A Patient with Non-Hodgkin's Lymphoma of the Spinal Region with Tuberculosis Spondylitis Infection: A Case Report

Helen Widiani; Losen Adnyana

doi:10.56951/jzvag666

A Patient with Non-Hodgkin's Lymphoma of the Spinal Region with Tuberculosis Spondylitis Infection: A Case Report

Penulis

Helen Widiani Specialist Medical Education Program in Internal Medicine, Faculty of Medicine, Udayana University/Prof. Dr. I.G.N.G Ngoerah General Hospital, Denpasar, Bali, Indonesia
Losen Adnyana Department/Staff of Internal Medicine, Faculty of Medicine, Udayana University/Prof. Dr. I.G.N.G Ngoerah General Hospital, Denpasar, Bali, Indonesia

DOI:

https://doi.org/10.56951/jzvag666

Kata Kunci:

non-Hodgkin's lymphoma, area spinal, spondilitis tuberkulosis

Abstrak

Non-Hodgkin’s lymphoma (NHL) primer yang berasal dari tulang belakang adalah sangat jarang, hanya 0,1% dari seluruh NHL, dan kompresi medula spinalis merupakan gejala awalnya. Spondilitis tuberkulosis (TB) adalah penyakit inflamasi granulomatosa kronis pada tulang belakang yang disebabkan oleh Mycobacterium tuberculosis. Beberapa pasien akan mengalami defisit neurologis. Jika infeksi bakteri M. tuberculosis memengaruhi korpus vertebra, kerusakan yang dihasilkan menyebabkan instabilitas tulang belakang dan disrupsi pada struktur sekitarnya. Pasien dapat mengalami
paraparesis atau tetraparesis akibat kompresi medula spinalis. Penyakit ini memiliki gejala-gejala seperti nyeri punggung, kifosis, dan sindrom konstitusional. Dilaporkan suatu kasus pada pasien laki-laki berusia 75 tahun dengan NHL sel besar
difus regio tulang belakang stadium IV ECOG 4, spondilitis tuberkulosis dalam terapi obat antituberkulosis regimen khusus fase intensif.

Unduhan

Baca Selengkapnya

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