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Journal : Pediatric Sciences Journal

Correlation between leukocyte count and hemoglobin with the incidence of febrile seizures at RSUD Abdul Wahab Sjahranie Samarinda Muhammad Harbiyan Acikdin; Annisa Muhyi; Vera Madonna Lumban Toruan
Pediatric Sciences Journal Vol. 3 No. 1 (2022): (Available online 1 June 2022)
Publisher : Medical Faculty of Brawijaya University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/pedscij.v3i1.31

Abstract

Background: Febrile seizures occur at the age of 6 months to 5 years, ranging from 2-5% of cases in children. The sign when the body is fighting infection is the process that occurs, the presence of infection in the body causes a change in the leukocyte count, and high fever can trigger a decrease in hemoglobin. This study aims to determine the relationship between leukocytes and hemoglobin with the incidence of febrile seizures in children. Methods: This research is analytic observational with a cross-sectional design. The research data was taken from medical records at Abdul Wahab Sjahranie Hospital Samarinda with a purposive sampling method. The study sample was children aged 6 months to 5 years who had febrile seizures and fever without seizures and met the inclusion and exclusion criteria. Statistical analysis of this study used the chi-square test. Results: The chi-square test results were obtained on hemoglobin and leukocyte count with the incidence of febrile seizures with a p-value on the number of leukocytes (p=0.032) and hemoglobin (p=0.019). Conclusion: There is a significant relationship between the number of leukocytes and hemoglobin with the incidence of febrile seizures in children.
Sphingomonas paucimobilis an unusual cause of subdural empyema in pediatric: a case report Annisa Muhyi; Amalia Aswin
Pediatric Sciences Journal Vol. 2 No. 1 (2021): (Available online 1 June 2021)
Publisher : Medical Faculty of Brawijaya University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (425.737 KB) | DOI: 10.51559/pedscij.v2i1.19

Abstract

Introduction: Acute bacterial meningitis continues to be a neurological emergency with high mortality and morbidity Case: We report the case of a pediatric patient with subdural empyema due to Sphingomonas paucimobilis. A 2-month-old infant developed fever, generalized seizures, and worsening general status. He had a cough for two weeks, and a chest X-ray showed pneumonia. Laboratory tests reveal marked leukocytosis, a white blood cell count of 28.500/mL, and an elevated platelet level of 654.000 mg/dL. A computerized brain tomography revealed an empyema subdural. A cerebrospinal fluid analysis showed unclear fluid, revealed cell count 3560 cells, 90% mononuclear and 10% polymorphonuclear, red blood cell count of 0/mm3, protein of 370 mg/dL, and glucose of 35 mg/dL. His cerebrospinal fluid culture showed Sphingomonas paucimobilis sensitive to cephalosporin, levofloxacin, meropenem, imipenem, gentamycin, tobramycin and amikacin. He was treated empirically with meropenem. The patient had a rapid recovery from the seventh day of treatment and was discharged on hospital day 14. Conclusion: We highly recommend raising awareness about subdural empyema as a complication for acute bacterial meningitis caused by S. paucimobilis in community-acquired infection.
Correlation between nutritional status, leukocyte levels, and neutrophil-lymphocyte ratio to the incidence of respiratory failure in children under five years of age with pneumonia at Abdoel Wahab Sjahranie Hospital, Samarinda Ainurfaiz Fiqridiyanto; Rachmi, Eva; Muhyi, Annisa
Pediatric Sciences Journal Vol. 5 No. 1 (2024): (Available online: 1 June 2024)
Publisher : Medical Faculty of Brawijaya University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/pedscij.v5i1.63

Abstract

Background: The most common infectious infection-related fatality in children under five worldwide is pneumonia, an acute infection of the lung parenchyma. Hypoxemia can induce respiratory failure and pneumonia-related deaths. For children with pneumonia under five years old, several possible predictors, including nutritional status, leukocyte counts, and the neutrophil-lymphocyte ratio (RNL), can be used to forecast respiratory failure. Because these three criteria are common tests that can be employed in basic healthcare institutions, they are promising predictors. This study aims to determine the relationship between nutritional status, leukocyte levels, and RNL on the incidence of respiratory failure in children under five years of age with pneumonia at Abdul Wahab Sjahranie Hospital, Samarinda. Methods: The research design is case-control. All children with pneumonia under five years old receiving treatment at Abdul Wahab Sjahranie Hospital Samarinda from January to December 2022 made up the study population. Purposive sampling was used to carry out the sampling. The patient's medical record provides the information. Independent T-test and Chi-square test were used to assess the data. Forty patients in all; 20 were case samples, and 20 were control samples. Results: The results showed that the incidence of respiratory failure was related to nutritional status (OR=0.07; p=0.000; 95% CI 0.01 – 0.35), leukocyte levels (OR=35.28; p=0.000; 95% CI 3.86 – 321.98), and neutrophil-lymphocyte ratio (p=0.036). Conclusion: Malnutrition and poor nutritional status, high leukocyte levels, and high RNL have the potential to be predictors of respiratory failure in toddlers with pneumonia.