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Agnes Laurensia Gea; David Albert Pardede; Nathasia Simanjuntak; Putri Maria Regina; Athalia Famelinda Gracia Sinaga +4 more

Jurnal Ilmu Kesehatan dan Gizi 2026 Pusat Riset dan Inovasi Nasional

Pulmonary Tuberculosis (TB) is a contagious infectious disease caused by the bacterium Mycobacterium tuberculosis through droplets from patients diagnosed with TB. Based on the Global TB Report 2024, WHO reported that Indonesia ranks second in the world, where 81% of cases were confirmed and 90% of them had received treatment, where there was an increase in the number of cases compared to 2023 with 77% of confirmed cases and 88% of them received treatment. The increase in the number of pulmonary TB cases is inseparable from factors that determine the transmission of M. tb such as the concentration of organisms in the air related to ventilation and the length of time a person inhales contaminated air. To determine the relationship between ventilation conditions and home lighting to the incidence of pulmonary TB in the working area of ​​the Glugur Darat Health Center in 2025 This study is an analytical study with a cross-sectional study design. Sample selection used the consecutive sampling method with 56 patients who met the inclusion criteria. Of the 56 people who met the criteria, 30 people (53.6%) were pulmonary TB sufferers and 26 people (46.4%) were not pulmonary TB sufferers. The majority of respondents were male (38 people) and the highest number was found in the 18-59 age range (48 people) (85.7%). Regarding ventilation conditions, 34 people (60.7%) did not meet adequate ventilation requirements, and 29 homes (51.8%) did not meet adequate lighting requirements. There was a relationship between ventilation conditions and the incidence of pulmonary tuberculosis in the Glugur Darat Community Health Center work area, but there was no relationship between home lighting and the incidence of pulmonary tuberculosis in the Glugur Darat Community Health Center work area.

Maulida Sari; Mardiati Mardiati; Nina Herlina

Jurnal Inovasi Riset Ilmu Kesehatan 2026 Pusat Riset dan Inovasi Nasional

Tuberculosis (TB) remains a significant health issue in Indonesia, with the number of cases not showing a decline. Pediatric pulmonary tuberculosis is one of the leading causes of morbidity and mortality. In 2018, the number of TB cases in Aceh reached 41,595, with Aceh Utara having the highest number at 4,819 cases, followed by Bireuen with 3,636 cases, while Sabang recorded the lowest at 272 cases. The primary risk factor for pulmonary tuberculosis in children is a history of contact with adult TB patients, as children's immune systems are still weak, allowing the bacteria to enter their bodies easily. This study aims to examine the history of TB contact in children at the Pediatric Clinic of Cut Meutia General Hospital. The research used a descriptive observational design, with 105 respondents, and data was collected from medical records. The results showed that the majority of respondents were toddlers (47.6%), most were male (54.3%), and 58.1% had good nutritional status. A significant percentage of respondents (77.1%) had a history of contact with TB patients, and 83.8% did not receive BCG vaccination. These findings highlight that contact with TB patients is a key factor in the transmission to children.

Tuti Alawiyah; Menik Kustriyani; Niken Sukesi

Jurnal Ilmu Keperawatan dan Kebidanan 2026 Asosiasi Riset Ilmu Kesehatan Indonesia

Compliance with taking medication is very important for pulmonary tuberculosis patients because it can ensure that the tuberculosis infection is controlled and does not spread to other people. Motivational interviewing counseling can help tuberculosis patients increase medication adherence with an empathetic and supportive approach to providing information. Through this technique, counselors can foster the patient's internal motivation to overcome obstacles that arise related to taking medication regularly. This research has gone through an ethical process with No. 000.9/002/KEPKRSUDBTG/1/2025. This type of research is quantitative, a quasi-experimental method with a one group pretest-posttest without control design. The sampling technique in this research used purposive sampling of 30 respondents. Data analysis used univariate and bivariate analysis with the Wilcoxon rank test. The research results show: The patient's level of compliance with taking TB medication before Motivational Interviewing counseling is in the medium category and the low category. The level of patient compliance in taking TB medication after Motivational Interviewing counseling has increased, namely the high category and the medium category. There is an influence of motivational interviewing counseling on medication adherence in pulmonary tuberculosis patients at Batang Regional Hospital. There is a significant difference between the results of compliance with taking TB medication before and after counseling motivational interviewing at Batang Regional Hospital.

