Clinical Sciences/Health Conditions
Tengku Misdalia, MD
Physiatrist
PERDOSRI
Kota Pekanbaru, Riau, Indonesia
Luluk Qurrota Aini, MD
Physiatrist
PERDOSRI
Kota Pekanbaru, Riau, Indonesia
Fuji Mentari Ginting, MD
General Practitioner
IDI
Kota Pekanbaru, Riau, Indonesia
A 35-year-old male was referred with hemoptysis, dyspnea, and left chest pain. The patient has completed TB treatment in 2020. After thorough evaluation, the patient was diagnosed with probable pulmonary mycosis and bronchiectasis, receiving treatment including azithromycin, N-acetylcysteine and tranexamic acid. The result of a 6-minute walking test (198 meters in distance; 1.92 METs) were used to determine exercise prescription. Hospital based program included chest infrared radiation, breathing exercises and cardiorespiratory endurance training. The intensity was started at 30-50% of HRR, 20-30 minutes in duration, 2x/week, while home-based one included warming-up and walking for 20-30 minutes, 3x/week in between (12-14 RPE). After 8-weeks of PR, the 6-MWT, St. George’s Respiratory Quetionnaire (SGRQ) score and QoL were evaluated.
Discussions: Exercise intolerance and respiratory symptoms may exist although TB patient has already completed TB treatment as a result of pathophysiological changes of the lung that lead to decreased pulmonary capacity
Conclusions: Pulmonary rehabilitation was beneficial for post-TB bronchiectasis patient with low cardiorespiratory endurance. A comprehensive program improves exercise tolerance, reduces symptoms, and enhances QoL.