Theresia Monica Rahardjo
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Multisystem Inflammatory Syndrome in Children: A Review Chandni P. Daryanani; Theresia Monica Rahardjo; Harris Utama; Angga Trie Buana; Eaufira Mereditha Pasaribu; Euodia Eunike
Medical Clinical Update Vol. 2 No. 1 (2023): February
Publisher : Rumah Sakit Unggul Karsa Medika

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (4428.78 KB) | DOI: 10.58376/mcu.v2i1.26

Abstract

Pediatric inflammatory multisystem syndrome, temporally associated with SARS-CoV-2 (PIMS-TS) or multisystem inflammatory syndrome in children (MIS-C) is a condition identified recently. Children who were previously healthy may experience cardiac, neurological, respiratory, gastrointestinal, and dermatological dysfunction. Majority of patients (73%) require intensive care treatment, and more than half (56%) of patients arrive in shock. Different management are used for MIS-C patients, but they all primarily focus on immunomodulatory drugs such as IVIG and glucocorticoids as initial therapy. Biologic agents like anakinra, tocilizumab, and infliximab should be intensified when the patients are resistant to IVIG and glucocorticoids.
Respiratory Failure in Acute Decompensated Heart Failure: A Case Report Nuri Nurhasanah S; Theresia Monica Rahardjo; Gabriel Tangdirerung R; Angelina Simbolon; Andieni Faqhira P; Cyntia Carrisa; I. Gusti A.P; Fauziah Luthfianti; Revalitha Putri; Assyifa Putri U.; Muliani Ester R.
Medical Clinical Update Vol. 2 No. 1 (2023): February
Publisher : Rumah Sakit Unggul Karsa Medika

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1799.59 KB) | DOI: 10.58376/mcu.v2i1.29

Abstract

Chronic respiratory failure is an acute respiratory failure that develop slowly. The symptoms are shortness of breath, extreme tiredness, an inability to exercise, and sleepiness. One of the causes of respiratory failure is acute decompensated heart failure (ADHF). ADHF It can be defined suddenly heart failure requiring hospitalization. ADHF is caused by acute coronary syndromes, COPD exacerbation, asthma, surgery, and drugs. If not treated properly, it can lead to stroke, liver congestion, atrial fibrillation, arrhythmia ventricular, and venous thrombosis
Peri Partum Cardiomyopathy: A Case Report Aloysius Suryawan; Theresia Monica Rahardjo; Fabianus Ferdian Damario; Alicka Octorevia Witjaksono; Angela Mulyana Sugiaman; Kellen Clementine; Nafisya Dhira Bella; Winda Permata Sari; Yoshua Adhi Nicholaus; Yovita Hamdani; I Made Putra Rena
Medical Clinical Update Vol. 2 No. 1 (2023): February
Publisher : Rumah Sakit Unggul Karsa Medika

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (2485.263 KB) | DOI: 10.58376/mcu.v2i1.33

Abstract

Cardiomyopathy that appears around the end of pregnancy or in the first few weeks after delivery is known as peripartum cardiomyopathy (PPCM). The pathogenesis of PPCM is unknown, however a number of factors, including viral myocarditis, an atypical resistance to pregnancy, an odd reaction to the increased hemodynamic weight of pregnancy, hormone interactions, ill health, aggravation, and apoptosis, are thought to contribute to this illness.
Stevens Johnson Syndrome: A Case Report Peter Nugraha Soekmadji; Theresia Monica Rahardjo; Riza Chandra Luthfy; Stevani Abigail; Nadya Naurah Adrina Suardi; Risha Diranti Ananda Putri
Medical Clinical Update Vol. 2 No. 1 (2023): February
Publisher : Rumah Sakit Unggul Karsa Medika

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (3458.913 KB) | DOI: 10.58376/mcu.v2i1.35

Abstract

Steven Johnson Syndrome is an allergic reaction and in severe condition can be life-threatening. This condition can result in systemic symptoms and sometimes need intensive management. This case report aimed to present a diagnosis and treatment of a Steven Johnson Syndrome in clinic
Severe Dehydration Due to Low Intake in Patients with Oral Candidiasis in Malignancy: A Case Report Theresia Monica Rahardjo; Brenli Orville Sumarlie; Erinetta Koeswandy Kho; Laudry Fanthera; Liyenka Belusi Tantra; Nathalia Gabriella
Medical Clinical Update Vol. 2 No. 1 (2023): February
Publisher : Rumah Sakit Unggul Karsa Medika

