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All Journal Bioscientia Medicina : Journal of Biomedicine and Translational Research PREPOTIF : Jurnal Kesehatan Masyarakat Bioscientia Medicina : Journal of Biomedicine and Translational Research
Harancang Pandih Kahayana, Harancang Pandih
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Biochemistry, Genetics & Molecular Biology Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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Challenges of Diagnosis and Management of Complex Febrile Seizures in Infants: A Case Study Adella Syafira Habsari; Kahayana, Harancang Pandih
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 8 No. 10 (2024): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v8i10.1089

Abstract

Background: Complex febrile seizures (KDK) are a type of febrile seizure that is more severe than simple febrile seizures (KDS), characterized by longer duration, recurrence within 24 hours, and/or focal onset. KDK can be a diagnostic and therapeutic challenge, especially in infants. Case presentation: This case report presents a 1-year-old baby girl who was treated in the emergency department (ER) with complaints of recurrent seizures and persistent fever. Physical examination revealed fever and tachypnea, while laboratory examination revealed hyperglycemia, hyperkalemia, hyponatremia, and decreased hematocrit. The patient's history indicated previous episodes of febrile seizures, but no significant family history. Conclusion: The patient was diagnosed with KDK and given fluid resuscitation, antipyretics, anticonvulsants, and antibiotics. The patient's parents are educated about KDK and its management. The patient's prognosis is considered good, with a small chance of long-term neurologic sequelae if treated appropriately.
Challenges of Diagnosis and Management of Complex Febrile Seizures in Infants: A Case Study Adella Syafira Habsari; Kahayana, Harancang Pandih
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 8 No. 10 (2024): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v8i10.1089

Abstract

Background: Complex febrile seizures (KDK) are a type of febrile seizure that is more severe than simple febrile seizures (KDS), characterized by longer duration, recurrence within 24 hours, and/or focal onset. KDK can be a diagnostic and therapeutic challenge, especially in infants. Case presentation: This case report presents a 1-year-old baby girl who was treated in the emergency department (ER) with complaints of recurrent seizures and persistent fever. Physical examination revealed fever and tachypnea, while laboratory examination revealed hyperglycemia, hyperkalemia, hyponatremia, and decreased hematocrit. The patient's history indicated previous episodes of febrile seizures, but no significant family history. Conclusion: The patient was diagnosed with KDK and given fluid resuscitation, antipyretics, anticonvulsants, and antibiotics. The patient's parents are educated about KDK and its management. The patient's prognosis is considered good, with a small chance of long-term neurologic sequelae if treated appropriately.
DENGUE SHOCK SYNDROME PADA ANAK DENGAN OBESITAS : LAPORAN KASUS Kintan Permata Hidayat; Kahayana, Harancang Pandih; Herwanto, Herwanto
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 10 No. 1 (2026): APRIL 2026
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v10i1.54261

Abstract

Obesitas meningkatkan risiko DSS dengan meningkatkan permeabilitas kapiler dan kebocoran plasma. Penelitian ini tidak hanya mencakup faktor risiko dan pendekatan terapeutik terbaik untuk DSS pada remaja yang kelebihan berat badan, tetapi juga diagnosis dan pengobatan penyakit tersebut. Dengan menggunakan metode studi kasus deskriptif, informasi klinis, laboratorium, dan radiografi dari pasien laki-laki berusia 11 tahun dengan DSS dan obesitas (BMI >+3 SD) dianalisis. Ketidakseimbangan elektrolit dan hemokonsentrasi terlihat jelas pada pasien. Kondisi tersebut berhasil ditangani menggunakan teknik manajemen cairan yang mempertimbangkan berat badan tanpa lemak. Selain itu, penelitian ini mendukung kontribusi signifikan adipokin dan disfungsi endotel terhadap peningkatan kebocoran plasma. Penelitian ini menekankan perlunya pemantauan cairan yang cermat dan pendekatan yang disesuaikan untuk perawatan pasien obesitas, serta rekomendasi untuk penelitian tambahan tentang terapi antiinflamasi dan perubahan protokol cairan.
Co-Authors Adella Syafira Habsari Herwanto Herwanto Kintan Permata Hidayat