupun gambaran radiologisnya
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EXTRAPULMONARY TB
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Tuberculous arthritis Mainly affect large joints such as; knee,
hip, shoulder, sacroilic, etc Phemister’s triad :
- juxta-articular osteoporosis- marginal bone erosion- gradual loss of joint space
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Intracranial Tbc
Involve leptomeninges (meningitis) and parenchym ( granulomas, abscesses, or cerberitis )
Results of hematogeneous dissemination from a focus in the thorax, abdomen ,or genitourinary tract
Basal cisterns are most frequently affected--hydrocephalus
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Tbc in genitourinary tract Usually comes from a focus in lung or
bone Radiologic imaging clues :
- Calcification in any part- Autonephrectomy- Cavities of caliceal systems-Stricture of the pelvis and ureter
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Tbc of gastrointestinal tract Most commonly involves ileo-caecal
region Irregularity of the terminal ileum,
contrcted and rectracted caecum Ascites, peritonitis, and
limphadenopathy ( US and CT might be sensitive )
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PLEURAL EFFUSION
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CMV
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THYPHOID FEVER Hepatomegali (USG) Perforasi usus : Abdomen 3 posisi
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Varicella
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Contoh Kasus
Anak, 8 tahunBenjolan sebesar biji jagung di
punggung 3 bulan yllAnak tak bisa jalan
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Laki-laki, 23 tahun , gangguan kesadaran
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12 Feb 2007
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C
Meningoencephalitis TB dengan tuberculomata.
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7 april 2007(post terapi)
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KELUHAN CNS:BAYI-ANAK : -GANGGUAN TUMBUH KEMBANG-HYDROCEPHALLUS-GANGGUAN KESADARAN
REMAJA-DEWASA:-GANGGUAN KESADARAN-NYERI KEPALA KONTINYU
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Abses Nocardia CerebriInfeksi Jamur
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ASPERGILLOSIS
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Toxoplasmosis dengan HydrocephalusCT Bayi H. 7 bln.
Infeksi Parasit
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CysticercosisA. CT Scan kepala dengan
kontrast.Tampak adanya kista-kista subependym ( SE ), dalam parenchym otak ( P ).
B,C,D. MRI T1W,T2W,dan PDW;Baik CT Scan maupun MRI, menunjukkan adanya kista-kista yang berisi larva scolices. Tidak tampak adanya edema dan tidak ada hydrocephalus.
Infeksi Parasit
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CysticercosisCysticercosisCT an. N. 3,5 th.
Infeksi Parasit
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.... .....
.... .... OSTEOMYELITIS
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Thank you for your attention