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All Journal Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Berkala Ilmu Kesehatan Kulit dan Kelamin Indonesian Journal of Biotechnology Mutiara Medika: Jurnal Kedokteran dan Kesehatan Media Dermato-Venereologica Indonesiana Journal of General Procedural Dermatology and Venereology Indonesia Indonesian Journal of Biomedicine and Clinical Sciences Cermin Dunia Kedokteran
Agnes Sri Siswati
Department Of Dermatology And Venereology, Faculty Of Medicine, Public Health, And Nursing Universitas Gadjah Mada/Dr. Sardjito General Hospital, Yogyakarta 55281, Indonesia
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Materials Science & Nanotechnology Medicine & Pharmacology Neuroscience Public Health

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Perilaku Seksual Lesbian, Gay, Biseksual,Transgender, dan Risikonya terhadap Infeksi Menular Seksual Puspitasari, Monika; Susetiati, Devi Artami; Siswati, Agnes Sri
Cermin Dunia Kedokteran Vol 50 No 12 (2023): Penyakit Dalam
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v50i12.968

Abstract

Lesbian, gay, bisexual, transgender (LGBT) face many gaps in sexual health aspects, including an increased risk of human immunodeficiency virus (HIV infection), sexually transmitted infections (STIs), and pregnancy. LGBT often experience social stigmatization, isolation, and rejection, even from their respective parents. Risk of STIs is related to sexual orientation, sexual anatomy, and sexual behaviour. LGBTs sexual activity may vary and with multiple partners, who are vulnerable to transmission of STIs and HIV infection. Health care providers are responsible for an open discussion regarding sexual health issues; including sexual orientation, sexual behavior, and gender identity.
Establishing the diagnosis of fournier gangrene using the modified laboratory risk indicator for necrotizing fasciitis (LRINEC) score in children: A case report Qomariah, Laily Noor; Asri Yuniarti; Triyoga; He-Yeon Asva Nafaisa; Agnes Sri Siswati
Indonesian Journal of Biomedicine and Clinical Sciences Vol 57 No 4 (2025)
Publisher : Published by Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/inajbcs.v57i4.16216

Abstract

Fournier’s gangrene (FG) is a form of necrotizing fasciitis that affects the genital and perineal areas. It is rare case in children and is often difficult to diagnose early, contributing to high morbidity and mortality. Prompt diagnosis and aggressive management are essential to reduce life-threatening complications. We report 2 mo. male infant presented with fever and an abrupt onset of rapidly spreading erythematous rash. Laboratory examinations showed leukocytosis, anemia, neutrophilia, hyponatremia, and elevated C-reactive protein (CRP) levels. An evaluation was performed using the pediatric laboratory risk indicator for necrotizing fasciitis (P-LRINEC), a modified version of the LRINEC score. The patient had a total score of 10, indicating a high risk of necrotizing fasciitis. The patient underwent immediate debridement and empirical antibiotic therapy. A 2 wk post-therapy evaluation showed significant clinical improvement. Fournier’s gangrene in children often resembles other skin infections, making early diagnosis difficult. The 3 main characteristics of FG are sudden onset, rapid progression, and lack of a clear specific cause. The P-LRINEC score is a diagnostic tool that can aid in the early detection of FG in children. This case highlights the importance of early recognition and management of Fournier’s gangrene in children using the P-LRINEC score, which is more appropriate for pediatric patients, to enable timely intervention. Increased clinical awareness and further validation through larger-scale studies are needed.
Co-Authors Affendi Purbananto Andayani, Raden Roro Rini Anum, Qaira Arief Budiyanto Asri Yuniarti Bagus Haryo Kusumaputra Cita Rosita Sigit Prakoeswa Devi Artami Susetiati Dhelya Widasmara Diovani, Sonia Dwi Retno Adi Winarni Dwi Retno Adiwinarni Epi Panjaitan Fajar Waskito Febiyanto, Novian Fifa Argentina Giantoro, Jeffrey Hanggoro Tri Rinonce Harsono, Erliana Tantri He-Yeon Asva Nafaisa Inayati Habib Inayati Inayati Jayawarsa, A.A. Ketut Jesslyn Amelia Khalidah, Miya Kristiana Etnawati Lubis, Ramona Sari Luh Made Mas Rusyati M. Yulianto Listiawan Mamuaja, Enricco Hendra Medhi Denisa Alinda, Medhi Denisa Muchtar, Vitayani Mulianto, Nur Rachmat Niken Indriastuti Niken Trisnowati Oktarina, Dyah Ayu Mira Puspitasari, Monika Qomariah, Laily Noor Regitta Indira Agusni Renni Yuniati Satiti Retno Pudjiati Satiti Retno Pudjiati Sayekti, Ayu Wikan Siti Aminah Tri Susilo Estri Siti Aminah Tri Susilo Estri, Siti Aminah Tri Susilo Sri L. Menaldi Sunardi Radiono Suswardana Suswardana Suswardana, Suswardana Triasari Oktavriana Triyoga Verdy Verdy Verdy Verdy, Verdy Vina Ajeng Puspa Dewi Vina Ajeng Puspa Dewi, Vina Ajeng Puspa Wahyuanggradewi, Elliana Widiasri, Kharisma Yuliasis Winarni, Dwi Retno Adi Yefta Yefta Yefta, Yefta Yohanes Widodo Wirohadidjojo Yuli Sulistiyowati, Yuli