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All Journal Termometer: Jurnal Ilmiah Ilmu Kesehatan Dan Kedokteran Inovasi Kesehatan Global
Mawaddah Fitria
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Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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Wanita 38 Tahun G3P2A0 Dengan HIV/AIDS dan TB Paru Fenny Harrika; Salmiah Salmiah; Mawaddah Fitria
Inovasi Kesehatan Global Vol. 2 No. 1 (2025): Februari : Inovasi Kesehatan Global
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/ikg.v2i1.1292

Abstract

Human Immunodeficiency Virus (HIV) is a virus that weakens the immune system. HIV in pregnant women is one of the major health problems that is of concern throughout the world. In this case report, a patient aged 38 years G3P2A0, gestational age 37-40 weeks with complaints of coughing, shortness of breath, weight loss, burning sensation in the mouth in the form of white lesions that almost fill the entire oral cavity. The patient has a history of glandular TB and has received treatment for 6 months in the past 2 years. On the physical examination of the patient, the general condition of the patient was found to be seriously ill, composure of consciousness, blood pressure 100/70 mmHg, pulse rate: 78x/I, respiratory rate: 20x/I, temperature: 36.8ºC, SpO2: 98%, body weight 40 kg and height 157 cm. On examination of the general status of the skin, a reddish rash in the form of small vesicles was found on the right and left arms, back, neck and head. In the mouth and throat, white spots were found in the oral cavity, from the sides of the tongue to the throat. Laboratory investigations showed decreased hemoglobin levels, electrolyte imbalance, hypoalbumin. Serological examination revealed HIV (+) reactivity. Investigation of a PA chest photo showed infiltrate spots at the apex of the left medial lobe. Patients diagnosed with Std IV HIV + oesophageal candidiasis + pulmonary TB + hypoalbuminemia + anemia were given non-pharmacological and pharmacological treatments.
Ketoasidosis Diabetikum Suherna Musfira S; Mawaddah Fitria
Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran Vol. 2 No. 1 (2024): Januari : Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/termometer.v2i1.2847

Abstract

Diabetic ketoacidosis (DKA) is a serious, acute complication of diabetes mellitus and is an emergency that must be treated immediately. DKA requires fast and precise management, considering the high mortality rate. DKA is a state of metabolic decompensation characterized by the triad of hyperglycemia, metabolic acidosis, and ketosis and is an emergency in the field of endocrinology that is most frequently encountered in daily practice. Data in America is that more than 100,000 patients are treated per year for DKA (3). . Although there is no community data in Indonesia, it seems that the incidence of DKA in Indonesia is not as high as in western countries, considering the low prevalence of type 1 DM. Reports of the incidence of DKA in Indonesia generally come from hospital data and especially in type II DM patients (4). Successful management of DKA requires correction of dehydration, hyperglycemia, acidosis and electrolyte abnormalities, identification of comorbid precipitating factors, and most importantly continuous patient monitoring.
Leptospirosis Muhammad Farhan; Mawaddah Fitria
Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran Vol. 4 No. 1 (2026): Januari : Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/termometer.v4i1.5801

Abstract

Leptospirosis is a zoonotic disease caused by the spirochete bacterium Leptospira and is transmitted through exposure to the urine of infected animals, either directly or via contaminated water and soil. The disease has a wide clinical spectrum, ranging from mild symptoms to multiorgan involvement. The World Health Organization estimates that there are approximately 873,000 cases of leptospirosis each year worldwide, with more than 40,000 deaths. In Indonesia, 920 cases with 122 deaths were reported in 2019, although the true number is believed to be higher, with an estimated incidence of about 39.2 per 100,000 population. Transmission mainly occurs in high-risk environments such as during floods and among certain occupational groups. After entering the body, Leptospira spreads to the kidneys, liver, and lungs, potentially causing renal failure, jaundice, pulmonary hemorrhage, and fatal complications. Treatment should be initiated promptly based on clinical suspicion. Mild cases are treated with doxycycline 100 mg twice daily for 7 days, whereas severe cases require intravenous penicillin G at 1.5 million units every 6 hours for 7 days or ceftriaxone 1–2 g per day. About 90% of cases are mild, but mortality can reach 10% in severe cases.
Co-Authors Fenny Harrika Muhammad Farhan Salmiah Salmiah Suherna Musfira S