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All Journal GANESHA MEDICINA
Made Dinda Pratiwi
Biomedic Department, Medical Faculty, Universitas Pendidikan Ganesha, Buleleng, Bali, Indonesia
Health Professions Medicine & Pharmacology Public Health

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An 18 Years Old Male with Leptospirosis: A Case Report Heri Pribadhi; Ni Made Dewi Arimas; Made Dinda Pratiwi
Ganesha Medicina Vol. 6 No. 2 (2026):
Publisher : Universitas Pendidikan Ganesha

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23887/gm.v6i2.111223

Abstract

Leptospirosis is a zoonotic bacterial infection caused by pathogenic Leptospira species and remains a major public health concern in tropical and subtropical regions. Early clinical manifestations are often nonspecific and resemble other acute febrile illnesses, leading to delayed diagnosis and treatment. Severe leptospirosis may develop even in young and previously healthy individuals, resulting in significant morbidity and mortality. An 18-year-old male presented with acute-onset fever, severe arthralgia, nausea, and vomiting. He had a history of environmental exposure, including frequent flooding around his residence and the presence of rodents. Physical examination revealed fever, conjunctival injection, and jaundice. Laboratory findings showed thrombocytopenia, acute kidney injury, and marked hyperbilirubinemia with mildly elevated transaminases. Serological testing for Leptospira IgM was positive, confirming the diagnosis. Abdominal ultrasonography demonstrated no biliary obstruction or structural liver abnormalities. The patient was treated with intravenous ceftriaxone, adequate fluid resuscitation, and close monitoring of renal function. Clinical and laboratory improvements were observed, and the patient was discharged in stable condition after six days of hospitalization. This case highlights that severe leptospirosis can occur in adolescents and young adults without comorbidities. Recognition of environmental risk factors, early diagnosis, and prompt initiation of appropriate antimicrobial and supportive therapy are crucial to prevent severe complications. Increased clinical awareness is essential to improve outcomes in leptospirosis-endemic areas.  
Diagnosing and Managing Ischemic Stroke in Children in Limited Resources Facilities: A Case Report Made Suadnyani Pasek; Ni Nyoman Mestri Agustini; Made Dinda Pratiwi
Ganesha Medicina Vol. 6 No. 2 (2026):
Publisher : Universitas Pendidikan Ganesha

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23887/gm.v6i2.111939

Abstract

Stroke is a significant cause of death and disability in children. Stroke is among the 10 leading causes of death in children aged 5 to 25 years. ischemic stroke is defined when a focal neurological deficit occurs that lasts more than 24 hour, with neuroimaging evidence of cerebral infarction. We report a 9-year-old boy presented to the emergency room complaining of weakness in the right half of his body. this complaint was sudden, improved for several hours, and then persisted. The patient also complained of slurred speech and a headache prior admission. Laboratory test revealed, head CT scan showed an acute cerebral infarction of the lentiform nucleus and left temporal bone. Treatment consisted of aspirin 3.5 mg/kg/day for its antiplatelet effects and intravenous citicoline 10 mg/kg every 12 hours, a neuroprotective agent that supports recovery following neurological conditions such as stroke or brain injury. The patient showed improvement on the third day of treatment, with improvement in right hemiparesis and slurred speech. Early recognition of stroke in children is crucial, along with the implementation of targeted and neuroprotective therapies.
Co-Authors Heri Pribadhi Made Suadnyani Pasek Ni Made Dewi Arimas Ni Nyoman Mestri Agustini