Rina Fatmawati; Herry Susanto; Kurnia Wijayanti

Jurnal Ilmu Keperawatan dan Kebidanan 2025 Asosiasi Riset Ilmu Kesehatan Indonesia

Medication adherence among pulmonary TB patients is crucial to prevent recurrence and ensurecomplete recovery. Patient knowledge of tuberculosis treatment and adherence to prescribed dosages andadministration methods are key components to successful treatment. This study aimed to determine therelationship between knowledge and medication adherence in pulmonary TB patients at Harapan Anda IslamicHospital, Tegal City. This study used a quantitative cross-sectional design. A sample size of 60 pulmonary TBpatients at Harapan Anda Islamic Hospital, Tegal City, was selected through purposive sampling. Data werecollected using a knowledge questionnaire and a medication adherence questionnaire. Data were analyzed usingthe chi-square test. Based on the analysis results, it was found that of the 60 patients with pulmonary TB atHarapan Anda Islamic Hospital, Tegal City, most were in the early elderly age (46-55 years), most were malebecause they were men, the majority were married, most had graduated from high school and most had privateemployment status. The level of compliance with taking medication in patients with pulmonary TB at HarapanAnda Islamic Hospital, Tegal City was in the high category. There was a relationship between the level ofknowledge and compliance with taking medication in patients with pulmonary TB at Harapan Anda IslamicHospital, Tegal City. There was a relationship between the level of knowledge and compliance with takingmedication in patients with pulmonary TB at Harapan Anda Islamic Hospital, Tegal City. Patients who had goodknowledge tended to be more compliant in undergoing treatment. These results serve as input for health servicesto provide health service programs to improve knowledge and compliance with taking medication in patients withpulmonary TB better.

Cinta Apriliza; Relita Buaton; Hermansyah Sembiring

Neptunus: Jurnal Ilmu Komputer Dan Teknologi Informasi 2025 Asosiasi Riset Teknik Elektro dan Informatika Indonesia

Pulmonary tuberculosis remains a pressing public health problem, particularly in the work area of the Duduk Health Center (UPT Puskesmas). Effective management of this disease requires a thorough understanding of the characteristics of the causes of pulmonary TB in patients. This study aims to classify pulmonary TB cases based on the main causes such as diabetes mellitus, irritant factors, pleural effusion, and family environmental conditions. The research method used is a clustering technique with the K-Means algorithm. The data used are data on pulmonary TB patients in 2020–2025 with variables of age, gender, and causative factors collected from medical records. The analysis process was carried out using MATLAB R2014b software. The clustering model was carried out in 3, 4, and 5 clusters to compare the level of segmentation efficiency. Based on the calculation results, the model with 5 clusters showed the lowest cluster variance value of 0.4889 compared to the 3-cluster model (0.7333) and 4-cluster models (0.6151), which indicates that the division into 5 clusters produces the most compact and representative data group. Each cluster shows a different combination of characteristics of pulmonary TB patients, for example: (1) elderly male patients with comorbid diabetes; (2) adolescent females with the negative influence of environmental factors; (3) adult males exposed to irritants; (4) patients with pleural effusion; and (5) groups with multiple factors. The results of this study can provide strategic input for the Finished Community Health Center UPT in formulating more targeted and targeted intervention policies in order to prevent, control, and handle pulmonary tuberculosis cases in a sustainable and effective manner.  

Ayu Aisyah; Arifal Aris; Suhariyati Suhariyati

Jurnal Ilmu Keperawatan dan Kebidanan 2025 Asosiasi Riset Ilmu Kesehatan Indonesia

Pulmonary tuberculosis (TB) remains a major public health concern in Indonesia. Active family involvement in both prevention and treatment is crucial; however, many families have yet to fulfill their health-related responsibilities effectively. This study aimed to evaluate the effect of health education through the IKAT TB (Tuberculosis Health Information) application on family health responsibilities in the prevention and treatment of pulmonary TB. A pre-experimental design with a one-group pretest-posttest approach was used. The sample consisted of 46 respondents selected through total sampling. The intervention involved providing education via the IKAT TB application, and data were collected using a family health responsibility questionnaire. Data were analyzed using the Wilcoxon Signed Rank Test. The results showed an increase in family health responsibility scores following the educational intervention. The Wilcoxon test produced a p-value of 0.000 (p < 0.05), indicating a significant difference between pre- and post-intervention scores. The findings suggest that health education delivered through the IKAT TB application is effective in enhancing family engagement in TB prevention and treatment. Digital media platforms such as mobile applications offer accessible information and can strengthen family involvement in TB care.

