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Vaginitis Gonorrhea on Children: A case series Qaira Anum; Heffi Anindya Putri
Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Vol. 3 No. 2 (2023): Proceeding of The International Conference of Inovation, Science, Technology, E
Publisher : Program Studi DIII Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/icistech.v3i2.67

Abstract

Background: Vaginitis gonorrhea is sexually transmitted infections (STIs) which caused by Neisseria gonorrhoeae and commonly found in children. Frequently, it indicates the sexual abuse in children. Although infrequent, nonsexual gonorrhea transmission, either from fomites, physical contact or autoinoculation may occur in children. Case report: Three cases of vaginitis gonorrhea on 3, 6 and 8 years old girl with a chief complaint of vaginal discharge that felt no itchy are presented. The history of sexual intercourse or abuse in two cases were denied but they had history of sharing baths and public swimming pool. In one case, there was alleged sexual abuse 6 months ago by her cousin. Physical examination revealed the yellowish odor vaginal discharge and there were no signs of inflammation around they genitalia. There were Gram-negative diplococcal intra and extra cellular. All of Thayer Martin culture revealed a positive result of Neisseria gonorrhoeae. Only one patient performed screening for the other STI, while two patient refused. All of these patients were treated with 125 mg intramuscular ceftriaxone injection but only 1 patient improvement, while 2 others recovered with alternative therapy based on the results of sensitivity test. Discussion : Patients were diagnosed as vaginitis gonorrhea based on physical examination and laboratory results. One case was suspected as sexual abuse while the other were suspected of non-sexual abuse such as fomite. The limitation of this case report are unidentified sources of gonococcal transmission and rejection for completed STIs screening.
Clinical Appearance Of Tinea Corporis Resembles With Tinea Imbricata And Condyloma Acuminata Genital In A Reproductive Woman With HIV : A Case Report Kencana, Indah; Ariani, Tutty; Anum, Qaira; Rizal, Yosse
Andalas Obstetrics And Gynecology Journal Vol. 5 No. 2 (2021)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.5.2.287-302.2021

Abstract

Background: HIV (human immunodeficiency virus) is a virus that attacks the body’s immune system that can cause immunodeficiency. Immunodeficiency results in increased susceptibility to fungal infections. The other opportunistic infection, condyloma acuminate is prevalent in groups at high risk for HIV acquisition and in HIV-infected individuals. Case: There were ring-shaped reddish patches with scaly and itchy on the right back since 3 weeks ago. Patients often scratch it especially when sweating and hot weather. The itchy reddish patches with scaly were increased in number and size on the right back then spreading over the edge to form ring-like patches. Patient complained ring-shaped reddish patches getting more red, scaly, itchy, and wider. 6 months ago, there was a lump that sometime felt itchy in below part of vulva. Patient in reproductive age and not married yet, but sexually active. Patient had a sexual relation with male who HIV 2 years ago. Patient also suffered HIV and got ARV since 6 month ago. There was no protection (condom) during the sexual intercourse. Dermatologic state in right back with efflorescence is plaque erythema with annular concentric ring forms, scale, and blackish crust. Venereologycal state show vegetation in vulva with size 0,2 - 1,5 x 1 x 0,5 cm with verrucous surface. Acetowhite test is positive result. KOH 10% of skin scrapping show fungal element and fungal culture result is tricophyton rubrum. Patient was diagnosed tinea corporis (TC) and condyloma acuminata (CA) genital griseovulfin 900 mg, cetirizin 10 mg, ketokonazol 2% cream twice a day, tricholoroacetat 90% and showed good improvement.Discussion: Diagnosis tinea corporis and CA genital based on clinical findings and mycological examination. Early diagnosis and proper treatment are important in HIV patients in order to prevent severe infection. After 4 weeks treatment, show improvement on TC however CA lesion no reduced. Keywords: tinea corporis,condyloma acuminate, tinea imbricata, HIV, Reproductive age
Recurrent Genital Herpes and Balanoposthitis Candidiasis in Men with Incomplete Circumcision: A Case Report Qaira Anum; Utama, Redha Cipta
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 8 No. 3 (2024): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v8i3.955

