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Papeo, Dizky Ramadani Putri
Universitas Negeri Gorontalo
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Journal : Lontara Journal Of Health Science And Technology

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Laporan Kasus: Tatalaksana Pneumonia Komunitas di Rumah Sakit Toto Kabila Papeo, Dizky Ramadani Putri; Putra, Andi El Jalaludin; Gubali, Jihan AR.; Gilalom, Amanda Septiyani; Abd. Latif, Novia Nur Agiska; Idrus Mohamad, Marsela; Ngani, Altaufik
Lontara Journal of Health Science and Technology Vol. 7 No. 1 (2026): Januari-Juni 2026
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Politeknik Muhammadiyah Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53861/lontarariset.v7i1.588

Abstract

Pneumonia is an acute respiratory infection affecting the terminal bronchioles and alveoli, commonly caused by bacteria, viruses, or fungi, and remains a leading cause of morbidity and mortality, particularly in extreme age groups. This study aims to describe the clinical presentation, risk factors, and evaluate diagnostic and therapeutic approaches in a patient with community-acquired pneumonia at Toto Kabila General Hospital. A case study was conducted on a 77-year-old male patient presenting with a three-day fever, two-month chronic cough, and epigastric pain. Diagnosis was established through history taking, physical examination, chest X-ray showing bilateral patchy opacities and aortic dilatation, and laboratory tests including hematology, clinical chemistry, and Widal serological test. Treatment included intravenous followed by oral levofloxacin, fluid infusion, antipyretics, N-acetylcysteine and ambroxol, vitamins, and albumin to correct hypoalbuminemia. Data were analyzed descriptively to assess the consistency between clinical findings, diagnosis, and therapeutic response. Laboratory results revealed leukocytosis (12.38×10³/µL), mild hypoalbuminemia (2.4 g/dL), and a positive Widal titer of 1/320, supporting a diagnosis of bilateral pneumonia with secondary typhoid fever. After seven days of treatment, the patient showed improvements in body temperature, respiratory function, and sputum clearance, along with better hemodynamic stability. A multimodal pharmacological and non-pharmacological approach was effective in improving the clinical condition of an elderly pneumonia patient.
Co-Authors A. Mu’thi Andy Suryadi Abd. Ghiaz Putra Ramadan Ahmad Abd. Latif, Novia Nur Agiska Adati, Agnesia Ade Ari Puspitadewi Ahmad Rifly Suleman Akuba, Juliyanti Andi Makkulawu Andini Putri Sabihi Arini Arini Az-zahra, Vivilia Aziz, Rezky Nur Begali, Musdhalifah M. Bumulo, Mohamad Ramdan Rahmat Chinta Suryaningrum Delia, Faizha Putri Dewi Rahmawaty Moo Dr. Apt. Hamsidar Hasan S.Si.,M.Si Elvie F Dungga Endah Nurrohwinta Djuwarno Erika Dami Fazril Pakaya, Mohamad Fhigra Marfiah Fika Nuzul Ramadhani Gilalom, Amanda Septiyani Gubali, Jihan AR. Gunawan, Selvi Ayu Setiaarini Gusti Pandi Liputo Hiola, Faramita Hiola, Paramita Idrus Mohamad, Marsela Immaculata, Maria Intan Nusi Irmayanti Irmayanti, Irmayanti Ishak Isa Julianty Akuba Kadaria Toana Kahar, Oktaviani Kasim, Sesha Ramadhani Kongkolu, Sitty Rahma Hutami Kuengo, Gerrald Hariyawan Latif, Multiani S. Lia Amalia Madania, Madania Mahdalena Sy Pakaya Maimun Datau Makkulawu, Andi Marhaba, Zulkarnain Mohamad Adam Mustapa Mohamad Aprianto Paneo Mubaraq, Fajar Saril Muhammad Taupik Muhammad Taupik Nabila Novreini Djunaidi Ngani, Altaufik Nur Ain Thomas Nur Rasdianah Nur'ain Dj. Silaka Nurhayati Salam Putra, Andi El Jalaludin Qarlan Pratama, Mohammad Rahmatia Samatowa Robert Tungadi Rukmawati, Iis Sri Wahyuni Suleman, Windy Riani Suyadi, A. Mu’thi Andy Teti Sutriati Tuloli Teti Sutriyati Tuloli Tri Septian Maksum Upara, Nana Nurindah Widy Susanti Abdulkadir Widy Susanti Abdulkadir Widy Susanti Abdulkadir Widysusanti Abdulkadir Wiwit Zuriati Uno Yuni Sarah Manoppo Yusuf, Siti Rahmatia Zahra Zakia, Wavika Zulkarnain Marhaba Zuriati Uno, Wiwit