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All Journal HAYATI Journal of Biosciences Jurnal Ilmu Kedokteran (Journal of Medical Science) Medical Journal of Indonesia Majalah Kedokteran Molecular and Cellular Biomedical Sciences (MCBS) Qanun Medika - Medical Journal Faculty of Medicine Muhammadiyah Surabaya Eksakta : Berkala Ilmiah Bidang MIPA Jurnal Respirologi Indonesia Jurnal Respirasi (JR) Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia JURNAL ETIKA KEDOKTERAN INDONESIA Respiratory Science Pharmaceutical Sciences and Research (PSR) MEDICINUS Eduvest - Journal of Universal Studies Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Anna Rozaliyani
Department Of Parasitology, Faculty Of Medicine, Universitas Indonesia The Indonesian Society Of Respirology Indonesia Pulmonary Mycoses Centre
Aerospace Engineering Agriculture, Biological Sciences & Forestry Astronomy Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Civil Engineering, Building, Construction & Architecture Computer Science & IT Dentistry Earth & Planetary Sciences Education Energy Engineering Environmental Science Health Professions Immunology & microbiology Materials Science & Nanotechnology Mathematics Mechanical Engineering Medicine & Pharmacology Neuroscience Public Health Social Sciences

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Fungal Profile in Patients with Lung Cancer Receiving First-Line Chemotherapy Faisal, Hana Khairina Putri; Aziziah, Aziziah; Pane, Irene Audrey Davalynn; Hasyim, Ammar Abdurrahman; Zaini, Jamal; Rozaliyani, Anna
Jurnal Respirasi Vol. 11 No. 3 (2025): September 2025
Publisher : Faculty of Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jr.v11-I.3.2025.250-255

Abstract

Introduction: Patients with lung cancer are vulnerable to opportunistic infections, particularly fungal pulmonary infections such as those caused by Aspergillus spp., due to immunosuppression from both the disease and chemotherapy. Despite the clinical significance of these infections, data on their prevalence and associated factors in patients with lung cancer remain limited. This study aimed to determine the prevalence of Aspergillus spp. and identify associated factors in patients with lung cancer who underwent first-line chemotherapy at a national respiratory referral hospital in Indonesia. Methods: A cross-sectional study was conducted among 50 patients with lung cancer who had completed at least three cycles of chemotherapy. Sputum cultures were performed using Sabouraud dextrose agar (SDA), and serum immunoglobulin G (IgG) antibodies were tested using immunochromatographic assays. Demographic, clinical, and radiological data were collected. Bivariate and multivariate logistic regression analyses were used to identify factors associated with Aspergillus spp. infection. Results: Aspergillus spp. was detected in 92.0% of patients via sputum culture, with A. niger and A. fumigatus as the most common isolates. Over 30% showed co-colonization with other fungal species, such as Candida. Multivariate analysis revealed that a high Brinkman Index was independently associated with Aspergillus spp. colonization (p<0.05). Serum IgG antibody positivity was low (4%). Conclusion: There was a high prevalence of Aspergillus spp. colonization among patients with lung cancer undergoing chemotherapy, with smoking history emerging as a key risk factor. Targeted fungal screening is recommended, especially in heavy smokers, to facilitate early detection and improve outcomes.
Epidemiological and Clinical Features of COVID-19 Patients at National Emergency Hospital Wisma Atlet Kemayoran, Jakarta, Indonesia Susanto, Agus Dwi; Rozaliyani, Anna; Prasetyo, Budi; Agustin, Heidy; Baskoro, Hario; Arifin, Arief Riadi; Pratama, Satria; Zaini, Jamal; Hasto, Bambang Dwi; Ratmono, Tugas; Savitri, Ary Indriana; Samoedro, Erlang; Husain, Bahtiar; Nawas, Arifin; Burhan, Erlina
Kesmas Vol. 16, No. 5
Publisher : UI Scholars Hub

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

The emergency hospital is intended to prevent transmission of COVID-19 in the community by isolating patients without symptoms, with mild or moderate symptoms. This study evaluated the clinical characteristics and outcomes of COVID-19 patients who were admitted to this facility. This retrospective study re-viewed data of patients treated at the National Emergency Hospital Wisma Atlet Kemayoran in Jakarta, Indonesia, from March 23 to April 30, 2020. Patient characteristics (clinical symptoms, laboratory test results, Chest X-Ray, SARS-CoV-2 immunoserology, and RT-PCR results from nasopharyngeal/ oropharyngeal preparations) were compared between severity groups. There were 413 COVID-19 cases analyzed, of which 190 (46%) were asymptomatic, 93 (22.5%) were mild, and 130 (31.5%) were moderate cases. Most asymptomatic cases were male, with young age, and without comorbidity. Mild cases were dominated by female and young patients, while most moderate cases were male and older patients. The number of patients with comorbidities was higher in mild and mod-erate cases. The patient’s overall outcome was good and did not differ based on the severity of symptoms. Despite the many challenges, patients with moderate symptoms can be safely treated in the emergency hospital.
The body mass index profiles in chronic pulmonary aspergillosis: trend and variability in post tuberculosis patients Setianingrum, Findra; Rozaliyani, Anna
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 8 No 01 (2024): Qanun Medika Vol 08 No 01 January 2024
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v8i01.20763

