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Demam Berdarah Dengue dengan Perdarahan Spontan Anas, Muhammad; Firsiyanti, Aty; Fitria, Yusian Eri; Silkviana, Hassita Nadia; Abbas, Putri Naula; Azayyana M.S, Alshafiera; Frando G.E, Moch; Haniifah, Ulaa
Surabaya Biomedical Journal Vol 3 No 1 (2023): September 2023
Publisher : Fakultas Kedokteran, Universitas Hang Tuah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30649/sbj.v3i1.54

Abstrak Pendahuluan: Dengue Hemorrhagic Fever (DHF) merupakan salah satu infeksi yang sering terjadi di negara tropis utamanya Indonesia dan banyak menyebabkan kematian. DHF merupakan bagian dari Infeksi Virus Dengue yang mmkiliki klasifikasi lain. Tanda klinis DHF adalah demam tinggi, penurunan trombosit dan leukosit, bisa atau tidak ditemukan adanya perdarahan spontan. Laporan Kasus: Pasien anak laki – laki usia 15 tahun rujukan dari PKU Sumberaji dengan keluhan demam, keringat dingin, BAB lembek, mimisan, mual muntah dan nyeri kepala. Pembahasan: Dengue Hemorrhagic Fever (DHF) merupakan salah satu bagian dari Infeksi Virus Dengue yang disebabkan oleh virus DEN 1-4, vectornya adalah nyamuk Aedes Aegypti. Manifestasi klinis dapat berbeda – beda tiap klasifikasinya, kesamaan hanya ada di keluhan demam tinggi. Klasifikasi lain bisa berupa Undifferentiated Fever, Dengue Fever, DHF grade 1-IV, Dengue Shock Syndrome. Klasifikasi ini juga digunakan untuk menentukan terapi dan prognosis penyakit Kata kunci: Demam, Dengue Fever, Infeksi Virus Dengue, Dengue Hemorrhagic Fever. Abstract Introduction: Dengue Hemorrhagic Fever (DHF) is an infection that often occurs in tropical countries, especially Indonesia and causes many deaths. DHF is part of Dengue Virus Infection which has another classification. Clinical signs of DHF are high fever, decreased platelets and leukocytes, spontaneous bleeding may or may not be found. Case Report: A 15-year-old male patient referred from PKU Sumberaji with complaints of fever, cold sweat, loose bowel movements, nosebleeds, nausea, vomiting and headaches. Discussion: Dengue Hemorrhagic Fever (DHF) is a part of Dengue Virus Infection caused by the DEN 1-4 virus, the vector of which is the Aedes Aegypti mosquito. Clinical manifestations can be different for each classification, similarities are only in complaints of high fever. Another classification can be Undifferentiated Fever, Dengue Fever, DHF grade 1-IV, Dengue Shock Syndrome. This classification is also used to determine therapy and disease prognosis Keyword: Fever, Dengue Fever, Dengue Virus Infection, Dengue Hemorrhagic Fever

Demam Berdarah Dengue dengan Perdarahan Spontan Muhammad Anas; Aty Firsiyanti; Yusian Eri Fitria; Hassita Nadia Silkviana; Putri Naula Abbas; Alshafiera Azayyana Mawadhani Sukma; Moch Frando Ghiffari Ekwanda; Ulaa Haniifah
Surabaya Biomedical Journal Vol. 3 No. 1 (2023): September
Publisher : Fakultas Kedokteran, Universitas Hang Tuah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30649/sbj.v3i1.54

Abstrak Pendahuluan: Dengue Hemorrhagic Fever (DHF) merupakan salah satu infeksi yang sering terjadi di negara tropis utamanya Indonesia dan banyak menyebabkan kematian. DHF merupakan bagian dari Infeksi Virus Dengue yang mmkiliki klasifikasi lain. Tanda klinis DHF adalah demam tinggi, penurunan trombosit dan leukosit, bisa atau tidak ditemukan adanya perdarahan spontan. Laporan Kasus: Pasien anak laki – laki usia 15 tahun rujukan dari PKU Sumberaji dengan keluhan demam, keringat dingin, BAB lembek, mimisan, mual muntah dan nyeri kepala. Pembahasan: Dengue Hemorrhagic Fever (DHF) merupakan salah satu bagian dari Infeksi Virus Dengue yang disebabkan oleh virus DEN 1-4, vectornya adalah nyamuk Aedes Aegypti. Manifestasi klinis dapat berbeda – beda tiap klasifikasinya, kesamaan hanya ada di keluhan demam tinggi. Klasifikasi lain bisa berupa Undifferentiated Fever, Dengue Fever, DHF grade 1-IV, Dengue Shock Syndrome. Klasifikasi ini juga digunakan untuk menentukan terapi dan prognosis penyakit Kata kunci: Demam, Dengue Fever, Infeksi Virus Dengue, Dengue Hemorrhagic Fever. Abstract Introduction: Dengue Hemorrhagic Fever (DHF) is an infection that often occurs in tropical countries, especially Indonesia and causes many deaths. DHF is part of Dengue Virus Infection which has another classification. Clinical signs of DHF are high fever, decreased platelets and leukocytes, spontaneous bleeding may or may not be found. Case Report: A 15-year-old male patient referred from PKU Sumberaji with complaints of fever, cold sweat, loose bowel movements, nosebleeds, nausea, vomiting and headaches. Discussion: Dengue Hemorrhagic Fever (DHF) is a part of Dengue Virus Infection caused by the DEN 1-4 virus, the vector of which is the Aedes Aegypti mosquito. Clinical manifestations can be different for each classification, similarities are only in complaints of high fever. Another classification can be Undifferentiated Fever, Dengue Fever, DHF grade 1-IV, Dengue Shock Syndrome. This classification is also used to determine therapy and disease prognosis Keyword: Fever, Dengue Fever, Dengue Virus Infection, Dengue Hemorrhagic Fever

