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All Journal Sumatera Medical Journal
Wahyudi
Division of Cardiology, Department of Internal Medicine, Faculty of Medicine, Universitas Andalas, Padang, 25175, Indonesia
Immunology & microbiology Medicine & Pharmacology

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Amoebic Liver Abscess Multifocal With Bilateral Parapneumonic Effusion: A Case Report Bayu Arief Hartanto; Arnelis; Fauzar; Wahyudi
Sumatera Medical Journal Vol. 7 No. 3 (2024): Sumatera Medical Journal (SUMEJ)
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v7i3.11844

Abstract

Background: A liver abscess is defined as a pus-filled mass in the liver that can develop from injury to the liver or an intraabdominal infection disseminated from the portal circulation. Objective: The aim was to discuss about liver abscesses are categorized into pyogenic or amoebic caused by Entamoeba histolytica. Methods: This is a case report that reported about pus-filled mass in the liver. Results: A male patient, 53 years old, was admitted to Hospital for Upper right abdominal pain, Fever, Cough, Pain in the lower right chest. Chest examination found weakened bronchovesicular breath sounds as high as RIC V, Pleural Friction Rub, wet crackles. Abdominal Examination found supel palpation, liver palpable 2 fingers below the arcus costae and 2 fingers below the process xiphoid, blunt edge, soft consistency, tenderness pain in the dextra hypochondrium. Laboratory report Anti Amoeba : Positive 40,3 unit. The patient was given intravenous metronidazole therapy 3x750 mg for 10 days. Conclusion: Complications of amoebic liver abscess is pleuropulmonary involvement. Pulmonary and pleural amebiasis is an uncommon disease, usually occurring on the right side of the lung compared to the left side.
Iron Overload Cardiomyopathy Retno Eka Sari; Wahyudi
Sumatera Medical Journal Vol. 7 No. 3 (2024): Sumatera Medical Journal (SUMEJ)
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v7i3.17796

Abstract

Background: Iron overload cardiomyopathy is a condition of excessive iron accumulation in cardiomyocytes due to abnormal iron absorption or repeated blood transfusion. Objective: This literature review was to discuss about iron overload caediomyopathy. Methods: This was a literature revew that explored about iron overload caediomyopathy based on other research. Results: In the early stages, the patient may be asymptomatic with good ventricular systolic function. Iron deposit in ventricular cause dyspnea on effort due to left ventricular systolic dysfunction then in atrial cause atrioventricular block and supraventricular arrhythmic. For severe symptom due to dilated cardiomyopathy is characterized by left ventricular dilatation and risk of sudden cardiac death. Diagnosis of iron overload cardiomyopathy can be made if there is evidence of heart disease, the presence of iron overload (serum ferritin > 300 ng/mL and transferrin saturation > 55%) and cardiac siderosis with cardiac MRI T2 * < 20 ms as gold standard. Patient management involves lowering systemic iron levels and preventing iron entry into cardiomyocytes. Therapy with phlebotomy or iron chelation as indicated. Conclusion: Administration of calcium channel blockers and resveratrol antioxidant therapy may be considered to reduce morbidity and mortality due to cardiac siderosis.
Co-Authors Arnelis Bayu Arief Hartanto Fauzar Retno Eka Sari