Background :
Measles, also known as rubeola or morbilli, is a highly infectious illness caused
by the rubeola virus. Complications from measles are fairly common and are
more likely to be worse for patients who have weak immune systems.
Material:
This study was a retrospective descriptive study. Data obtained from medical
records of patients with measles who were hospitalized at Prof. Dr. R. D.
Kandou Hospital, Manado in the period 2014 to 2016.
Results:
There were 113 patients who hospitalized, consist of 51 girls (45.1%) and 62
boys (54.9%). The distribution of age was 33 children (29.2%) aged 0-5 years,
62 children (54.9%) aged 5-10 years, 14 children (12.4%) aged 10-15 years and
4 children (3.5%) aged 15-18 years. Complic~tions most frequently encountered
was bronchopneumonia in 48 cases (42.5%), diarrhea in 46 cases (40.7%) and
febrile seizures in 19 cases (16.8%). Nutritional status in patients who have been
especially good nutrition present in 85 cases (75.2%), under nutrition in 23 cases
(20.4%) and obesity in 5 cases (4.4%). Length of hospitalization as 7
days was found almost in most cases with total 87 (77%) and the rest for more
than 7 days was found in 26 cases (23%). Number of patients with measles immunization were 76 cases (67.3%) ,booster 23 cases and 14 cases without
measles immunization (20.3 % VS 12.4%). There was 22 patients with
immunization (28.9%) have complications, From cases with booster 4 (17.4%)
of them have complications and without immunization 6 (42.9%) of them have
complications.
Conclusion :
Most complications found were bronchopneumonia followed by diarrhea.
Background :
Dengue viral infection is still a health problem in Indonesia. Dengue virus
infection comes in 3 stages of clinical manifestation and management : Dengue
Fever(DF), Dengue Hemorhagic Fever (DHF) and Dengue Shock Syndrome
(DSS). Each stages has different clinical manifestation.
Material:
The subjects of the study were the patients treated in the pediatric Tropical
Division of RSVP Prof. Kandou from January 2014 to December 2016 with
diagnosis of DFI DHFI DSS caused by Dengue viral infection based on the
WHO 1997 criteria and performed serology test.
Results:
The prominent clinical manifestation of 123 subjects were fever 100% of DF,
100% of DHF and 100% of DSS. Vomiting 50.1% in DF, 61.5% in DHF and
58% in DSS, abdominal pain 50.4% in DF, 68% in DHF and 40.1% in DSS,
rash 47.1% in DF, 65.3% in DHF and 82% in DSS, dizziness 19% in DF, 11%
in DHF and 15% in DSS, bleeding gums 6.5% in DF, 7.2% in DHF and 14.5%
in DSS, epistaxis 4.1% in all cases, and melena 3.2% in DF, 4.1% in DHF and
5.5% in DSS. In physical examination, we found positive tourniquet test 50.4%
in DF, 70,5% in DHF and 65.1 % in DSS. Laboratory results showed lower mean
leukocyte rates in DSS compared with DD and DBD, trombocytopeni in greater
level in DHF and more in DSS and were statistically significantly different (p =
0.007). NS-I Positive in 89% ofDF, 85% in DHF and 73%in DSS. The IgG and
Ig M positive in 80.3% of DF, 95.5% in DHF and 98.6% in DSS. The use of
crystalloid fluid in DF was 81.1 %, DHF 86.4% and DSS 100% of all cases,
while the use of colloidal fluid in DSS was 56.1 %.
Conclusion :
The significant clinical symptoms included fever, nausea, vomiting, abdominal
pain, epistaxis, and melena. The dominant physical examination were positive in
tourniquet test. Leukopenia and tromocytopeni were more common in DF and
DSS than DD. The Nsl test more dominant in DS than DHF and DSS. IgG and
IgM anti dengue dominant in DHF and DSS.
Latar belakang. Sepsis merupakan penyebab utama kematian bayi dan anak di rumah sakit. Diagnosisawal dan pengobatan segera, merupakan cara terbaik untuk penanganan sepsis. Pemeriksaan biakan darahmerupakan cara paling efektif mendiagnosis sepsis namun membutuhkan waktu cukup lama, sehinggadiperlukan pemeriksaan tambahan untuk mendiagnosis sepsis dengan cepat dan akurat yaitu prokalsitonin.Tujuan. Mendapatkan cara mudah dan cepat untuk mendiagnosis sepsis.Metode. Pemeriksaan uji diagnostik dengan pendekatan cross sectional dilakukan pada 56 anak yangdirawat di Bagian Anak RSU Prof. Dr. R. D. Kandou Manado dari Oktober 2005 - Januari 2006, usia 1bulan - 13 tahun dengan diagnosis sepsis sesuai modifikasi kriteria Bone.Hasil. Dilakukan penilaian sensitivitas, spesifitas, nilai duga positif dan nilai duga negatif. Dari 56 sepsislaki-laki 33 (58,9 %) dan perempuan 23 (41,1 %). Analisis statistik menggunakan uji Z untuk prokalsitonindidapatkan sensitivitas 80,0 %, spesifisitas 11,54 % dengan nilai duga positif 51,1 % serta nilai duganegatif 33,3%.Kesimpulan. Pemeriksaan prokalsitonin dapat digunakan sebagai alat diagnosis dini sepsis pada bayi dananak.
