Garuda - Garba Rujukan Digital

I Made Suma Wirawan

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Author-ID : 7246305

Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health

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Dengue Hemorrhagic Fever in Bali: Patient Demographics, Clinical Manifestations, and Laboratory Findings Adi Kunti, Desak Putu Sukasanti; Anak Agung Ngurah Paramacarya Bodhinatha; I Made Suma Wirawan
Archives of The Medicine and Case Reports Vol. 5 No. 4 (2024): Archives of The Medicine and Case Reports
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/amcr.v5i4.645

Dengue hemorrhagic fever (DHF) remains a significant public health concern in tropical regions, including Bali, Indonesia. Understanding the patient demographics, clinical presentations, and laboratory findings associated with DHF is crucial for effective disease management and control. This study aimed to investigate these aspects in patients hospitalized with DHF at Wangaya Regional General Hospital in Bali. A retrospective cross-sectional study was conducted, analyzing medical records of patients diagnosed with DHF between January and June 2024. Data collected included demographics, clinical manifestations, laboratory parameters, disease severity, and hospital stay duration. Descriptive statistics and comparative analyses were performed. A total of 410 patients were included, with a male predominance (54.9%). The most affected age group was 18-25 years (43.2%). Common clinical manifestations included fever (100%), headache (83.6%), myalgia (74%), and nausea/vomiting (56.3%). Laboratory findings revealed thrombocytopenia (45.4% with platelet count <50,000/µL), leukopenia (74.3%), and elevated hematocrit (29.6%). Most patients presented with DHF grade I (65.1%), followed by grade II (31.7%). The median hospital stay was 4 days. DHF in Bali predominantly affects young adults, with males being more susceptible. The clinical presentation is characterized by fever, headache, myalgia, and gastrointestinal symptoms. Thrombocytopenia and leukopenia are common laboratory findings. The majority of patients experience mild to moderate disease severity. These findings contribute to a better understanding of DHF in Bali and can inform targeted public health interventions.

Accidental Finding of Suspected Cysticercosis Without Symptoms in Balinese Male: A Case Report Satya Pranata, Anak Agung Ngurah; I Made Suma Wirawan; Anak Agung Istri Sri Kumala Dewi
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 8 No. 9 (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.v8i9.1064

Background: Cysticercosis is one of the illnesses that the WHO considers to be neglected tropical diseases (NTD). Prevalence of cysticercosis in Asia ranged from 0.8% to 41.8%. Mostly, the central nervous system is affected. Case presentation: A 56-year-old Balinese male came to emergency department with main complaint weakness on right-side of his body since 12 hours before being admitted to the hospital. He has history of eating lawar (Balinese traditional food) mixed with fresh pig blood; the last time he ate it was 6 months. Chest examination no nodule/swelling, abscess, or hypertrophy of muscle was found. On laboratory examination WBC 7.47x103/ul, Hb 16.0 g/dL, percentage of eosinophil 5.4%, and eosinophil count 0.40x103/ul. Head CT without contrast suggesting sub-acute cerebral infarction in the left capsule internal. The patient then performed chest radiograph and accidentally multiple rice grain calcification was found. The patient treated with albendazole 15mg/kg/bb/day for 14 days. Clinical presentations of cysticercosis can vary from those with no symptoms to those symptomatic, Patients with muscular involvement are mostly asymptomatic. Increasing eosinophil in complete blood count may indicate helminth infection, to clinch the early diagnosis radiological modalities can be used. However histological findings will give a definitive diagnosis. The use of praziquantel and albendazole is the suggested antihelminth in cysticercosis. Conclusion: Pulmonary muscle involvement of cysticercosis is a rare finding. Increasing awareness of such lesions may lead to early diagnosis and prevent irreversible damage.

Accidental Finding of Suspected Cysticercosis Without Symptoms in Balinese Male: A Case Report Satya Pranata, Anak Agung Ngurah; I Made Suma Wirawan; Anak Agung Istri Sri Kumala Dewi
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 8 No. 9 (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.v8i9.1064

Background: Cysticercosis is one of the illnesses that the WHO considers to be neglected tropical diseases (NTD). Prevalence of cysticercosis in Asia ranged from 0.8% to 41.8%. Mostly, the central nervous system is affected. Case presentation: A 56-year-old Balinese male came to emergency department with main complaint weakness on right-side of his body since 12 hours before being admitted to the hospital. He has history of eating lawar (Balinese traditional food) mixed with fresh pig blood; the last time he ate it was 6 months. Chest examination no nodule/swelling, abscess, or hypertrophy of muscle was found. On laboratory examination WBC 7.47x103/ul, Hb 16.0 g/dL, percentage of eosinophil 5.4%, and eosinophil count 0.40x103/ul. Head CT without contrast suggesting sub-acute cerebral infarction in the left capsule internal. The patient then performed chest radiograph and accidentally multiple rice grain calcification was found. The patient treated with albendazole 15mg/kg/bb/day for 14 days. Clinical presentations of cysticercosis can vary from those with no symptoms to those symptomatic, Patients with muscular involvement are mostly asymptomatic. Increasing eosinophil in complete blood count may indicate helminth infection, to clinch the early diagnosis radiological modalities can be used. However histological findings will give a definitive diagnosis. The use of praziquantel and albendazole is the suggested antihelminth in cysticercosis. Conclusion: Pulmonary muscle involvement of cysticercosis is a rare finding. Increasing awareness of such lesions may lead to early diagnosis and prevent irreversible damage.

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