Abstract

Tuberculosis (TB) is the main risk factor for chronic pulmonary aspergillosis, especially in patients with residual cavitary lesions after completion of TB therapy. The body mass index (BMI) is one of the established markers in predicting the mortality of CPA. However, the data regarding BMI profiles of CPA patients in Indonesia is still limited. We evaluated the BMI profiles of CPA patients among post-TB patients. Patients diagnosed as CPA based on clinical, radiology and the Aspergillus IgG test. 50 patients were included with a mean age of 35 years; 13 patients met the criteria of CPA. The overall median of BMI in these patients was 21. The median BMI in the CPA group was 19,3. The lowest (19,8) median BMI value was observed in the positive Aspergillus IgG group (11,5 – 30 mg/L) with a minimum BMI of 14,7 and a maximum BMI of 29,2. The differences in median BMI across CPA and non CPA groups and Aspergillus IgG level were not statistically significant. However, there is a trend that lower BMI were distributed among patients with positive Aspergillus IgG. More than one third of CPA patients in this study were classified as underweight. Future study is necessary to better depict the BMI profiles in larger scale of populations of CPA in Indonesia in order to achieve better diagnosis and management of CPA.
The Role of Aspergillus Antibody Detection in Allergic Bronchopulmonary Aspergillosis Elqowiyya, Aqidatul Islamiyyati; Rozaliyani, Anna
Eduvest - Journal of Universal Studies Vol. 4 No. 10 (2024): Journal Eduvest - Journal of Universal Studies
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/eduvest.v4i10.39022

Abstract

Allergic bronchopulmonary aspergillosis (ABPA) is an allergic lung disorder characterized by an exaggerated immune response to fungal allergens, particularly from Aspergillus fumigatus. ABPA leads to excessive mucus production and impaired mucociliary clearance. When A. fumigatus conidia are inhaled, they germinate, release exoproteases and other substances that further impede mucociliary clearance, and activate the immune response. The immune response is known by an exaggerated Th2 response to Aspergillus antigens, leading to production of IgE antibodies, eosinophilic infiltration of the lungs, and the formation of immune complexes. These immune complexes can deposit in the lung tissue, leading to airway inflammation, bronchiectasis, and fibrosis. This disease mainly occurs in individuals diagnosed with bronchial asthma and cystic fibrosis. Increased levels of A. fumigatus total IgE and specific IgE, IgG, and IgA antibodies, play a role in diagnosing patients with ABPA.
Perbandingan Hasil Biakan Spesimen Respirasi pada Agar Miring dan Cawan Petri (Plate) di Laboratorium Parasitologi Fakultas Kedokteran Universitas Indonesia Theola, Jason; Mulyati, Mulyati; Rozaliyani, Anna; Ridhawati, Ridhawati; Adawiyah, Robiatul
Majalah Kedokteran Indonesia Vol 72 No 5 (2022): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.72.5-2022-401

Abstract

Introduction: One of the main health problems in Indonesia is respiratory disease. Respiratory disease can be caused by fungus, so-called lung mycosis. The fungi species that cause respiratory infections in humans range from Candida sp. to more dangerous species such as Aspergillus fumigatus. Culture methods using respiratory specimens, especially sputum, can be used to identify species of fungi that cause pulmonary mycosis. Aim this study was conducted to compare the culture results between conventional culture methods on sloped agar and high volume culture method on plate.Method: This study used a cross-sectional design in which the data of culture results were obtained from different culture methods.Result: High volume culture method grew more colonies including Aspergillus fumigatus than conventional culture method which grew no Aspergillus fumigatus. The correlation of data between culture methods and culture results were analyzed with McNemar test and it showed p=0.000.Conclusion: The relationship between the culture method and culture results has a significant correlation (p less than 0.05). Therefore, high volume culture was a better method to grow more fungal colonies including Aspergillus fumigatus than conventional culture methods.
Clinical and microbiological characteristics of onychomycosis in a tertiary hospital: a cross-sectional study Widaty, Sandra; Oktarina, Caroline; Marissa, Melani; Adawiyah, Robiatul; Rozaliyani, Anna; Kartika, Emiliana; Tugiran, Mulyati
Medical Journal of Indonesia Vol. 33 No. 1 (2024): March
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13181/mji.oa.247201