Abstract

Background: Circumcision can reduce the risk of sexually transmitted diseases (STDs). It may reduce males acquiring HSV-2 by 30% and 68% lower prevalence of balanitis than uncircumcised males. There is no report of incomplete circumcision as a risk for STD infection. Case presentation: A 31-year-old male complained of multiple ulcers that covered a yellowish crust on the penile with a burning sensation since 7 days ago. Initially, it was vesicles that turned into ulcers. One month ago, he complained of moist scales on his preputium that felt itchy and smelly. The patient is married and sexually active. History of intercourse with female sex workers without condoms 2 weeks ago. The patient had incomplete circumcision when he was a child; the preputium is still persistent and seldom cleaned regularly. One year ago, there was a history of vesicles on the penis. Physical examination revealed obesity grade 2. Venereological findings showed a whitish pseudo-membrane on the preputium, glans penis, and ulcers in various sizes covered pseudo-membrane surrounded erythema oedema. Laboratory revealed positive IgG HSV1, IgM, and IgG HSV2. A fungal culture is positive candida. Diagnosis established as recurrent genital herpes, balanoposthitis candidiasis, non-specific genital infection, candidiasis intertrigo. The patient has persistent preputium as the entry of commensal pathogens through abrasions in the mucosa, which causes infection. The patient had complete resolution after being administered oral acyclovir, doxycycline, and topical miconazole. Conclusion: Persistent preputium in incomplete circumcision is a risk for developing candidiasis, balanoposthitis, and recurrent genital herpes.
Case of Gonorrheal Urethritis and Post-Traumatic Stress Disorder Due to Sexual Abuse in a Boy Qaira Anum; Satya Wydya Yenny; Vesri Yossy; Fauzana Nazifah
Majalah Kedokteran Bandung Vol 58, No 1 (2026)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15395/mkb.v58.4085

Abstract

Sexual violence against children and the occurence of sexually transmitted infections (STIs), particularly gonorrheal urethritis, are rare in the pediatric population. This case report describes an 8-year-old boy who acquired a sexually transmitted infection uncommon for his age group, suggesting the possibility of an unusual underlying issue requiring further evaluation and management. This boy presented with a history of genital-to-genital sexual contact with a female peer 10 days prior. He was diagnosed with acute uncomplicated gonococcal urethritis, presenting with symptoms of painful urination and yellowish-white discharge from the genital area that had progressively worsened over the preceeding week. The patient also exhibited signs of post-traumatic stress disorder, including frequent crying and low self-esteem. Venereological examination revealed thick yellowish-white discharge at the external urethral orifice. Gram staining demonstrated intracellular gram-negative diplococci with >30 polymorphonuclear cells per high-power field, and culture confirmed the presence of Neisseria Gonorrhoeae. The patient was treated with oral erythromycin 250 mg four times daily for one week. He also received psychoeducational therapy and psychopharmacological treatment, including fluoxetine (6 mg once daily), vitamin B1 (2 mg once daily), and folic acid (2 mg once daily), administered by the Department of Child and Adolescent Psychiatry of Dr. M. Djamil General Hospital. Evaluation of the patient on the seventh day after therapy showed good outcomes. Early diagnosis and proper management of gonococcal urethritis cases are essential to reduce the incidence of complications and to address potential psychosocial concerns.
The Relationship Between Post-Acne Scars and Quality of Life Among Medical Students of FK UNAND, Padang, Indonesia Salsabila Aulia Kasbina; Satya Wydya Yenny; Hendra Permana; Aswiyanti Asri; Qaira Anum; Yulistini
International Journal of Public Health Excellence (IJPHE) Vol. 6 No. 1 (2026): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v6i1.1942

Abstract

Post-acne scars are a condition of skin layer damage due to the healing process of acne vulgaris, causing the skin to appear depressed. This condition disrupts facial aesthetics and may become permanent, thereby affecting the patient’s psychological condition and quality of life. This study aimed to determine the relationship between the severity of post-acne scars and the quality of life among medical students of FK UNAND, Padang, Indonesia. This study was an analytic observational study with a cross-sectional design conducted from June to December 2023. The population consisted of medical students of FK UNAND batch 2020–2022 who had acne scars. The total sample was 88 respondents selected using consecutive sampling. Data were collected using the Facial Acne Scar Quality of Life (FASQOL) questionnaire and Dysmorphic Concern Questionnaire (DCQ). Statistical analysis was performed using One-Way ANOVA and Fisher’s Exact Test. The results showed that most respondents were female and aged 21 years. The majority experienced mild acne scars (46.6%). The mean FASQOL score was 14.11. Most respondents felt disturbed by the presence of acne scars on their face. The DCQ results showed that 88.6% of respondents had no dysmorphic disorder features. There was no significant relationship between acne scar severity and quality of life (p=0.938) nor dysmorphic disorder (p=0.241). The study concluded that there was no relationship between the severity of post-acne scars and the quality of life among medical students of FK UNAND, Padang, Indonesia
HUBUNGAN PAPARAN TUNGAU DEBU RUMAH DENGAN URTIKARIA DAN/ATAU ANGIOEDEMA PADA ANAK DI PANTI ASUHAN KECAMATAN PAUH KOTA PADANG Muhammad Rafif Sulthan Habibi; Selfi Renita Rusjdi; Gardenia Akhyar; Adrial Adrial; Qaira Anum; Dwitya Elvira
SINERGI : Jurnal Riset Ilmiah Vol. 3 No. 7 (2026): SINERGI : Jurnal Riset Ilmiah, Juli 2026
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/sinergi.v3i7.2793

