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All Journal Jurnal Kedokteran Syiah Kuala
Wilda - Mahdani
Syiah Kuala University
Health Professions Medicine & Pharmacology

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Invasive Dermatophytosis in HIV/AIDS Patient by Zoophilic Trichophyton verrucosum Wilda - Mahdani
Jurnal Kedokteran Syiah Kuala Vol 21, No 1 (2021): Volume 21 Nomor 1 April 2021
Publisher : Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/jks.v21i1.19565

Abstract

Invasive dermatophytosis is a dermatophyte infection characterized by fungal invasion into deeper skin tissue including the dermis and subcutaneous areas. Herein, a man who was an HIV/AIDS sufferer was reported to develop an unusually invasive dermatophytosis in the form of nodules and ulceration. His CD4+ cells count was 88 cells/µl with a percentage of 1.87%. Self-medication with topical antibiotics did not respond. Microbiological examination was carried out including direct potassium hydroxide preparation and fungal culture. The etiologic diagnosis of invasive dermatophytosis by Trichophyton verrucosum  was established. This is one of the zoophilic fungus that causes ringworm in cattle. It was suspected that the patient was inoculated due to contact with fomites containing fungi while working as a construction worker. Dermatophytes can cause atypical infections with a completely unexpected appearance in immunocompromised patients. The diagnosis is largely determined by a high level of clinical suspicion followed by microbiological examination.
Purple Urine Bag Syndrome; Infeksi Saluran Kemih Langka Terkait Penggunaan Kateter Uretra Menetap Wilda - Mahdani
Jurnal Kedokteran Syiah Kuala Vol 21, No 3 (2021): Volume 21 Nomor 3 Desember 2021
Publisher : Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/jks.v21i3.20491

Abstract

Purple Urine Bag Syndrome (PUBS) is a rare phenomenon that is commonly overlooked. PUBS occurs in patients who use indwelling urinary catheters. This condition is characterized by a change in the color of urine including the bag and catheter tube turning purple. The purple color comes from the pigment mixture from the end result of the tryptophan metabolic chain reaction with the help of bacteria that produce sulfatase or phosphatase enzymes in the urine. The occurrence of PUBS requires the interaction of various risk factors simultaneously. PUBS can cause concern for patients, families and medical personnel. Lack of understanding and awareness can lead to misdiagnosis and treatment. For this reason, clinicians and medical personnel must be able to identify PUBS and understand its prevention and treatment. PUBS usually has a good prognosis. Correction of the underlying disease and treatment of symptomatic UTIs can reduce the chances of developing this syndrome.
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