Herick Alvenus Willim
General Practitioner, Dr. Agoesdjam Regional Public Hospital, Ketapang Regency, West Kalimantan, Indonesia

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Neuropsychiatric Aspects of Congenital Heart Disease: A Review of Current Literatures Herick Alvenus Willim; Kartini RIta Sari; Nurfadella; Nurlia Desyanti
Biomedical Journal of Indonesia Vol. 7 No. 2 (2021): Vol 7, No 2, 2021
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/bji.v7i2.312

Abstract

Congenital heart disease (CHD) is a structural abnormality in the heart or major intrathoracic blood vessel that is present at birth. Advances in modern medical science and technology have contributed to an increase in life expectancy and population of CHD patients. Survivors of CHD may not only experience complex medical problems due to sequelae or complications of the underlying CHD but may also experience neuropsychiatric disorders. This review article aims to provide an understanding of the neuropsychiatric aspects of CHD, including clini cal manifestations, risk factors and mechanisms, detection, and management of neuropsychiatric disorders in CHD. This review showed that CHD patients are prone to behavioral disorders, neurodevelopmental disorders, and mental health disorders such as anxie ty, depression, and post-traumatic stress disorder which can cause a decrease in quality of life. The risk factors and mechanisms of neuropsychiatric disorders in CHD are complex and multifactorial. Early detection and referral of neuropsychiatric disorders are important. Management requires a multidisciplinary team approach.
Pulmonary aspergilloma presenting with recurrent hemoptysis in a patient with previously treated pulmonary tuberculosis: a case report from a rural hospital in Ketapang Regency Herick Alvenus Willim; Eva Lydia Munthe; Widi Mujono
Journal of Indonesia Vascular Access Vol. 3 No. 2 (2023): (Available online: 1 December 2023)
Publisher : Indonesian Vascular Access Association (IVAA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/jinava.v3i2.44

Abstract

Introduction: Pulmonary aspergilloma, also known as mycetoma or fungus ball, is a type of pulmonary aspergillosis characterized by colonizing fungi within a preexisting lung cavity, typically in previously healed tuberculosis (TB). We present a case report from a rural hospital in Ketapang Regency, Indonesia, highlighting the complexities of diagnosing and managing pulmonary aspergilloma in a patient with a history of treated pulmonary TB. Case Description: A 32-year-old man with recurrent hemoptysis, fever, weight loss, and productive cough sought care after years of inconclusive tests. Despite a history of pulmonary TB and multiple negative acid-fast bacilli tests, a thorax computed tomography scan showed the presence of aspergilloma within the upper lobe of the left lung. He was given antifungal therapy. During follow-up, he continued to experience recurrent hemoptysis. Eventually, he was referred to a provincial referral hospital with cardiothoracic surgical facilities for definitive surgical management. Conclusion: Pulmonary aspergilloma presents significant challenges in diagnosis and management. Recurrent or massive hemoptysis, a hallmark symptom of this condition, demands vigilant attention in patients with a history of pulmonary TB.