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Nur Latifah, Nur
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Journal : Medica Hospitalia

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Seorang Anak Perempuan Probable Covid-19 dengan Keterlibatan Ginjal (Laporan kasus) Mellyana, Omega; Latifah, Nur; Trixie, Marcella; Mardiana, Frederika; Anam, Moh Syarofil; Sahyuni, Riza; Wistiani, Wistiani
Medica Hospitalia : Journal of Clinical Medicine Vol. 7 No. 1A (2020): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (379.092 KB) | DOI: 10.36408/mhjcm.v7i1A.480

Abstract

Latar belakang: Kasus Probable Covid-19 adalah kasus penderita dengan gambaran klinis dan pemeriksaan penunjang yang meyakinkan Covid-19 namun tidak terkonfirmasi dengan pemeriksaan real-time polymerase chain reaction (RT-PCR). Kasus probable banyak menimbulkan kekhawatiran karena risiko penularan dan keraguan dalam tata laksana baik bagi dokter, perawat, dan penanggung jawab pasien. Tujuan penulisan artikel ini adalah untuk melaporkan kasus seorang anak dengan probable Covid-19 dan mendiskusikan kemungkinan diagnosis banding lain sebagai pemikiran di tengah pandemi Covid-19 guna pengelolaan pasien yang lebih optimal. Kasus: Anak perempuan 14 tahun 5 bulan dengan keluhan utama batuk selama dua minggu sebelum masuk rumah sakit, disertai demam, diare dan sesak. Selama perawatan, sesak makin bertambah. Tiga hari perawatan ditemukan oliguria, proteinuria, anemia, leukositosis, trombositopenia, hipersegmentasi neutrofil, limfopenia, peningkatan prokalsitonin, hipoalbuminemia dan penurunan fungsi ginjal (51 ml/menit/1,73 m2). Gambaran rontgen dada menunjukkan bronkopneumonia dan kardiomegali. MSCT dada terdapat gambaran konsolidasi dan ground glass appearance (GGO) di kedua paru mendukung ke arah Covid-19. Pada hari perawatan ke 16 anak mengalami gagal nafas, hemoptoe, penurunan kesadaran hingga meninggal. Swab RT-PCR 3 kali negatif (selama perawatan dan post mortem). Ringkasan : Infeksi Covid-19 adalah penyebab infeksi saluran nafas yang serius dan berat. Telah dilaporkan seorang anak perempuan 14 tahun 5 bulan yang meninggal karena Probable Covid-19. Di tengah pandemi Covid-19 ini seorang dokter perlu meningkatkan kewaspadaan yang tinggi terhadap infeksi virus atau bakteri lain untuk memperbaiki tata laksana dan luaran pada penderita. Kata kunci: Covid-19, probable, ground glass opacity, RT-PCR Background: Probable Covid-19 cases are patients with clinical features and convincing investigations for covid-19 but there is not confirmed by real time polymerase chain reaction (RT-PCR). Probable cases raise many concerns because of the risk of transmission and doubt in good management for the doctor / nurse in charge of the patient. The purpose of writing was to report the child with probable Covid-19 and provide a discussion of possible other differential diagnoses as thoughts in the midst of the Covid-19 pandemic for optimal management of sufferers. Case: A girl 14 years 5 months old had a cough for two weeks before admission, accompanied by fever, diarrhea and breathlessness. During treatment, the shortness of breath increased, three days of treatment found oliguria, proteinuria, hematuria, anemia, leukocytosis, thrombocytopenia, neutrophil hypersegmentation, lymphopenia, increased procalcitonin, hypoalbuminemia and decreased renal function (51 ml / min / 1.73 m2). Chest x-ray of bronchopneumonia and cardiomegaly. In the finding