Sri Legawati; Khairunnisa Batubara; R. Sri Rezeki

Karunia: Jurnal Hasil Pengabdian Masyarakat Indonesia 2025 Fakultas Teknik Universitas Maritim AMNI Semarang

One of the infectious diseases that is a problem in the world is Pulmonary TB with the main symptoms of shortness of breath, chest pain when coughing and breathing due to airway obstruction. If not treated, it can cause death, so it needs treatment, one of which is with effective coughing exercises. The activity begins with measuring the respiratory rate, then effective coughing exercise therapy. Education is carried out to relieve the respiratory tract by expelling sputum for Pulmonary TB sufferers and in collaboration with local village officials. The method used in this activity is counseling on effective coughing exercises from a team of nursing lecturers and nursing students during Field Learning Practices of 32 respondents. The results obtained from respondents before being given education were 32 people with a high respiratory rate> 25x / minute and after education there was a change in the normal range of 23-25x / minute as many as 26 people and 6 others with a high respiratory rate> 25x / minute. The output of the PkM that has been implemented is expected to increase the respiratory rate after effective coughing exercises are applied in the community.

Khaerul Anwar; Ekberth Mandaku; Tanto Tanto; Nurdewi Sulymbona

Jurnal Rumpun Ilmu Kesehatan 2024 Pusat Riset dan Inovasi Nasional

TB is an infectious disease caused by infection with the bacteria Mycobacterium Tuberculosis which can attack the lungs. However, it is not automatically transmitted because transmission depends on several factors such as: body resistance, air circulation conditions, ventilation and contact with people with TB. Based on hospital data in 2024 in the last 3 months, there were 317 cases of pulmonary TB, with 176 cases of patients diagnosed with TB. Treatment can be effective if patients comply with the rules for using drugs prescribed by doctors and from the results of the analysis there is a significant relationship between compliance with taking medication and the rate of recovery of tuberculosis patients. This figure is the third largest case of the disease after type 2 Diabetes Mellitus and Hypertension that occurred at Bhakti Asih Hospital. The purpose of the study was to determine the relationship between stigma and the level of patient compliance in TB treatment at Bhakti Asih Hospital, Ciledug. The research method used was Random Sampling with a sample size of 44 respondents and a measurement method using a questionnaire. The results of the analysis using the chi-square test showed that there was a significant relationship between stigma and compliance with taking pulmonary tuberculosis medication in lung patients at Bhakti Asih Hospital.    

Imelda Derang; Murni Sari Dewi.Simanullang; Erlina Malau

Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan 2024 Asosiasi Riset Ilmu Kesehatan Indonesia

Tuberculosis is a disease caused by the bacterium Mycobacterium tuberculosis as an acid-resistant bacteria (BTA), which attacks the respiratory organs of the lungs and even to all parts of the body, this is what makes TB patients feel helpless, therefore it is necessary to have family support intact bio, psycho, social and spiritual are important factors for the success of TB treatment and accelerate the healing process. This study aims to identify features of family social support for pulmonary TB sufferers at Harapan Siantar Hospital in 2023. The research method used is descriptive. The research population is 65 respondents, with a total sampling technique. The instrument used is a questionnaire. The results showed that 47 people (72.3%) had good family social support, and 18 people (27.7%) had enough. It is hoped that families and health services will continue to accompany family members who have TB to speed up the healing process.

Susila Mete; Andreas Ariyanto Rangga; Agustina Purnami Setiawi

Neptunus: Jurnal Ilmu Komputer Dan Teknologi Informasi 2024 Asosiasi Riset Teknik Elektro dan Informatika Indonesia

Collaboration of computer science disciplines with other disciplines has been widely carried out, for example, medical science. Expert systems for disease diagnosis are one of the many computer programs used by doctors to assist them in their work and provide good results. Researchers in the field of artificial intelligence are working to improve existing systems to cover their shortcomings. Expert systems are used in many applications for disease diagnosis. Expert systems have been used in various industries and have had a significant impact. An innovative method for diagnosing diseases is the application of case-based reasoning systems, compared to expert systems. The solution to diagnosing and treating diseases can be found in the expert system for diagnosing pulmonary tuberculosis. Because this web-based system is based on a web application, all pulmonary tuberculosis patients can access it. A rule-based system that applies the CBR method can identify various types of diseases through the use of weighting techniques and offer treatment recommendations.

