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All Journal Paediatrica Indonesiana
A. M. Prasodo
and Department of Child Health, Universitas Airlangga Medical School/Dr. Soetomo General Hospital, Surabaya, East Java
Health Professions Medicine & Pharmacology

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Peripheral Artery Embolism as a Complication of Infective Endocarditis in Mitral Insufficiency Gani Wangunhardjo; Teddy Ontoseno; Soebijanto Poerwodibroto; A. M. Prasodo
Paediatrica Indonesiana Vol 33 No 3-4 (1993): March - April 1993
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (962.374 KB) | DOI: 10.14238/pi33.3-4.1993.77-86

Abstract

Injective endocarditis in a 10 years old boy complicated by left brachial artery emboly in a case of rheumatic mitral insufficiency has been reported. The etiologic microorganism was coagulase positive Staphylococci. Though clinical cure was achieved by a 4 weeks long high dose of antibiotic (Ceftriaxone), peripheral artery emboly, had complicated the disease. Since adequate collateral circulation has already occurred, no specific treatment has been given. A further follow-up and injective endocarditis prophylaxis are still needed.
Congestive Heart Failure in Diphtheric Myocarditis A. M. Prasodo; M. Narendra; A. Joernil; Wahjoenarso Wahjoenarso; F. Kaspan
Paediatrica Indonesiana Vol 16 No 3-4 (1976): March - April 1976
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1368.726 KB) | DOI: 10.14238/pi16.3-4.1976.71-80

Abstract

The picture of congestive heart failure in diphtheric myocarditis was mainly determined by poor general condition, hepatic enlargement + epigastric pain, dyspnea. Basal rales and peripheral edema were not observed. Cardiomegaly on X-ray examination supported the diagnosis. Congestive heart failure as a complication of diphtheric myocarditis occurred in 31.2% - 52% of cases with severe ECG changes and only in 5% of cases with ST depression or T wave changes. Of 29 cases with congestive heart failure only 3 survived. Apparently good results of digitalis treatment were obtained when only gallop rhythm, as an early sign of heart failure, was found. Extensive myocardial damage by diphtheria toxin may explain why no beneficial effect of digitalis treatment was obtained. Prophylactic digitalization before signs of congestive heart failure appeared, as suggested by several authors; was not performed in this study.
Co-Authors A. Joernil F. Kaspan Gani Wangunhardjo M. Narendra Soebijanto Poerwodibroto Teddy Ontoseno Wahjoenarso Wahjoenarso