download - Malaysian Thoracic Society

More documents

Recommendations

Info

Annual Congress of Malaysian Thoracic Society PP 3 Concomitant Pulmonary Tuberculosis and Leprosy Yaqeen E, Shaharudin A, Aziah A M, Razak M 1 Institut Perubatan Respiratori (IPR), Kuala Lumpur, Malaysia 2 Universiti Sains Malaysia (USM), Kubang Kerian, Kelantan, Malaysia 3 Institut Perubatan Respiratori (IPR), Kuala Lumpur, Malaysia 4 Institut Perubatan Respiratori (IPR), Kuala Lumpur, Malaysia Introduction Leprosy is a chronic granulomatous disease principally affecting the skin and peripheral nervous system, caused by Mycobacterium Leprae. The infrequent occurrence of both tuberculosis and leprosy is based on the transmission dynamics of both infections. The higher reproductive rate of Tubercle Bacilli compared to Lepra Bacilli and degree of cross immunity within an individual do not allow both infections to occur simultaneously, but there have been sporadic reports of co-existence of tuberculosis and leprosy in the same patient. We report a case of pulmonary tuberculosis and multibacillary Hansen’s disease in a single individual. Case presentation A case of leprosy diagnosed in a patient being treated for Pulmonary Tuberculosis is reported. Conclusion Concomitant infection with tuberculosis and leprosy can occur, despite the postulated antigenic mimicry between these two mycobacteria. Physicians have to treat both infections simultaneously, and cautiously avoid any complications that may arise. References: 1. ChaussinandR. (1948) 2. Long ER. (1966) 3. Karonga (1996) 65
Annual Congress of Malaysian Thoracic Society PP 4 Case Report: Tuberculosis of Cervix: A Sexually transmitted disease? Mustafa Kamal 1 , A Muzammir 2 , Noorasmaliza M P 3 1 Respiratory Department, Hospital Sultanah Bahiyah, Alor Setar, Kedah, Malaysia 2 Obstetrics and Gynaecology, Hospital Sultanah Bahiyah, Alor Setar, Kedah, Malaysia 3 Pathology Department, Hospital Sultanah Bahiyah, Alor Setar, Kedah, Malaysia Introduction Tuberculosis of cervix is a rare condition in Malaysia. The statistics for this condition is virtually non-existent in this country. We describe the clinicopathological findings of a patient with tuberculosis of cervix. Case report A 42 years old lady presented to a local hospital for history of persistent inter-menstrual bleeding since 2006. Her last Pap smear which was performed in the year 2006 was reported to have been normal. Recently she became more lethargic and tired and decided to present to the local health clinic where she was investigated for anaemia. She had no history of fever, chronic cough or loss of weight and appetite. Vaginal examination revealed per vaginal bleeding and colposcopy showed a 4 cm long of polypoid endocervical tissue growth with contact bleeding. Punch biopsy was performed and histopathological examination revealed foci of epithelioid cell aggregations with Langhan’s cells and caseous necrosis. The patient was later referred to Chest Clinic for further management of tuberculosis of cervix. From further history taking, the patient had contact with her husband who had been diagnosed with renal tuberculosis. He had subsequently defaulted follow-up and passed away from disseminated tuberculosis. She recalled a few occasions of sexual intercourse with her husband some months before he passed away. A few months later she started to have inter-menstrual bleeding up until April 2011 when she was investigated for cervical cancer. Currently she is on treatment with a combination of anti-tuberculosis drugs consisting of ethambuthol, pyrazinamide, isoniazid and rifampicin. She has tolerated the treatment well and the inter-menstrual bleeding resolved within 3 weeks of treatment. Currently she is well. Other investigations failed to suggest any other exposure to tuberculosis. 66
Page 2 and 3:
anniversary MALAYSIAN THORACIC SOCI
Page 4 and 5:
AnnuAl Congress of MAlAysiAysi An T
Page 6 and 7:
Page 8 and 9:
anniversary MALAYSIAN THORACIC SOCI
Page 10 and 11:
Page 12 and 13:
Page 14 and 15:
Page 16 and 17: AnnuAl Congress of MAlAysiAysi An T
Page 18 and 19: Annual Congress of Malaysian Thorac
show all

download - Malaysian Thoracic Society

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?