Arining Setyo; Annisa Andriyani

Jurnal Ilmu Kesehatan dan Gizi 2024 Pusat Riset dan Inovasi Nasional

Background: Tuberculosis is a disease caused by Mycobacterium tuberculosis which attacks the lung organ. one of the symptoms of Pulmonary Tuberculosis is shortness of breath. To stabilize the frequency of breathing in patients with Pulmonary Tuberculosis, one of them is with non-pharmacological therapy, namely the semi-fowler position to help lung development and normalize the frequency of breathing. Objective: To describe the results of the implementation of the semi fowler position on respiratory ratein patients with pulmonary tuberculosis. Methods: Descriptive research design with a case study approach, conducted on two respondents to explore the implementation of the semi fowler position on Respiratory ratein Pulmonary Tuberculosis patients. Results: After the application of the semi fowler position for one day within 30 minutes showed a decrease in respiratory ratein both respondents from the Tachypnea category to the Eupnea category. Conclusion: There is an effect of applying the semi fowler position on the respiratory rateof Pulmonary Tuberculosis patients at PKU Muhammadiyah Karanganyar Hospital.

Siham Reifqie Fath; Sudiyono Sudiyono; Rini Indrati; Tri Asih Budiati; Gatot Murti Wibowo

International Journal of Public Health 2024 Asosiasi Riset Ilmu Kesehatan Indonesia

The use of X-ray Thorax (XCR Thorax) in assisting thoracocentesis procedures has some limitations. XCR Thorax only provides a two-dimensional image, which may limit the accuracy in determining the exact location for the puncture. In addition, XCR Thorax cannot detect septation or loculation which may affect the success of the thoracocentesis procedure. Thoracic ultrasonography offers advantages in detecting pleural effusion compared to conventional radiographic methods, but has not been standardized in national guidelines. This study aims to see the difference in the success rate of thoracocentesis between the use of thoracic ultrasound guidance and thoracic photo guidance in patients with clinical tuberculosis at Respira Lung Hospital Yogyakarta. This cross-sectional study used a static group comparison approach to compare the success rate of thoracocentesis between two groups at Respira Lung Hospital Yogyakarta: 30 patients with Thorax ultrasound and Thorax photo guidance (Group A) and 30 patients only with Thorax photo guidance (Group B). With a purposive sampling method and analysis using the chi-square test, this study aims to analyze differences in the success rate of thoracocentesis in real clinical conditions without intervening in existing procedures in the hospital. Thoracocentesis with thorax photo plus thorax ultrasound guidance showed a success rate of 100% compared to 66.67% in procedures with thorax X-ray alone (p < 0.001). The results showed that the use of thoracic ultrasound as a thoracocentesis guide had a higher success rate compared to the use of thoracic photo guidance.

Jelita Siburian; Rotua Elvina Pakpahan; Vina Ys Sigalingging

International Journal of Public Health 2024 Asosiasi Riset Ilmu Kesehatan Indonesia

Pulmonary tuberculosis (TB) is an infectious disease caused by Mycobacterium tuberculosis, namely acid-fast bacteria. Successful treatment of patients with tuberculosis (TB) is a problem in today's society. One of the reasons for the increase in pulmonary TB cases is the low level of education of sufferers. One of the causes of failure of tuberculosis treatment therapy is the side effects of anti-tuberculosis drugs (OAT) which can affect the adherence to medication in tuberculosis patients. The success of TB treatment is compliance in taking anti-tuberculosis medication at the prescribed dose. The aim of this research was to determine the relationship between clients' knowledge of pulmonary tuberculosis and compliance with taking anti-pulmonary tuberculosis medication at Harapan Pematang Siantar Hospital. This research was conducted at Harapan Pematangsiantar Hospital in May 2023. This type of research is descriptive quantitative correlational with a cross-sectional approach. Data collection was carried out using a questionnaire with the Gutman scale. The population of this study was all outpatient clinic patients at Harapan Pematang Siantar Hospital in October-December 2022. The sampling technique was accidental sampling, namely 58 respondents who came in May 2023. Statistical test results used the chi square test with a confidence level of 95% (α = 0.05) shows the p value = 0.001, meaning that there is a relationship between the level of knowledge of tuberculosis clients and compliance with taking anti-tuberculosis medication at Harapan Pematang Siantar Hospital in 2023

