Open AccessUNCONTROLLED TYPE 1 DIABETES MELLITUS WITH TUBERCULOMA IN INFERIOR LOBE LEFT LUNG AND BILATERAL HYDRONEPHROSIS IN CHILD
Author(s) -
Anggia Rarasati Wardhana,
Sukartini Sukartini,
Annisa Muhyi
Publication year - 2019
Publication title -
medical and health science journal
Language(s) - English
Resource type - Journals
eISSN - 2549-7596
pISSN - 2549-7588
DOI - 10.33086/mhsj.v3i2.1155
Subject(s) - medicine , tuberculoma , hydronephrosis , diabetes mellitus , lung , tuberculosis , surgery , endocrinology , urinary system , pathology
Diabetes Mellitus (DM) is an important risk factor for the development of active tuberculosis (TB). It is chronic and will weaken the immune system causing the patient have increased risk of tuberculosis by three-fold.We present a case of 13-year-old girl with chest pain and cough. She has a previous history of type 1 DM. Laboratory findings showed hyperglycemic state. Thoracic CT showed tuberculoma of inferoposterior lobe left lung, while abdominal CT showed bilateral hydronephrosis. He was then administered TB treatment of 2HRZE/10RH, corticosteroid, and insulin regiments with strict monitoring of blood glucoses. Clinical symptoms and blood glucose level were significantly improved after treatment.