Bronchiectasis as Silent a Serious Sequelae Lung TBC

Introduction: Patients who recover from pulmonary tuberculosis infection have the possibility of developing post-infection effects like TB sequelae. This TB sequela does not immediately cause symptoms but can appear 10-20 years after the infection is declared cured, therefore there needs to be a follow-up examination to determine the symptoms and damage to lung tissue. Case: A 55-year-old male patient is an outpatient at the Mangusada Hospital, Badung, who had a history of TB in 1993 and was declared cured, but this year the patient experienced symptoms of shortness of breath during light activities such as walking. On PA chest X-ray examination, it was found that there was a giant cavity in the right area with the possibility of pneumothorax. When spirometry was performed, the results were obstructed and restricted breathing. After we do a CT scan we found there is large cavity and atelectasis. Discussion: in some cases the cavity is a sign of infection in the early stages of tuberculosis as a result of the reaction of phagocytic cells and the existing MTB. The results of the respirometer that show restriction and obstruction are an early sign of infection and can also be a symptom after infection. The long term effect the patient having shortness of breath and cough and will affect the patient's spirometry due to mixed airway disorders. Conclusion: to know the post-TB symptoms accurately, we need to look at the lung tissue through HRCT to know accurately and also lung function because many lung diseases cause the same symptoms and to perform different therapies. Patients can be given symptomatic therapy and medical rehabilitation to improve lung function.