Boyke Gunawan Manurung; Akim Manaor Hara Pardede; Rusmin Saragih

Saturnus: Jurnal Teknologi dan Sistem Informasi 2024 Asosiasi Riset Teknik Elektro dan Informatika Indonesia

The lungs as the only pump for the respiratory system are very important organs for the continuation of life. Diagnosing or checking lung symptoms early can help people recognize the possibility that they are suffering from lung disease, so that treatment or care can be done earlier to prevent the severity of the disease. The method used in this study is the Naïve Bayes method. Naive Bayes is a simple probabilistic classifier that calculates a set of probabilities by adding up the frequencies and combinations of values ​​from the given dataset. An expert system is a computer application that can help decision making in more specific fields with methods that have been analyzed in advance by experts or specialists. This study used variables, namely types of lung disease including Pulmonary Tuberculosis (TB), Chronic Obstructive Pulmonary Disease (COPD), Bronchial Asthma and Lung Cancer. The results of this study are that lung disease or types of lungs can be diagnosed using the web-based Naïve Bayes method, and make it easier for sufferers to consult without seeing a doctor by selecting symptoms of lung disease.

Suryani Suryani

International Journal of Health and Social Behavior 2024 Asosiasi Riset Ilmu Kesehatan Indonesia

Pulmonary tuberculosis (TB) is still a global health problem, this disease is directly transmitted caused by Mycobacterium tuberculosis. The purpose of this study was to analyze the effect of nutritional status and lighting on the incidence of pulmonary TB in Padangsidimpuan City. This study is an analytical observational study with a case-control design. The sample consisted of 56 cases and 56 controls. The analysis used simple logistic regression and multiple logistic regression tests. The results of the logistic regression test showed a significant effect between nutritional status (p = 0.041; OR = 2.906, 95% CI 1.045-8.081) and lighting (p = 0.048; OR = 2.995, 95% CI 1.008-8.902) on the incidence of pulmonary TB. It is recommended to maintain body health by consuming nutritious food and paying more attention to the physical environment of the house, especially lighting so that sunlight enters the house.

Pipit Ardiansah; Rosiah Rosiah; Minanton Minanton

Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan 2024 Asosiasi Riset Ilmu Kesehatan Indonesia

Self-management refers to an individual's ability to control aspects of himself, including physical, emotional, mental, and behavioral. Adherence to medication in Pulmonary Tuberculosis Patients is essential because, if not done regularly, it can cause drug resistance, recurrence of the disease, and even death. This study aims to determine the relationship between self-management and medication adherence in Pulmonary Tuberculosis patients at the Sukarahayu Health Center. This research is a type of quantitative research; the research design uses cross-sectional. The sample in this study consisted of 67 respondents, and the sampling technique used was accidental sampling. Data collection used a questionnaire on self-care activities and medication adherence, and data analysis was conducted using the Spearman rank test.The results of the study showed that most respondents had good self-management which was 80.6%, and some respondents had very compliant medication adherence, which was 85.1%. Statistical tests showed a relationship between the self-management variable and medication adherence (p-value 0.001). Conclusion: There is a relationship between self-management and medication adherence in Pulmonary Tuberculosis patients at the Sukarahayu Health Center, Subang Regency. It is hoped that researchers can further explore appropriate efforts or actions for adherence to taking pulmonary tuberculosis drugs.

Yusserliyawati Yusserliyawati; Ermeisi Er Unja; Margareta Martini

Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan 2024 Asosiasi Riset Ilmu Kesehatan Indonesia

Tuberculosis is an infectious disease caused by the Mycobacterium Tuberculosis germ, which mostly attacks the lungs. The problem of controlling pulmonary tuberculosis has been implemented in many countries since 1995, but it remains a health problem in the community that causes high mortality among infants, children, adolescents, and seniors. One of the government programs in controlling pulmonary tuberculosis is the Joint Movement against tuberculosis in education units, the targets in the program are students, teachers, and education personnel from kindergarten to senior high school by providing health promotion. Data collection conducted by researchers found a health center with the highest incidence of pulmonary TB in children in Banjarmasin city, there is one elementary school closest to the health center. This study aims to provide health promotion through leaflet media on students' knowledge about the prevention of pulmonary tuberculosis at SDN Sungai Lulut 8 Banjarmasin. This study used quantitative research Pre-experimental method with a one group pretest-posttest approach. The population in this study were 199 people. The sampling technique used was purposive sampling with a sample size of 67 students. This research instrument uses a questionnaire. The statistical test used is the Wilcoxon signed rank test. The results show that there is a difference between before and after giving promotion.

