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Case Report of Coronavirus Disease 2019 (COVID-19) in Patients with Pulmonary Tuberculosis and Sequelae Tuberculosis Accompanied by Malnutrition Pakpahan, Edwin Anto; Ahmad, Diwa Aulia
Buletin Farmatera Vol 7, No 2 (2022)
Publisher : Universitas Muhammadiyah Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30596/bf.v7i2.10036

Abstract

Abstract: Tuberculosis (TB) is an infectious chronic infectious disease caused by rod-shaped bacteria or bacillus, and is acid-resistant to Mycobacterium tuberculosis. Coronavirus disease (COVID-19) is a disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. Clinical manifestations of COVID-19 and tuberculosis include fever, cough, tightness, weight loss, weakness, and expectoration. Patients with tuberculosis have two times the risk of dying or experiencing severe symptoms. The case report reported one case of a 20-year-old man suffering from TB who had undergone 2nd line tuberculosis treatment and also suffered from a COVID-19 infection and malnutrition.Keywords: COVID-19, tuberculosis, malnutrition
Theoretical Approach to the Management of Epidural Hematoma (EDH): Optimal Timing for Surgical Intervention Hafzul; Ahmad, Diwa Aulia
Asian Australasian Neuro and Health Science Journal (AANHS-J) Vol. 7 No. 01 (2025): AANHS Journal
Publisher : Talenta Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/aanhsj.v7i01.20428

Abstract

Introduction: Epidural hematoma (EDH) is a life-threatening condition that requires timely surgical intervention to prevent irreversible neurological damage, with early decompression within the "golden hour" being critical for better outcomes. Case Description: Two cases were discussed: Case 1, an 81-year-old female who underwent surgery within 12 hours with significant recovery, and Case 2, a 73-year-old male who showed deterioration after delayed intervention but improved following decompression within 12 hours. Discussion: Early surgical intervention prevents brain herniation and secondary brain injury. The "golden hour" concept emphasizes decompression within hours of symptom onset. Access to timely care in rural settings can delay intervention, worsening outcomes. The timing of surgery must consider individual patient factors, such as comorbidities and hematoma size. Conclusion: Optimal surgical timing, especially within the "golden hour," is critical in EDH management to prevent irreversible neurological damage. Individualized treatment plans should account for access to care and patient-specific factors for the best outcomes.