Abstract

Urticaria is a skin condition characterized by wheals, which may be accompanied by itching, a burning sensation, or pain, and can occur together with angioedema. House dust mites (HDM) are one of the main aeroallergens capable of triggering IgE-mediated allergic skin reactions. Children living in crowded environments, such as orphanages, are at high risk of HDM exposure. This study aimed to determine the relationship between house dust mite exposure and the occurrence of urticaria and/or angioedema in children at an orphanage in Pauh District, Padang City. This was an observational analytical study with a cross-sectional approach, conducted at an orphanage in Pauh District, Padang City, and in the Parasitology Laboratory of the Faculty of Medicine, Andalas University, from March to October 2025. The sampling technique used was total sampling. Bed dust was collected using a vacuum cleaner, and interviews were conducted using an adapted UAS and ISAAC questionnaire. Chi-square was used to analyze the relationship between the two variables. The results of this study showed that all dust samples (100%) were positive for house dust mites, and identification revealed that the most common species found was Dermatophagoides sp. (57.14%), followed by Acarus sp. (32.14%), Cheyletus sp. (25%), Carpoglyphus sp. (17.86%), Glycyphagus sp. (14.29%), Thyrophagus sp. (14.29%), and Blomia tropicalis (7.14%). The average density of house dust mites was 72.85 mites/gram of dust. The prevalence of urticaria and/or angioedema in children was 25.6%. This study found no significant association between house dust mite density and the occurrence of urticaria and/or angioedema (p = 0.263). The conclusion of this study is that factors such as individual predisposition, environmental conditions, and immune sensitization status are likely to contribute to the development of urticaria and/or angioedema.
Overlapping Chancre and Syphilitic Roseola in an Immunocompetent Patient: A Case Report Qaira Anum; Vesri Yossy; Agung Bima Putera
Scientific Journal Vol. 5 No. 2 (2026): SCIENA Volume V No 2, March 2026
Publisher : CV. AKBAR PUTRA MANDIRI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56260/sciena.v5i2.333

Abstract

Background: Syphilis is a sexually transmitted infection caused by Treponema pallidum that typically progresses through primary, secondary, latent, and tertiary stages. Primary syphilis presents with a painless genital chancre, whereas secondary syphilis manifests with systemic and mucocutaneous findings. Overlapping primary and secondary syphilis is uncommon and is rarely reported in immunocompetent individuals.  Case: A 38-year-old immunocompetent man presented with a painless penile ulcer that progressively enlarged over two months, accompanied by non-pruritic erythematous macules with whitish scaling on both palms for one month. Physical examination revealed a solitary, shallow, indurated genital ulcer with well-defined borders and palmar macules. Dermoscopy demonstrated “Biett’s collarette”. Serological testing showed reactive VDRL (1:32) and TPHA (1:5120), with a non-reactive HIV test. Histopathological examination of the penile ulcer revealed epidermal ulceration, dense perivascular plasma cell and lymphohistiocytic infiltration, and endarteritis obliterans, consistent with syphilitic ulcer. Urethral culture identified Neisseria gonorrhoeae, indicating concomitant gonococcal urethritis. The patient was diagnosed with overlapping primary and secondary syphilis with gonorrhea co-infection and was treated with intramuscular benzathine penicillin G, oral cefixime, and azithromycin, resulting in marked clinical improvement.  Discussion: Persistence of the chancre beyond the expected healing period together with concurrent palmar syphilitic roseola supports stage overlap rather than sequential progression. Delayed diagnosis and coexisting gonococcal infection may have contributed to this presentation despite preserved immune status. Conclusion: Overlapping primary and secondary syphilis can occur in immunocompetent patients. Recognition of this atypical presentation and comprehensive clinicopathological correlation are essential to ensure accurate diagnosis and appropriate management.