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (3507.508 KB) | DOI: 10.58376/mcu.v2i1.36

Abstract

Oral candidiasis is an infection in oral cavity caused by Candida albicans. This disease is frequently caused by immunological suppression, which can be local or systemic, caused by immunosuppression due to extremes of age (newborns and the elderly), diseases that impair immunity, such as in infection of human immunodeficiency virus (HIV) or Acquired Immunodeficiency Syndrome (AIDS), long-term systemic steroid use, and long-term systemic antibiotic use. Oral candidiasis could lead to low-intake condition due to swallowing difficulties. This case report aimed to present a patient with severe dehydration due to oral candidiasis that needs to be hospitalized.
The Effectiveness of Plasma Convalescent in Pregnant Women with COVID-19 At Unggul Karsa Medika Hospital: A Case Series Aloysius Suryawan; Theresia Monica Rahardjo; Rizna Tyrani Rumanti; Angel Yustina Ngongo; Difati Cesar Marselino; Indry Andy Ginting; Johanna; Liana Alvitri; Sharone Amabel; Tiara Margaretha Tabolong; Trengginas Aji Suroso; Yosua Kristian Setia Budi
Medical Clinical Update Vol. 3 No. 1 (2023): June
Publisher : Rumah Sakit Unggul Karsa Medika

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Abstract

At the beginning of 2020, a pandemic caused by a novel coronavirus began to have devastating effects worldwide. The etiological agent was Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) and the disease named coronavirus disease or COVID-19. Nearly 109 million people have been infected by the virus and more than 2.4 million people have died. An intense debatehas started on therapeutic possibilities for COVID-19 in pregnancy. The management of the disease is essentially driven by the symptoms. Asymptomatic or pauci-symptomatic women do not require inpatient care or medications, but simply need monitoring of respiratory function for up to two weeks for evidence of deterioration. Convalescent plasma from individuals who have recovered from COVID-19, a blood component that is not contraindicated in pregnant women and has been transfused safely for at least 30 years, deserves special consideration.
Caesarean Section as A Prevention of Intrapartum Transmission in Pregnant Woman with Syphilis: A: Case Report Chandni P. Daryanani; Aloysius Suryawan; Theresia Monica Rahardjo; Apriani Lam; Maxzillion Sky Kasnadi; Nadya Ariella; Stefanie Sumartono; Syifa Navisah
Medical Clinical Update Vol. 3 No. 1 (2023): June
Publisher : Rumah Sakit Unggul Karsa Medika

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Abstract

Syphilis is an infectious disease caused by spirochete bacterium Treponema pallidum. Most of the new case of syphilis occur in men, but there is a tendency of increasing infection rate in reproductive-aged women, with the highest rates observed in 20-24 years old. Syphilis can be transmitted by sexual intercourse, blood products transfusion, or transplacental known as congenital syphilis and during delivery process as intrapartum transmission. Syphilis is a relapsing and remitting disease with early and late stages. Congenital syphilis is caused by foetal infection of Treponema pallidum, transmission mostly occurs transplacental, and it may occur at any time during gestation.
Henoch-Schonlein Purpura in 14 years-old Boy: A Case Report Theresia Monica Rahardjo; Chandni P. Daryanani; Apriani Lam; Maxzillion Sky Kasnadi; Nadya Ariella; Stefanie Sumartono; Syifa Navisah
Medical Clinical Update Vol. 3 No. 1 (2023): June
Publisher : Rumah Sakit Unggul Karsa Medika

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Abstract

Henoch-Schonlein Purpura is the most common early life vasculitis in children. More than 90% arebelow ten years of age, with a median age of six years. This condition is a genetically autoinflam-matory disease. Immunoglobulin A plays an important role in the pathogenesis of his disease. It iscommonly self-restricting and harmless, but concomitant nephritis may occur as complication