of chest computed tomography scan showed consolidation and ground glass appearance (GGO) in both lungs supporting the diagnose of Covid-19. On the 16th day of treatment, the child suffered respiratory failure, hemoptoes, decreased consciousness until death. RT-PCR swabs were 3 times negative (during treatment and post mortem). Summary: Covid-19 is a serious and severe cause of respiratory tract infection. It has been reported that a girl of 14 years and 5 months who died of Probable Covid-19 has been reported. During the Covid-19 pandemic, a doctor may need to increase high awareness of other viral or bacterial infections to improve management and outcome of patients in the future. Key word: Covid-19, Children, Ground Glass Opacity, RT_PCR
Co-Authors ., Mutma'inah Aat Ruchiat Nugraha Abdul Khoir Abiyi, Royan Majid Aditya, Amiratul Muzeeb Ady Mangilep, Adelia U. Agus Eko Cahyono, Agus Eko Agustiningsih, Walisa Tri Ahmad Zain Sarnoto Aidil Syah Putra Aisyah Aisyah Akhmad Amirudin Amaliyah, Aam Aminda, Nur Eka Rizky Anam, Moh Syarofil Andi Niartiningsih Annuri Arie Supriyatno Arsyilviasari, Rima Artanti, Eria Riski Asep Supena. Assauri, Supian Azam David Saifullah Azhar, Samsul Bari’ah, Andi Azisah Bincar Nasution Cahyani, Kadek Dewi Chai, Napat Chai, Som Darmayanti, Jihan Millenia desti pratiwi Dewanto Dewanto Dwiningtyas Padmaningrum, Dwiningtyas Eka Rizky Aminda, Nur Eksa Rusdiyana, Eksa Elisa Elisa Enawar, Enawar Fadilah, Ahmad Arif Fadillah, Ahmad Arif Fatma Suryani Harahap Fenny Roshayanti Fitriani, Nining Gabriella, Retta Hamirul Hamirul, Hamirul Hanim, Imtihan - Hapzi Ali Heni Mulyani Pohan Hery Porda Nugroho Putro Hery Widijanto Hidayati, Pratiwi Hikmah, Ahmad Aulia Ulil Ifa Safira Ilmah, Siti Nurul Irwandy Irwandy Istiqomah Nur Rahmawati Iswahyu Pranawukir Izzati, Rahma Mahdia Jalilah Azizah Lubis Janah, Rodhotul Jannah, Azzahra Wardatul Joshi, Nikhil Kashefian-Naeeini, Sara KHUSNUL LAELY, KHUSNUL Khussaniah, Mina Komariah, Denok Lailatin Kurniawan, Eka Yulyawan Kusumaning Tyas, Novita Lailatin Komariah, Denok Luftiyah, Vivi Magdalena, Ina Makrifah, Nurul Mardiana, Frederika Mardiati Mardiati Mardiyanto, Muhammad Sodiq Martin Mediana, Putri Alifia Meilena, Tiara Meliana, Septi Fitri Morningrum, Roro Dewila Muhammad Syaipul Hayat Muhammad Yusup Muttaqien, Nurul Nisa, Siti Zahrotun Nisak, Sayida Khoiratun Noer Bahry Noor Novita Dewi Iswandari Nur Hidayati Nur Khoiri Nur ‘Azah nurbaiti, lita Nurina Happy Obi Nja, Cecilia Oktaviana, Ariana Omega Mellyana, Omega Paramarta, Lalitya Perdinanto, Perdinanto Priharjo, Robert Putri, Disa Cahaya R. Darmawan Setijanto Rabiyatul Adawiyah Siregar Rafianti, Wahdah Refia Rahmadi Rahmadi Rayi Devi Safitri Ressa, Ressa Rini Anggraeni Rissa Alivia Zahra Rusmiati, Sihury Wellya Pamungkas Sa'odah, Sa'odah Sa’odah, Sa’odah Sabil, Fadel Safitri, Agustini Sahyuni, Riza Salehudin, Mohammad Salsabilah, Salsabilah Santosa, Tomi Apra Sari, Windy Dian Sa’odah, Sa’odah Setyowati, Ayu Silvie Mil Solissa, Everhard Markiano Sri Warsini Sukini, Sukini Sumiyani, Sumiyani Sunardin, Sunardin Sunaryo Sunaryo suparjan suparjan Syaharuddin Syamsiar, Syamsiar Taufiqurahman, Asep Trixie, Marcella Umi Rahayu, Umi Ummah, S. Sumihatul Ummil, Khairah Unpris Yastanti, Unpris Wantu, Hasyim Mahmud Wibowo, Alvita Widiyaningsih, Puput Widya Pratiwi Wistiani Wistiani Yamin Yani Yani Yatun, Sri Yayuk Widyastuti Herawati Yeni Nuraeni, Yeni Zulela Ms Zulfadewina, Zulfadewina Zulherman Zulherman, Zulherman