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All Journal Cendekia Medika : Jurnal Stikes Al-Ma`arif Baturaja
Lilis Khairani
Departemen Ilmu Penyakit Dalam Fakultas Kedokteran Kedokteran Universitas Muhammadiyah Palembang
Nursing Public Health

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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.
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 Ahmad Ghiffari Indri Widya Sari Liza Chairani Meilina Wardhani Melani Jalali Muhammad Destrian Cossandra Nurita Bangun Hutahean Rilliani Hastuti Taufik Hidayat Thia Prameswarie Wifaqi Oktaria