Bronchopneumonia and Multiorgan Dysfunction in a 10-month-old Infant with Down Syndrome Dwi Wulandari; Yusian Eri Fitria; Aty Frisianty
MAGNA MEDIKA Berkala Ilmiah Kedokteran dan Kesehatan Vol 13, No 1 (2026): FEBRUARY
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/magnamed.13.1.2026.50-56

Background: Common chromosomal disorders like Down Syndrome (DS) are linked to a high rate of congenital abnormalities, especially hypothyroidism and congenital heart disease (CHD).Presentation Case: This case report presents a 10-month-old female with DS who was brought to the emergency department with respiratory distress, poor weight gain, and delayed development. Physical examination revealed characteristic dysmorphic features, hypotonia, and a systolic murmur. Investigations showed elevated TSH and FT4, consistent with congenital hypothyroidism, while echocardiography confirmed the presence of ASD.Discussion: This case illustrates the multisystem involvement commonly observed in Down syndrome, including congenital hypothyroidism and atrial septal defect, both of which are major contributors to morbidity and mortality. The co-occurrence of recurrent respiratory infections, heart disease, and endocrine dysfunction underscores the need for early screening, multidisciplinary management, and comprehensive care to improve outcomes in children with Down syndrome.Conclusion: Early detection of CHD and hypothyroidism in children with Down syndrome is essential to prevent complications and support optimal growth and development through timely, multidisciplinary intervention.

Keterlambatan Bicara pada Anak: Pendekatan Evidence-Based dalam Evaluasi dan Penatalaksanaan (Laporan Kasus) Aty Firsiyanti; Gina Noor Djalilah; Yusian Eri Fitria; Mufidah Hariani; Adristy Anneira Vanka Meisya; Nabilah Isyraq Syahirah; Farida Kholifah; Salsabila Rayhani; Zetty Fortune Ananta Mulia
PROCEEDING UMSURABAYA Vol 1 No 2 (2026): Proceeding Series LSPID UMSURA
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/ps.v5i1.32021

Speech delay is one of the most common developmental disorders in children and may affect communication, social interaction, and overall development. This case report describes a 33-month-old boy with delayed speech development. His parents reported that the child was unable to speak according to his age and could only say one meaningful word. The delay was first noticed at 16 months of age. Despite delayed expressive language, the patient still demonstrated relatively good receptive language abilities, including understanding simple commands, responding when called, and communicating through gestures with good eye contact. Developmental history revealed delayed motor milestones, including sitting independently at 11-12 months, crawling at 13-15 months, and walking independently at 17-18 months. Several risk factors were identified, including neonatal asphyxia requiring NICU admission, formula feeding since birth, excessive screen time exposure, limited verbal stimulation, minimal interaction with peers, and a family history of delayed speech. The patient underwent speech therapy and occupational therapy for approximately eight months. Early identification and multidisciplinary intervention are important to improve communication and developmental outcomes in children with speech delay.

Progresi Weight Faltering Menjadi Severely Underweight akibat Pola Makan Maladaptif: Case Report Aty Firsiyanti; Gina Noor Djalilah; Yusian Eri Fitria; Mufidah Hariani; Salsabila Rayhani; Farida Kholifah; Adristy Anneira Vanka Meisya; Nabilah Isyraq Syahirah; Zetty Fortune Ananta Mulia
PROCEEDING UMSURABAYA Vol 1 No 2 (2026): Proceeding Series LSPID UMSURA
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/ps.v5i1.32020

Background: Weight faltering in early childhood may develop gradually and be difficult to recognize early. It is not always caused by organic disease, but may reflect an imbalance between nutritional needs and intake, especially during the complementary feeding period. Case presentation: A 2-year-30-day-old girl was brought by her mother because of no significant weight gain since 7 months of age. She was exclusively breastfed for 6 months and started complementary feeding at 6 months. Since then, she had poor appetite, was difficult to feed, and consumed only 3 small spoonfuls @5 grams/spoon per meal. At 7 months, her mother noticed poor weight gain, but no specific growth monitoring was provided until around 1 year of age. The child was cared for daily by her grandmother while her mother worked as a teacher. Complementary foods were usually prepared by the mother before work and often consisted of vegetables and fruits, while animal and plant protein were rarely given. After 1 year of age, her intake became by UHT milk and formula. She also frequently consumed snack foods and tea. High-calorie milk was poorly accepted, and vitamin sprinkle supplementation reportedly reduced her appetite. At presentation, her weight was 8.5 kg and height was 78 cm. WHO growth chart interpretation showed underweight, stunted, and normal weight-for-height. No significant prenatal, perinatal, developmental, past medical, or family history directly explained the growth problem. Conclusion: This case illustrates chronic weight faltering beginning during complementary feeding, most likely related to prolonged inadequate intake and maladaptive feeding patterns. Early anthropometric monitoring, exclusion of organic causes, and caregiver-based feeding intervention are essential to support catch-up growth.

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