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All Journal Jurnal Kedokteran dan Kesehatan Syifa' MEDIKA: Jurnal Kedokteran dan Kesehatan Manuju : Malahayati Nursing Journal Cendekia Medika : Jurnal Stikes Al-Ma`arif Baturaja Jurnal Pengabdian Kepada Masyarakat INDONESIAN JOURNAL OF MEDICAL ANTHROPOLOGY (Medical Scientific Journal) MESINA Jurnal Abdimas Indonesia Klinik: Jurnal Ilmiah Kedokteran dan Kesehatan
Lilis Khairani
Departemen Ilmu Penyakit Dalam Fakultas Kedokteran Kedokteran Universitas Muhammadiyah Palembang
Religion Arts Humanities Biochemistry, Genetics & Molecular Biology Chemistry Civil Engineering, Building, Construction & Architecture Computer Science & IT Control & Systems Engineering Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Mathematics Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary Other

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MULTIBACILLARY LEPROSY IN TWO ADULT PATIENTS: A CASE REPORT WITH PERIPHERAL NERVE INVOLVEMENT Rilliani Hastuti; Indri Widya Sari; Nurita Bangun Hutahean; Lilis Khairani; Ahmad Ghiffari; Thia Prameswarie
Cendekia Medika: Jurnal Stikes Al-Ma`arif Baturaja Vol. 11 No. 2 (2026): April - June
Publisher : LPPM STIKES Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/cendekiamedika.v11i2.748

Abstract

Multibacillary leprosy remains a significant public health issue due to its potential to cause progressive nerve damage, disability, and ongoing transmission if not detected and treated early. This case report highlights two cases that underscore key lessons in leprosy management. In Case 1, despite the patient completing multidrug therapy (MDT) and being declared cured, the re-emergence of skin lesions raised the possibility of relapse, reinfection, or leprosy reaction, emphasizing the importance of post-MDT follow-up for patients. Meanwhile, Case 2 illustrates the need for early detection of peripheral neuropathy in patients with neuropathic ulcers without pain, leading to the loss of protective sensation. Peripheral nerve involvement in both cases underscores the need for thorough neurological evaluation to prevent permanent disability. The specific clinical lesson is that in-depth neurological evaluation and continuous post-MDT monitoring are crucial for preventing nerve complications and early relapse detection, thereby improving patient quality of life.
AGGRESSIVE SOLID PSEUDOPAPILLARY NEOPLASM OF THE PANCREAS WITH MULTIORGAN INFILTRATION AND SYNCHRONOUS HEPATIC AND INTESTINAL METASTASES: A CASE REPORT Vidro Alif Gunawan; Fahriza Utama; Rudyanto; Gunawan Tohir; Lilis Khairani; Ahmad Ghiffari
Cendekia Medika: Jurnal Stikes Al-Ma`arif Baturaja Vol. 11 No. 2 (2026): April - June
Publisher : LPPM STIKES Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/cendekiamedika.v11i2.753

Abstract

Solid pseudopapillary neoplasm (SPN) of the pancreas is a rare epithelial tumor that predominantly affects young women and is generally regarded as a low-grade malignant neoplasm with favorable prognosis after complete surgical resection. However, a small subset of cases may exhibit aggressive behavior, including local infiltration and distant metastases. This case is noteworthy because it demonstrates that SPN may present with indolent and nonspecific symptoms despite already showing aggressive intraoperative findings. A 25-year-old woman presented with a 3-month history of intermittent dull epigastric pain, progressive abdominal enlargement, early satiety, abdominal discomfort, and occasional nausea. Physical examination revealed abdominal distension with a palpable mass in the epigastric to left hypochondriac region. Abdominal ultrasonography demonstrated a pancreatic mass measuring approximately 6–8 cm with solid and cystic components, while computed tomography showed a well-defined encapsulated solid-cystic pancreatic mass suggestive of SPN. The patient underwent tumor resection. Intraoperatively, infiltration to the bowel, ovary, and pancreas, as well as hepatic and intestinal synchronous metastaseses, were identified, without major vascular involvement. Histopathologic examination revealed pseudopapillary structures composed of monomorphic tumor cells with cystic degeneration and hemorrhage, consistent with SPN. SPN should be considered in young women presenting with slowly progressive, nonspecific abdominal symptoms and a large solid-cystic pancreatic mass. The main contribution of this case is to emphasize that SPN, although usually indolent, may already demonstrate aggressive behavior at presentation. Integration of clinical presentation, imaging, intraoperative findings, and histopathology remains essential for diagnosis and surgical decision-making, particularly in resource-limited settings where tumor markers and immunohistochemistry are not available.
MULTIPLE DEEP NECK SPACE ABSCESSES OF ODONTOGENIC ORIGIN IN AN ELDERLY PATIENT: A CASE REPORT Muhammad Destrian Cossandra; Wifaqi Oktaria; Meilina Wardhani; Taufik Hidayat; Melani Jalali; Lilis Khairani; Ahmad Ghiffari; Liza Chairani
Cendekia Medika: Jurnal Stikes Al-Ma`arif Baturaja Vol. 11 No. 2 (2026): April - June
Publisher : LPPM STIKES Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/cendekiamedika.v11i2.791

Abstract

Deep neck space abscess are serious bacterial infections involving cervical fascial spaces and may lead to life-threatening complications. Recent evidence suggests that, despite antibiotic availability, the incidence of these infections remains significant and may be increasing, particularly due to odontogenic sources. We report a case of a 65-year-old male presenting with progressive neck swelling originating from untreated dental infection. Clinical examination and contrast-enhanced CT scan revealed multiple deep neck space infections involving bilateral submandibular, submental, left parapharyngeal, and supraclavicular spaces. Laboratory findings showed leukocytosis and hypoalbuminemia. The patient was managed with broad-spectrum intravenous antibiotics and surgical drainage. Odontogenic infection remains the leading cause of deep neck space abscess in adults. Multispace involvement is associated with higher risk of complications, including airway obstruction, sepsis, and mediastinitis. Notably, elderly patients may present with minimal systemic symptoms despite extensive infection, highlighting the importance of imaging. Epidemiological data from global and Indonesian studies indicate that deep neck space abscess continue to occur frequently, with odontogenic infections as the primary source. Multiple deep neck space abscess can present insidiously in elderly patients. Early diagnosis using CT imaging and prompt management with antibiotics and surgical drainage are essential. Prevention should focus on improving oral hygiene and controlling underlying comorbidities.
Co-Authors Abdullah Sahab Adharia Yogustri Ahmad Ghiffari Aqila Meisya Putri Nurfauza Arthamevia, Mitha Bilqiis Aanisah Dea Ananda Aisyah Aisyah Denova Putri Apriliana Gumesna Fadilah, Yudi Fadillah, Yudi Fahriza Utama Fera Yunita Rodhiaty Fitriani, Nyayu Gunawan Tohir Hasmeinah Hasmeinah Ibrahim Ibrahim Indri Widya Sari Kurniawan Liza Chairani Mayasari, Ni Made Elva Meidian Sari Meilina Wardhani Melani Jalali Miranti Dwi Hartanti Mitayani Purwoko Muhammad Destrian Cossandra Novadian Novadian Nurita Bangun Hutahean Permana, Adhi Raden Ayu Tanzila Ratika Febriani Rilliani Hastuti Rizky Andelina Rudyanto Saraswati, Nia Ayu Septiani Nadra Indawaty Suci Abelia Suyata Suyata Tanzila, Raden Ayu Taufik Hidayat Taufik Indra Jaya Thia Prameswarie Vidro Alif Gunawan Wifaqi Oktaria