Yustika Amalia
RSUD DR SOEGIRI LAMONGAN

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Dual Faces of Malnutrition : Managing a Pediatric Case of Marasmus Kwashiokor in a District General Hospital Yustika Amalia
Journal of Health Educational Science And Technology Vol. 8 No. 2 (2025): J-HESTECH (Journal Of Health Educational Science And Technology)
Publisher : Faculty of Health Sciences , Dr. Soetomo University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25139/htc.v8i2.11011

Abstract

Marasmuskwashiorkoris a severeformof protein-energymalnutrition (PEM) combiningfeaturesofbothmarasmusandkwashiorkor, andposes a significantthreattochildhealth in low-resourcesettings. Thiscasereportaimstodescribetheclinicalprofileandmanagementoutcomeof a 6-month-old infantdiagnosedwithmarasmus-kwashiorkorat Dr. Soegiri General Hospital, Lamongan. The infantpresentedwithchronicdiarrhea, significantweightloss, generalized edema, hypoalbuminemia, andcharacteristicskinchanges. Managementwasinitiatedfollowingthe World HealthOrganization (WHO) protocolforsevereacutemalnutrition (SAM), includingcautiousrehydrationwithReSoMal, correctionofelectrolyteimbalances, antibiotics, andphasednutritionalrehabilitationusing F-75 and F-100 therapeuticmilks. Micronutrientsupplementationandinfectionpreventionmeasures were alsoadministered. The patientshowedprogressiveclinicalimprovement, withresolutionof edema bydaytenandweight gain at 5 g/kg/day. Thiscasehighlightsthecriticalimportanceofearlyidentificationandcomprehensive, guideline-basedtreatmentof SAM. Publichealthinterventionsaddressing maternal education, breastfeedingpractices, andfoodsecurity are essential