From January 1987 up to April 1990, sixty two patients diagnosed as cerebral malaria were admitted to the Department of Child Health, Medical School Sam Ratulangi University, Gunung Wenang General Hospital were included in this study. They were treated with quinine dihydrochloride intravenously continued orally for a total of 7 days combined with fansidar by nasogastric tube for 2 days. All patients were also receiving intravenous fluid drips and other symptomatic treatment. They were divided into three groups. Group I received heparin 300 u/kg body weight intramuscularly once daily for 3 consecutive days; group II received dexamethasone 0.5 mg/kg body weight intravenously, three times daily for three consecutive days; group III didn't receive dexamethasone nor heparin. The mortality rate of the three group combined was 1 out of 21 patients (1.61%). In group I, all 21 patients were alive. One out of 21 patients of group II died (4.76%). In group III, all 20 patients were alive. The average period of regaining consciousness was 1.45 days in group I, 2.85 days in group II and 2.76 days in group III. There was a significant difference between group I and II, and also between group I and III. The average duration of fever was 2.60 days in group I, 2.40 days in group II and 3.69 days in group III. There was a significant difference between group I and III and also between group II and III. The average hospitalization days was 8.0 days in group I, 11.1 days in group II and 10.5 days in group III.(ABSTRACT TRUNCATED AT 250 WORDS)
An early chloroquine-resistant type I billious malaria case has been reported. He was treated with the combination of a quinine-tetracycline regimen, and thereafter the peripheral blood film examinations did not show parasites. He was hospitalized for 21 days and was discharged in a good condition.
Latar belakang. Trombomodulin(TM) adalah reseptor sel endotel untuk trombin. Pada penyakit malaria tropikadan malaria tertiana, TM disekresi sesudah kerusakan sel-sel endotel yang terinfeksi P.falciparum atau P.vivax.Tujuan. Mengetahui apakah TM dapat mendeteksi kerusakan sel endotel pada malaria tropika atau malariatertiana dan apakah TM berhubungan dengan berat ringan malaria tropika?Metode. Penelitian menggunakan metode analitik potong lintang, di lima RS di provinsi Sulawesi Utara,Juni-September 2006 pada kasus malaria tropika/malaria tertiana umur 2 tahun-13 tahun. PemeriksaanTM secara ELISA menggunakan kit Fujirebio TM (FU/ml). Analisis data dengan uji t independen dankoefisien korelasi Spearmen Rank.Hasil. Tiga puluh pasien malaria tropika (TM 0,060-0,180FU/ml), 2 pasien malaria tertiana (TM 0,068-0,075FU/ml). Uji t terdapat perbedaan bermakna TM pada malaria tropika dan malaria tertiana (p=0,044).Malaria berat 11 penderita (TM 0,086-0,162 FU/ml). Uji t terdapat perbedaan sangat bermakna TMpada malaria tropika dengan komplikasi dan tanpa komplikasi (p=0,009). Uji Spearmen Rank TMberhubungan positif bermakna dengan derajat parasitemia (rs=0,686, p=0,001).Kesimpulan. Trombomodulin dapat digunakan untuk mendeteksi kerusakan sel endotel, TM pada malariatropika lebih tinggi dari malaria tertiana dan tm berbeda bermakna pada malaria tropika dengan komplikasidan tanpa komplikasi serta berhubungan bermakna dengan derajat parasitemia.
Buku ini di susun dengan maksud untuk memudahkan para mahasiswa dan dokter umum dalam mempelajari dan memahami penyakit infeksi anak. Dalam buku ini di bahas tentang : infeksi bakteri difteria, infeksi virus parotitis epidemika, morbili, varisela, polimelitus, dan infeksi parasit malaria pada anak, ankilostomiasis, askariasis, enterobiasis, trikuriasis, filariasis dan toksoplasmasis
Forty-six children below five years of age, diagnosed as having Bacillary Dysentery, were admitted to the Department of Child Health, Medical School, University of Sam RatuiangifGunung Wenang General Hospital, Manado, during the period from July 1974 through June 1976. The majority of cases (89.2%) were below two years old, the youngest being 5 days of age. The main complaints when hospitalized were diarrhea (91.3%) and fever (76.1%). For treatment, rehydration and a combinartion of Tetracycline and Kanainycin were used. The average length of hospitalization was 8.7 days. All of the patients recovered.
This study was carried out retrospectively to evaluate the pattern of diseases associated with fever among infants aged 1-6 months at Gunung Wenang General Hospital Manado. During the period of January 1988-December 1989, 189 infants with age ranging 1-6 months, were evaluated. Diseases associated with fever predominantly occurred in infants of 3 months old (73.0%). The final clinical diagnosis of diseases associated with fever were gastroenteritis (39.15%), pneumonia (28.05%), meningitis (9%), respiratory tract infection (15.4%), post vaccination (4.20%) and septicemia (4.3%). The fever ranged from 37.8-38.3 degrees C (38%), 38.4-39.5 degrees C (49%), 39.6-41 degrees C (10%) and more than 41 degrees C (3%). The elevated body temperature was significantly related to the duration of fever (p 0.01). Increased erythrocyte sedimentation rate and thrombocytopenia were not correlated significantly (p greater than 0.05) with elevated body temperature while the total white cell count had a significant relationship (p less than 0.05).
