Medical Nutrition Therapy as Influencing Factor on Nutritional Status and Functional Capacity Improvement of Tuberculous Meningitis Patient: Case Report Dimas Erlangga Luftimas (1,2,3), Victor Tambunan (1), Diyah Eka Andayani (1)
1) Program Pendidikan Dokter Spesialis-1 Ilmu Gizi Klinik, FKUI-RSCM, Jakarta, Indonesia
2) Public Health Department, Faculty of Medicine Universitas Padjadjaran, Bandung, West Java, Indonesia
3) Nutrition Working Group, SKIPNAKES Study Centre, Faculty of Medicine Universitas Padjadjaran, Bandung, West Java, Indonesia
Abstract
Tuberculous Meningitis (TBM) has been the most severe manifestation of Tuberculosis infection attacking the central nervous system (CNS) and causes risk of malnutrition in patients due to decreasing ability of eating and loss of appetite. We focused on the nutritional aspect of TBM patient and its significance in patient health outcome. We describe a 35-years-old Asian male who was diagnosed with Tuberculous meningitis and had been hospitalized in neurology ward Cipto Mangunkusumo Hospital Jakarta. The patient had a headache, dizziness and seizure. After being diagnosed by TBM, the patient was then consulted to the Clinical Nutrition Department due to malnutrition appearance. The patient was observed, given high protein, and being monitored for BCAA intake. Nutritional status based on anthropometric indices did not seem to change during observation, but there were improvements in other nutritional outcome parameters, such as Total Lymphocyte Count, and functional capacity.
Keywords: Tuberculous meningitis, medical nutrition therapy, Protein, BCAA, functional capacity
Topic: Medical : basic science, clinical, translational research, medical education, and miscellaneous