Abstract

BACKGROUND Onychomycosis is a common fungal nail infection with a low cure rate. While dermatophytes are the most common causal agent for onychomycosis, the incidence of Candida and nondermatophyte mold (NDM) onychomycosis is increasing. This study aimed to analyze the clinical and microbiological characteristics of patients with onychomycosis. METHODS Patients who visited the Department of Dermatology and Venereology, Cipto Mangunkusumo Hospital, and were diagnosed with onychomycosis from 2017 to 2022 were included. Diagnosis was established through clinical examination, supported by the result of direct microscopic examination with potassium hydroxide. RESULTS Of 171 patients, 93.6% had onychodystrophy, 65.5% were females, and 62.0% were aged 19–59 years. Most patients had onychodystrophy in more than three nails, affecting fingernails (31.6%) and toenails (34.5%). Interestingly, 84.8% of patients had no history of nail diseases. The median onset of disease was 24.0 (1–1,040) weeks, while the median onychomycosis severity index was 10.0 (2–40). Most cases were caused by Candida albicans (48.3%). Fusarium was the only NDM documented (2.3%). Some patients were resistant to itraconazole (11.4%) and miconazole (4.5%). Overall, 49.1% of the patients were declared not cured. CONCLUSIONS Candida was the predominant cause of onychomycosis, and onychodystrophy was the dominant feature. Current treatment regimens with systemic or topical antifungal agents did not yield satisfactory results, with more than half of the patients deemed not cured.
Co-Authors Abul A'la Al Maududi Adrir, Mutia Syarifah Agus Dwi Susanto Agus Purwadianto Agustin, Heidy Ali Sulaiman Alvin Kosasih Ammar Abdurrahman Hasyim Anna Ujainah Anna Ujainah, Anna Annisa Mulia Anasis Anwar Jusuf Arief Riadi Arifin Arifin Nawas Arifin Nawas Arifin, Arief Riadi Ary Indriana Savitri Asiyah Taqiyya Fakhrur Razi Azharul Yusri Aziziah, Aziziah Bahtiar Husain Bambang Dwi Hasto Baskoro, Hario Boedi Swidharmoko Broto Wasisto Budi Prasetyo Budi Prasetyo C. Martin Rumende, C. Martin Christy Efiyanti Damayanti, Triya Denny Grecius Siregar Dewi Rizki Agustina Dewi Rizki Agustina, Dewi Rizki Diah Handayani Djatikusumo, Ari Dodi Sudiana Elisna Syahruddin Elqowiyya, Aqidatul Islamiyyati Erlang Samudro Erlina Burhan Evy Yunihastuti Fadlika Harinda Faisal, Hana Khairina Putri Fariz, Nurwidya Febriani Endiyarti Findra Setianingrum Findra Setianingrum Findra Setianingrum Frans Santosa Ghina Faradisa Hatta Hansel Tengara Widjaja Hario Baskoro Hasto, Bambang Dwi Hasyim, Ammar Abdurrahman Henie Widowati Heri Wibowo Heri Wibowo Husain, Bahtiar Ikhwan Rinaldi Indah Kusumawati Susanti Julian Julitasari Sundoro Kartika, Emiliana Kusumowidagdo, Gladys Librianty, Nurfanida Lisnawati Rachmadi Lukman Edwar Malik, Andi Sri Suryani Mardianto, Umar Marissa, Melani Mohammad Baharuddin Muh Ronike Yunus Muhammad Alkaff Muhammad Baharudin Muhammad Yadi Permana Mulyati Mulyati Mulyati Tugiran Oktarina, Caroline Pane, Irene Audrey Davalynn Prijo Sidipratomo Priyanti ZS Pukovisa Prawiroharjo Putri Dianita Ika Meilia Putri Dianita Ika Meilia R Sjamsuhidajat Rani Sauriasari Rani Sauriasari Ratika Rahmasari Retno Wahyuningsih Rianto Setiabudi Rianto Setiabudy Rianto Setiabudy Ridhawati Sjam Ridhawati, Ridhawati Rizki Oktarini Robiatul Adawiyah Robiatul Adawiyah Robiatul Adawiyah Rulliana Agustin Rulliana Agustin Samoedro, Erlang Sandra Widaty Sarah Almira Satria Pratama Satria Pratama Satria Pratama Savitri, Ary Indriana Setianingrum, Findra Sita Andarini Sresta Azahra Theola, Jason Tugas Ratmono Tugas Ratmono, Tugas Tugiran, Mulyati Vincent Pratama Wawang Sukarya Wawang Sukarya Yudantha, Anggun R. Yuli Budiningsih Yunita, Fenny Yuwono, Edho Zahrah Annisa Zaini, Jamal Zubairi Djoerban