Correlation of inflammatory cytokines on corrected QT interval in rifampicin-resistant tuberculosis patients

Interstitial lung disease in Indonesian adult with systemic sclerotic: A rare case

Background

Case presentation

Discussion

Conclusion

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High resolution computer tomography (HRCT) scan helps diagnose Systemic Sclerotic (SSc) with interstitial lung disease (ILD).

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Corticosteroids are currently the most effective management of SSc-ILD.

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The SSc-ILD in endemic tuberculosis needs to be tested for tuberculosis.

Disseminated tuberculosis with symptoms of decreased consciousness: A rare case in Indonesian male

Background

Disseminated tuberculosis is a rare case that causes high mortality and morbidity.

Case presentation

A 59-year-old man with a glasgow coma scale of 12, cerebrospinal fluid was found to have dominant mononuclear, high protein level, low glucose level and shortness of breath. A chest X-ray revealed a right pleural effusion with infiltrates in both lung parenchyma and a pleural fluid adenosine deaminase (ADA) test showed 66.1 U/L. Thoracolumbar MRI revealed a compression fracture in the 6th thoracic vertebral body. The patient was given category 1 anti-tuberculosis drug (ATD) therapy plus streptomycin and dexamethasone and water seal drainage (WSD) was installed. The patient experienced improvement after taking ATD after 4 months in which the patient could stand and walk by using an object in front of him.

Discussion

Accurate and prompt diagnosis of disseminated tuberculosis minimizes patient's mortality and morbidity. Suspicion of tuberculosis can be raised if the patient is experiencing health problems in endemic tuberculosis.

Conclusion

Disseminated tuberculosis (pulmonary tuberculosis, tuberculous pleurisy, tuberculous meningitis, and tuberculous spondylitis) can be managed properly using ATD category 1.

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GeneXpert MTB/RIF can be considered when treating infection cases in endemic tuberculosis.

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The accuracy and speed of diagnosis of disseminated tuberculosis can minimize complications.

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Anti-tuberculosis drug category 1 is effective for disseminated tuberculosis patients.

The role of C-Reactive protein as an inflammatory marker to predict prolonged QTc interval in rifampicin-resistant tuberculosis patients: A case-control study

Background

long-term use of anti-tuberculosis drugs (ATD) increases the risk of QTc prolongation, while C-reactive protein (CRP) can be used as an inflammatory marker of Mycobacterium tuberculosis infection.

Objective: correlation of CRP on the QTc interval in Rifampicin-resistant tuberculosis (RR-TB) patients with the short regimen.

Methods

An observational study was conducted in Rifampicin-resistant tuberculosis (RR-TB) patients from 2 groups, patients on intensive phase and patients on continuation phase. CRP levels were measured from blood samples and measured automatically using the immunoturbidimetric assay. QTc interval was calculated using electrocardiography. Levels of CRP levels and QTc interval between the 2 groups were analyzed. The statistical analysis used includes the independent t-test, Mann Whitney test, and Rank Spearman test with p = 0.05.

Results

Forty-five eligible RR-TB patients were included in this study. CRP levels and QTc intervals between 2 groups (intensive and continuation phase) showed significant difference with p < 0.001 but found no significant correlation of CRP levels and QTc interval in both intensive and continuation phase with p = 0.226 and 0.805, respectively. A higher level of CRP strongly indicated the inflammation caused by RR-TB infection at the early phase of the disease, but not correlated with QTc interval in RR-TB patients.

Conclusion

Levels of CRP and QTc interval do not correlate in RR-TB patients and can not be used to be the marker of QTc prolongation in RR-TB Patients.

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CRP levels are markers used for diagnosis and monitoring in RR-TB patients.

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Decrease CRP levels in RR-TB patients are don't a marker of QTc prolongation.

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The significant between intensive and continuation phase of CRP and QTc interval in RR-TB patients.