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All Journal Indonesian Journal of Tropical and Infectious Disease CURRENT INTERNAL MEDICINE RESEARCH AND PRACTICE SURABAYA JOURNAL Journal Of World Science
Chandra Irwanadi Mohani, Chandra Irwanadi
Universitas Airlangga - Dr. Soetomo General Hospital
Biochemistry, Genetics & Molecular Biology Computer Science & IT Earth & Planetary Sciences Economics, Econometrics & Finance Engineering Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Public Health Social Sciences

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A Female Patient With Clinical Symptoms as Recurrent Urinary Tract Infection Caused By Urinary Tract Tuberculosis Rastita Widyasari; Artaria Tjempakasari; Chandra Irwanadi Mohani
Current Internal Medicine Research and Practice Surabaya Journal Vol. 1 No. 1 (2020): CURRENT INTERNAL MEDICINE RESEARCH AND PRACTICE JOURNAL SURABAYA
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cimrj.v1i1.16829

Abstract

Background : Urinary tract tuberculosis (TB)  is one type of extrapulmonary TB. The prevalence in developed countries is around 15-20% of all cases of extrapulmonary TB.1 The insidious onset and non-specific constitutional symptoms of urinary tuberculosis often lead  to delayed diagnosis and  rapid progression to a non-functioning kidney.2-3 The only way to limit renal function loss and destruction  is by early diagnosis and therapy.4Case: 34-year-old woman, came with complaints of urinary pain accompanied by right flank pain 10 months prior. Patient also had  complaint of weight loss but ignoring complaints of night sweats. Patient repeatedly diagnosed as a urinary tract infection and received many kinds of antibiotic therapy but her complaints were not getting better. Urine production was about 1700 cc/24 hours. From general physical examination, there was a lack of nutritional status with BMI 17.1 kg/m2. Vesicular lung sound without rhonchi heard in both lung fields. From the urinalysis examination there were pyuria and haematuria without bacteriuri. Laboratory examination showed value of BUN was 17 mg/dl and creatinine 0.9 mg/dl. From aerob urine culture we found sterile urine. But we found positive result of Mycobacterium tuberculosis (MTB) urine cultures which was sensitive to isoniazid, rifampicin, pyrazinamide, and ethambutol. Abdominal ultrasound showed severe ecstasis of right pelviocalyceal system without stones,mass, nor cyst. We had additional data from intravenous pyelogram (IVP) which showed a non-visualized dextra pelviocalyceal system and delayed bladder emptying function at 120th minutes. From computed tomography stonographic, we found severe right hydronephrosis, proximal to distal right hydroureter, and thickening of bladder wall (± 1.61 cm) on the right antero-lateral side. To find out the cause of thickening of bladder wall, we did bladder biopsy which showed the mononuclear inflammatory cell stroma. Patients were diagnosed with urinary tract TB and received category 1 of oral anti tuberculosis therapy (Rifampicin, Isoniazid, Pyrazinamid, and Ethambutol) for 12 months and underwent right DJ stent implantation  to manage the ectasys.Conclusion : Urinary tract TB often showed unspecified complaints and can be suggested as recurrent urinary tract infections. Early diagnosis and optimal management were needed to prevent anatomical and functional complications.
HEPATITIS C VIRUS INFECTION IN HEMODIALYSIS PATIENTS: COMPARISON OF THE SURABAYA DIALYSIS CENTER AND JUNTENDO UNIVERSITY HOSPITAL DIALYSIS CENTRE santoso, djoko; pranawa, pranawa; Yogiantoro, Moh.; Widodo, Widodo; Wardana, Aditia; Mardiana, Nunuk; Mohani, Chandra Irwanadi; soewanto, soewanto; Shou, Ichiyu; Maeda, Kunimi; Hamada, chieko; Fukui, Mitsumine; Horikoshi, Satoshi; Tomino, Yasuhiko
Indonesian Journal of Tropical and Infectious Disease Vol. 1 No. 3 (2010)
Publisher : Institute of Topical Disease Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (441.735 KB) | DOI: 10.20473/ijtid.v1i3.2183

Abstract

Hepatitis C virus infection is highly prevalence in chronic hemodialysis (HD) patients. The present study will compare prevalence of HCV positive population in difference countries where there are great contrasts in and diversity of care available to patients who have end stage renal disease. All serum samples of the 100 patients were tested for HCV antibodies, using third-generation enzyme immunoassay. The prevalence of anti-HCV was correlated with a history of blood transfusion and with duration of hemodialysis. HCV prevalences were 88% of Surabaya group and 6% of Juntendo Group, respectively. In Surabaya Group, prevalence of HCV positive was high and the risk factors are not only those of the Juntendo Group, but also a combination of poor living conditions, frequent blood transfusions, and lack of adherence. Much needs to be studied about the role of universal screening and effective techniques for primary prevention in Surabaya Group
Cardio-Renal-Anemia Syndrome and Acute Type 2 Respiratory Failure Following Hemodialysis: A Case Report on the Challenges of Critical Care Management Jahidi, Savero Mizan; Aflahudin, M. Ahda Naufal; Asyiroh, Hubah; Mohani, Chandra Irwanadi
Journal of World Science Vol. 3 No. 12 (2024): Journal of World Science
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/jws.v3i12.1241

Abstract

Cardiorenal anemia syndrome (CRAS) is a complex condition involving heart failure, chronic kidney disease (CKD), and anemia, often complicated by comorbidities such as diabetes and hypertension. This case study presents a critically ill patient with a history of diabetes and hypertension who developed life-threatening Type 2 respiratory failure due to CRAS following hemodialysis. Upon admission, the patient exhibited severe respiratory distress, low oxygen saturation, bilateral pulmonary edema, and delayed capillary refill time, indicating a dire initial condition. Blood tests confirmed anemia, leukocytosis, and elevated creatinine, while blood gas analysis revealed uncompensated respiratory acidosis. Multidisciplinary management involved oxygen therapy, diuretics, intravenous antibiotics, and mechanical ventilation due to suspected sepsis. This report highlights the complex interplay of CRAS-related complications and underscores the significance of early, integrated treatment strategies to improve patient outcomes.
Co-Authors Aditia Wardana, Aditia Aflahudin, M. Ahda Naufal Artaria Tjempakasari, Artaria Asyiroh, Hubah chieko Hamada, chieko Djoko Santoso Ichiyu Shou, Ichiyu Jahidi, Savero Mizan Kunimi Maeda, Kunimi Mitsumine Fukui, Mitsumine Moh. Yogiantoro, Moh. Nunuk Mardiana, Nunuk pranawa pranawa, pranawa Rastita Widyasari Satoshi Horikoshi, Satoshi soewanto soewanto, soewanto Widodo Widodo Yasuhiko Tomino, Yasuhiko