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All Journal Paediatrica Indonesiana The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy
Anita Juniatiningsih
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Health Professions Medicine & Pharmacology

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A young girl with suspected encephalitis caused by avian influenza A (H5N1) infection in Indonesia Juniatiningsih, Anita; Setyanto, Darmawan B; Setiawaty, Vivi; Sedyaningsih, Endang R
Paediatrica Indonesiana Vol 50 No 1 (2010): January 2010
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (219.526 KB) | DOI: 10.14238/pi50.1.2010.62-6

Abstract

A previously healthy two-year-old girl was admitted to the Emergency Unit of Cipto Mangunkusumo Hospital (CMH) Jakarta, on March 23, 2006 with a deterioration of consciousness since four days before admission. She was referred by a district hospital with a working diagnosis of suspect encephalitis, gastroenteritis, and febrile convulsion. History taken from her parents revealed that since eight days before admission she had a mild fever and cough, without rhinorrhea. Her appetite, defecation and urination were normal. Patient was taken to a clinic, where she was diagnosed as having an upper respiratory tract infection, and was given three kinds of medicine (i.e., antipyretic, expectorant and antibiotic).
Gastroesophageal Reflux: Are There Differences of Characteristic in Infants and Children Badriul Hegar; Anita Juniatiningsih
The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy VOLUME 9, ISSUE 3, December 2008
Publisher : The Indonesian Society for Digestive Endoscopy

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24871/93200875-77

Abstract

Background: Gastroesophageal reflux (GER) is an involuntary passage of gastric contents into the esophagus. GER in infancy is usually a physiologic reflux whereas GER in children more than 12 months old is often considered as a pathologic reflux although without any clinical complications. This consideration may lead over-treatment of GER in children. The objective of this study was to find out the difference of GER characteristic in ‘healthy’ infants and children. Method: Cross sectional study in children age 0-36 months at Cipto Mangunkusumo Hospital Jakarta during 2005-2007 with inclusion criteria: clinically healthy, regurgitations/vomits ³ 4 times/day, well nourished and other etiologies of vomiting had been excluded. The characteristic of GER was evaluated by esophageal pH monitoring (pH-metri) included number of reflux episodes, reflux duration 5 minutes, and reflux index. Results: Sixty children were enrolled in the study; consisting 30 infants (age 0-12 months) and 30 children (age 13-36 months). The median number of reflux in infants was 18 ( range1-19), whereas the median in children was 17 (range 3-27) ( p = 0.47). The median number of reflux 5 minutes was 2 (range 0-2), whereas the median in children was 3 (0-30) (p = 0.85). The median reflux index in infants was 4.5% (range 0.6%-22.9%) whereas the median in children was 6.35% (0.1%-87.%) (p = 0.34). Conclusion: The characteristic of GER in ‘healthy’ infants and children were not significantly different; however reflux index 5% (pathologic GER) was seen in children age 13-36 months. Clinical course monitoring are important in infants and children with GER. Keywords: gastroesophageal reflux, regurgitation, infant, children, pH monitoring
Co-Authors Badriul Hegar Badriul Hegar Darmawan B Setyanto, Darmawan B Darmawan B. Setyanto, Darmawan B. Endang R Sedyaningsih Endang R. Sedyaningsih Vivi Setiawaty