Nursa'adah Cibro; Safrizal Safrizal; Eva Flourentina Kusumawardani; Maiza Duana; Lili Eky Nursia N

International Journal of Public Health 2024 Asosiasi Riset Ilmu Kesehatan Indonesia

Tuberculosis (TB) was still a global challenge in the world of health and required special attention to increase the level of patient compliance with treatment. This study aimed to explore the relationship between patient knowledge, attitudes, and actions and the level of adherence to taking medication in TB patients at the Pulmonary Polyclinic of Subulussalam City Hospital. The study used an observational analytical design with a cross-sectional approach. The research population involved all TB patients undergoing treatment at Subulussalam City Hospital, with a sample of 76 respondents selected through accidental sampling. Data were collected through interviews using the MMAS-8 questionnaire, and data analysis was carried out using the chi-square test. The majority of respondents showed a high level of knowledge (47.37%), poor attitudes (59.21%), and good actions (64.47%), but the level of compliance was low (46.05%). Statistical analysis showed that there was a significant relationship between knowledge (p=0.000), attitudes (p=0.014), and actions (p=0.010) with the level of adherence to taking medication. The knowledge, attitudes, and actions of TB patients at the Lung Polyclinic of Subulussalam City Hospital had a significant effect on their level of compliance in taking medication. Efforts were needed to increase patient understanding and special approaches to increase compliance to support the success of TB therapy.

Nursadilah Nursadilah; Marliza Marliza

Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan 2024 Asosiasi Riset Ilmu Kesehatan Indonesia

Extrapulmonary tuberculosis (TB) is a TB infection that attacks organs other than the lungs such as the pleura, lymph nodes, gastrointestinal tract, genitourinary tract, skin, bones, joints and lining of the brain. Patients with extrapulmonary TB often present with symptoms and signs related to the site of involvement. Systemic symptoms (such as weight loss, fever, hyperhidrosis, dyspnea, malaise) are usually present, although not always present. In clinical practice, it is not uncommon for extra pulmonary TB in an unclear location to be detected incidentally. The diagnosis of Intestinal TB is sometimes difficult to make and is only known after the disease. Therefore, some experts recommend empiric OAT therapy even though a definite diagnosis has not yet been established. This is done mainly in patients from endemic areas. This case report presents a 17 year old male with complaints of abdominal pain. Complaints accompanied by decreased appetite and drastic weight loss. The patient underwent a number of therapies in the form of drugs and surgery. The patient's condition improved after treatment and he was able to go home provided he had to be checked again periodically.

Riduan Benny Nahampun; Helny Tarigan

Jurnal ilmu Kesehatan Umum 2024 Asosiasi Riset Ilmu Kesehatan Indonesia

TB meningitis is the most severe manifestation of tuberculosis infection and causes death and disability in 50% of sufferers. Tuberculosis primarily affects adults at their most productive ages. However, all age groups remain at risk. Tuberculous meningitis is a form of extra-pulmonary tuberculosis with neurological abnormalities that accounts for 70-80% of all neurological tuberculosis cases, 5.2% of all extrapulmonary tuberculosis and 0.7% of all tuberculosis cases. Tuberculous meningitis (TB) is preceded by prodromal symptoms such as headache, anorexia, nausea/vomiting, subfebrile fever, accompanied by behavioural changes, and decreased consciousness. The patient, a 42-year-old male Mr SM, presented with decreased consciousness, a history of seizures and was taking tuberculosis drugs. Meningeal stimulation was found to be rigid, laseque test and kernique test were positive. Motor system impression of lateralisation to the right. Laboratory examination showed leukocytes 13,500/uL, platelets 728,000/uL, sodium 123 mmol, Kgd 135, thoracic X-ray with the impression of pulmonary tuberculosis with pneumonia, cranial CT-scan obtained with the impression of appropriate Tb meningitis, Non Communicating hydrocephalus. Specific treatments given were IVFD NaCL 0.9 %  20 drops / m, Omeprazole vial 2x40 mg, paracetamol infusion 3x1000 mg, Ceftriaxone 1 gram Vial, dexamethason ampoule loading 2 ampoules then 3x5 mg, Phenytoin 3x100 mg, Levofloxacin 750 mg, rifampicin 1x450 mg, isoniazid 1x300 mg, pyrazinamide 1x1000 mg, ethambutol 1x1000 mg, mg, B6 and B12 2x1 tablets.