MYELITIS TUBERKOLOSIS PADA ANAK PEREMPUAN USIA 3 TAHUN DENGAN MALNUTRISI : LAPORAN KASUS
DOI:
https://doi.org/10.31004/prepotif.v9i3.52308Keywords:
malnutrisi, myelitis tuberkolosis, tuberkolosis anakAbstract
Tuberkulosis (TB) anak tetap menjadi tantangan besar dalam kesehatan anak di dunia, meskipun penyakit ini sebenarnya dapat dicegah dan disembuhkan. Menurut World Health Organization (WHO), sekitar 11 % dari keseluruhan kasus TB terdapat pada anak-anak dan remaja di bawah usia 15 tahun, yaitu ±1,1 juta anak tiap tahun. Anak-anak, terutama yang berusia kurang dari 5 tahun, memiliki risiko yang jauh lebih tinggi untuk berkembang menjadi bentuk penyakit berat seperti TB milier atau TB meningitis4. Di Indonesia, TB anak merupakan bagian penting dari epidemiologi TB nasional: data nasional menunjukkan bahwa pada tahun 2022 tercatat 110.881 kasus TB anak (<15 tahun), atau sekitar 15,3 % dari seluruh kasus TB di Indonesia3. Selain itu, anak dengan status gizi buruk, keterlambatan perkembangan hingga gangguan imun lebih rentan mengalami komplikasi TB berat serta keterlambatan diagnosis4. Karena itu, pelaporan kasus TB anak dengan manifestasi yang jarang—seperti TB milier dengan myelitis TB—menjadi sangat penting untuk meningkatkan kewaspadaan klinis serta memperkaya literatur pediatrik, khususnya di negara endemik seperti Indonesia.References
Ikatan Dokter Anak Indonesia. (2022). Pedoman nasional pelayanan kedokteran tata laksana tuberkulosis. Jakarta: IDAI.
Ikatan Dokter Anak Indonesia. (2022). Pedoman nasional tuberkulosis pada anak (Edisi ke- 2). Jakarta: IDAI.
Jena, S. S., Mohanty, S., & Swain, S. K. (2020). Tubercular myelitis: A rare manifestation of central nervous system tuberculosis. Journal of Neurosciences in Rural Practice, 11(4), 617–622. https://doi.org/10.1055/s-0040-1716402
Kementerian Kesehatan Republik Indonesia. (2023). Petunjuk teknis manajemen dan tatalaksana tuberkulosis anak dan remaja. Jakarta: Kemenkes RI.
Kementerian Kesehatan Republik Indonesia. (2024). Profil kesehatan Indonesia tahun 2023.Jakarta: Kemenkes RI.
Kementerian PANRB. (2024, March 25). Kemenkes waspadai kasus TB di Indonesia yang meningkat. Menpan.go.id.
Khan, M. I., Garg, R. K., Rizvi, I., Malhotra, H. S., Kumar, N., Jain, A., Verma, R., Sharma,P. K., Pandey, S., Uniyal, R., & Jain, P. (2022). Tuberculous myelitis: A prospective follow-up study. Neurological Sciences, 43(9), 5615–5624. https://doi.org/10.1007/s10072-022-06221-6
Kliegman, R. M., St. Geme, J. W., Blum, N. J., Shah, S. S., Tasker, R. C., & Wilson, K. M. (2024). Nelson textbook of pediatrics (21st ed., Chapter 194: Tuberculosis). Philadelphia, PA: Elsevier.
Kumar, R., Sahu, J. K., Sinha, S., Sreenivas, V., Singh, S., & Kalra, V. (2018). Pediatric tubercular myelitis: Clinical profile and MRI characteristics. Journal of Child Neurology, 33(10), 666–673. https://doi.org/10.1177/0883073818777356
Marais, B. J., Gie, R. P., Schaaf, H. S., Hesseling, A. C., Obihara, C. C., Starke, J. J., & Enarson, D. A. (2008). Paediatric tuberculosis. The Lancet Infectious Diseases, 8(8), 498–510.
Moore, B. K., Graham, S. M., Nandakumar, S., Doyle, J., & Maloney, S. A. (2024). Pediatric tuberculosis: A review of evidence-based best practices for clinicians and health care providers. Pathogens, 13(6), 467.
Radiopaedia.org. (2021, February 16). Tuberculous myelitis with intraspinal abscess (Radiology Case 86669).
Rajasekharan, C., Ramachandran, S., Chandrasekaran, M., & Thomas, B. (2019). MRI features and clinical correlation of tubercular myelitis: A case series and literature review. Journal of Pediatric Neurosciences, 14(3), 162–168. https://doi.org/10.4103/jpn.JPN_123_18
ResearchGate. (n.d.). Overview of the manifestation and pathophysiology in TB infection [Figure].
Suthar, R., Sankhe, S., Srivastava, T., & Wakhlu, A. (2021). Tuberculous myelitis: Clinicoradiological spectrum and therapeutic outcome. Indian Journal of Tuberculosis, 68(4), 480–487. https://doi.org/10.1016/j.ijtb.2020.12.006
Swaminathan, S., Rekha, B., & Pediatric TB Working Group. (2010). Pediatric tuberculosis: Global overview and challenges. Clinical Infectious Diseases, 50(Suppl 3), S184–S194.
Tristram, D., & Tobin, E. (2024). Tuberculosis in children. In StatPearls. StatPearls Publishing.
World Health Organization. (2022). Operational handbook on tuberculosis: Module 5: Management of tuberculosis in children and adolescents. Geneva: WHO.
World Health Organization. (2024). Global tuberculosis report 2024. Geneva: WHO. World Health Organization. (2025). Tuberculosis fact sheet. Geneva: WHO.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Fanuel Victor Setiawan, Zuhriah Hidajati, Kenny Jose Tjandra

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work’s authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal’s published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).







