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All Journal Medical Scope Journal (MSJ) Cermin Dunia Kedokteran
Irawaty, Agnita
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Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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Kolangitis Akut dengan Komplikasi Perdarahan Saluran Cerna Bagian Atas dan Peningkatan Ca 19-9: Laporan Kasus Irawaty, Agnita; Rotty, Luciana
Medical Scope Journal Vol 1, No 1 (2019): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.1.1.2019.26624

Abstract

Abstract: We reported a case of cholangitis in a 64-year-old-female associated with upper gastrointestinal bleeding. Diagnosis was confirmed by anamnesis, physical examination, and supportive investigation. This patient had a significant elevation of Ca 19-9 which often used to mark malignancy, especially in the pancreatic cancer. Albeit, in investigation we only found the obstruction of common bile duct stones. This case illustrates the fact that a markedly elevated CA 19-9 can be secondary to causes other than carcinoma.Keywords: cholangitis, Ca 19-9Abstrak: Telah dilaporkan sebuah kasus kolangitis pada seorang perempuan berusia 64 tahun, yang juga mengalami komplikasi berupa perdarahan saluran cerna bagian atas. Diagnosis ditegakkan berdasarkan anamnesis, pemeriksaan fisik, dan pemeriksaan penunjang. Pasien ini mengalami peningkatan bermakna Ca 19-9 yang sering digunakan untuk menandai adanya penyakit keganasan terutama kanker pankreas, namun pada pemeriksaan penunjang hanya didapatkan adanya batu di duktus koledokus. Kasus ini mengilustrasikan fakta bahwa peningkatan bermakna CA 19-9 secara sekunder dapat disebabkan oleh sebab-sebab lain selain karsinoma.Kata kunci: kolangitis, Ca 19-9
Infected Endocarditis in Intravenous Drug Abusers Irawaty, Agnita; Saputra, Ardian J.
Cermin Dunia Kedokteran Vol 44, No 3 (2017): Infeksi
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (378.179 KB) | DOI: 10.55175/cdk.v44i3.834

Abstract

Infective endocarditis (IE) is one of the most severe complications in intravenous drug abusers (IVDA). IE usually involves the tricuspid valve (70%). Commonly, these patients develop endocarditis on the right side heart valves. Staphylococcus aureus is the most common etiologic agent, and has a relatively good prognosis. We describe a case of Tricuspid Valve Endocarditis (TVE) in a 33-year-old male with a history of intravenous drug users.Drug abuse and addiction are major burdens to society. Overdose, cutaneous complications, pulmonary embolism, infective endocarditis (IE), community-acquired pneumonia, pulmonary tuberculosis, septicemia, and transmission of blood-borne infections are well-known complications of IVDA. Tricuspid Valve Endocarditis (TVE) occurs predominantly in IVDA and Staphylococcus aureus is the usualetiology (60%-70%).
Myocarditis Related to Sepsis in Young Male -, Harrison; Irawaty, Agnita; J. Saputra, Ardian
Cermin Dunia Kedokteran Vol 43, No 5 (2016): Infeksi
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (489.681 KB) | DOI: 10.55175/cdk.v43i5.59

Abstract

Sepsis is a complex disease and is the manifestation of the immune and inflammatory response to infection. Recent definitions recognize the importance of myocardial depression and include a low cardiac index (CI) or echocardiographic evidence of cardiac dysfunction as one of the diagnosis criteria of severe sepsis. We report a case of young male with septic shock, pneumonia, and acute myocarditis.
Myocarditis Related to Sepsis in Young Male -, Harrison; Irawaty, Agnita; J. Saputra, Ardian
Cermin Dunia Kedokteran Vol 43, No 5 (2016): Infeksi
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v43i5.59

Abstract

Sepsis is a complex disease and is the manifestation of the immune and inflammatory response to infection. Recent definitions recognize the importance of myocardial depression and include a low cardiac index (CI) or echocardiographic evidence of cardiac dysfunction as one of the diagnosis criteria of severe sepsis. We report a case of young male with septic shock, pneumonia, and acute myocarditis.
Co-Authors -, Harrison J. Saputra, Ardian Luciana Rotty, Luciana Saputra, Ardian J.