Holistic Management For Patient With Miliary TBC – HIV Seronegative


  • Annisa Abdillah
  • Azelia Nusadewiarti




Holistic, milliary, tuberculosis


Miliary TBC is a potentially fatal form of TBC. Mortality rates for military TBC occurs higher in adults (25% - 30%) than in children (15% - 20%). Clinical manifestations of patients with miliary tuberculosis in adults are not specific. Therapy is given not only by using drugs, but also the therapy should be focus on the patient or patient-centered and family approach which is done holistically. The study is Case Report. Primary data was obtained through history taking and physical examination by making home visits, filling out family folders, and filling in patient files. Assessment was carried out based on the initial holistic diagnosis, process, and end of the visit quantitatively and qualitatively. Based on holistic diagnosis, the patient complains fever for 6 months, accompanied by night sweats, decrease appetite, nausea, weight loss. The patient is worried that his pain will become increasingly burdensome and life threatening. The patient is a man, 53 years. Patients have fungtional degrees 2 with Milliary TBC – HIV Seronegative, have internal risk factors, such as drinking alcohol and smoking habits, curative treatment patterns, rarely exercise and lack of knowledge about the disease. The intervention and evaluation has been done to the patient and his family members about patient’s illness, medications, lifestyles, obtained changes in the behavior of patients and families. The diagnosis of milliary tuberculosis in this cases is in accordance with the theory and critical appraisal of resent research.


Kementrian Kesehatan Republik Indonesia. Pusat data dan informasi tuberkulosis. Jakarta: InfoDATIN; 2018.

Sharma SK, Mohan A, Sharma A. Miliary tuberculosis: A new look at an old foe. J Clin Tuberc. 2016; 3(1):13–27.

Ray S. Diagnosis and management of miliary tuberculosis. Ter Clin Risk Manag. 2013; 9–26.

Mert A, Arslan F, Kuyucu T, Koç EN, Ylmaz M, Turan D, et al. Miliary tuberculosis: epidemiological and clinical analysis of large case series from moderate to low tuberculosis endemic Country. Md-journal. 2017; 96(5):1-7.

Denega T, Griffith D. Miliary tuberculosis in a healthy adult. Southwest Respir Crit Care Chronicles. 2014; 2(5):39-44.

Lapausa MR, Saldana AM. Extrapulmonary tuberculosis : an overview. Rev Esp Sanid Penit. 2015; 17(1):3–11.

World Health Organization. A people-centred model of tuberculosis care: a blueprint for eastern European. Eropa: World Health Organization Europe Press; 2017.

Nahid P, Alipanah N, Cattamanchi A, Chaisson LH, Hopewell PC, Merrifield C, et al. Official American thoracic society/centers for disease control and prevention/ infectious diseases Society of America clinical practice guidelines: treatment of drug-susceptible tuberculosis. Clin Infect Dis. 2016;63(7):853–67.

Kementrian Kesehatan Republik Indonesia. Pedoman nasional pelayanan kedokteran tatalaksana tuberkulosis. Jakarta: Kementrian Kesehatan RI; 2013.

Notoatmodjo S. 2007. Promosi Kesehatan dan Ilmu Perilaku. Jakarta: Rineka Cipta.

Hopewell PC. International standards for tuberculosis care Ed 3. USA: TB Care I; 2014.

Kementerian Kesehatan Republik Indonesia.. Peraturan menteri kesehatan republik Indonesia Nomor 67 Tahun 2016 tentang penanggulangan tuberkulosis. Jakarta: Kementrian Kesehatan Republik Indonesia; 2016.

Rahmi N, Medison Irvan, Suryadi Ifdelia. Hubungan tingkat kepatuhan penderita tuberkulosis paru dengan perilaku kesehatan, efek samping oat dan peran pmo pada pengobatan fase intensif di puskesmas sebrang padang September 2012 - Januari 2013. JKA. 2017;6(2):345–50.

Persatuan Dokter Paru Indonesia. Pedoman diagnosis dan penatalaksanaan tuberkulosis di Indonesia. Jakarta: PDPI; 2015.



How to Cite

Annisa Abdillah, & Azelia Nusadewiarti. (2019). Holistic Management For Patient With Miliary TBC – HIV Seronegative. Medical Profession Journal of Lampung, 9(2), 366-373. https://doi.org/10.53089/medula.v9i2.284




Most read articles by the same author(s)