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Margaretha Damanik
Department of Child Health, Universitas Sumatera Utara Medical School/Dr. Pirngadi General Hospital, Medan, North Sumatera
Health Professions Medicine & Pharmacology

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Clinical Presentation of Measles at the Pediatric Ward in Dr. Pirngadi Hospital Medan Mardiana K. Djayusman; Margaretha Damanik; Erijana Malik Miraza; Charles Hutasoit; Chairuddin P. Lubis
Paediatrica Indonesiana Vol 32 No 7-8 (1992): July - August 1992
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (510.394 KB) | DOI: 10.14238/pi32.7-8.1992.178-83

Abstract

A descriptive study was done on 55 infants and children with measles during January 1988- December 1989. They comprised 1.08% of the total sum of 5075 children hospitalized during that period. Measles without any complication was found in 5.4% of the subjects, and bronchopneumonia was the most common complication (75%). The highest prevalence was found in the age group of 1-5 years (72.8%). Most of the cases (98.2%) suffered from mild to severe malnutrition and they had not previously been vaccinated against measles.
Tuberculous Meningitis at the Department of Child Health Dr. Pirngadi Hospital, Medan Margaretha Damanik; Sri Zamzah; Mardiana K. Djayusman; M. D. Marbun; Bistok Saing
Paediatrica Indonesiana Vol 32 No 7-8 (1992): July - August 1992
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (658.278 KB) | DOI: 10.14238/pi32.7-8.1992.190-7

Abstract

Tuberculous meningitis was studied descriptively in 167 cases (1 .19%) of 14082 hospitalized patients at the Department of Child Health Dr. Pirngadi Hospital, Medan in a period of the years 1985 to 1989. The highest incidence was in the age group of under 3 years (46.11%) consisting 20. 78% of the stage I, 54.55% stage II, and 24.67% stage III. The youngest age was five months (2 cases) and the oldest was 14 years old (3 cases). The case fatality rate was 27.54%, they were 2.17% stage I, 32.61% stage II, and 65.22% stage III. Stage III showed higher mortality rate than stage I and II (p <0.001). The most frequent symptom was convulsion (43. 71%) followed by fever (33.53%) . Contact with patients who bad pulmonary tuberculosis were found in 56.28%. Positive tuberculin test was found in 17.96% and pulmonary radiological abnormalities in57.48%. The highest number oj cases (51.50%) was group with cerebrospinal fluid cell count of 101 - 500/mm · Cases which never got BCG immunization comprised 83.83%. The nutritional states on admission to the hospital were mild / moderate malnutrition in 67.07% and severe malnutrition in 32.93%.
Co-Authors Bistok Saing Chairuddin P. Lubis Charles Hutasoit Erijana Malik Miraza M. D. Marbun Mardiana K. Djayusman Sri Zamzah