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All Journal Jurnal Respirasi (JR) Acta Neurologica Indonesia
Martelina, Yiska
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Health Professions Medicine & Pharmacology Neuroscience Public Health

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Posterior Reversible Encephalopathy Syndrome Secondary to Mild Renal Artery Stenosis induced Hypertension in Child: A Case Report Martelina, Yiska; Ananda Digdoyo; Wikrama, Ketut Wiswa
Acta Neurologica Indonesia Vol. 3 No. 01 (2025): Acta Neurologica Indonesia
Publisher : Departemen Neurologi Fakultas Kedokteran Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69868/ani.v3i01.44

Abstract

Introduction: In addition to neurological symptoms such as impaired consciousness that can result in the rare incidence of a comatose state, seizures, and visual impairment, posterior reversible encephalopathy syndrome (PRES) is represented by a various type of non-specific symptoms such as headache, nausea, and vomiting. These clinical features are associated with distinctive imaging findings of vasogenic edema, primarily located in the bilateral posterior or parieto-occipital lobes, which is generally reversible. Case Report: We present here, a young 7-years-old girl, with a medical history of hypertension, sudden loss of consciousness lasting 1 minute, stereotypic seizures lasting 5 to 10 seconds with unknown etiology, had a history of blurred vision for approximately 24 hours after the seizures, multiple projectile vomiting, dizziness and altered mental status for 1 week. The characteristics of vasogenic edema observed in the bilateral parieto-occipital lobe, as seen in CT-scan imaging, along with the reversal of symptoms, contributed to the diagnosis of PRES in our patient. After the hypertension was treated and the symptoms were reversed, the patient was discharged in a stable condition. Conclusion: We report a case is a Posterior Reversible Encephalopathy Syndrome in young patient caused by hypertension and triggered by renal artery stenosis. Hypertension must be treated in patients with neurological symptoms like loss of consciousness, dizziness, and blurred vision. Suspicion of PRES must be considered a special case.
Factors Predicting the Length of Hospital Stay in Infants with Bronchitis at Bethesda Hospital, Yogyakarta Puspita, Nita; Purnajati, Oscar Gilang; Nugroho, Daniel Chriswinanto Adityo; Martelina, Yiska
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.3.2025.216-222

Abstract

Introduction: Bronchitis is a primary cause of hospitalization in toddlers due to acute respiratory infections (ARI). Hospitalization is particularly necessary in this age group because their immature immune systems render them highly vulnerable to complications such as respiratory failure and secondary infections. Elevated, inflammatory responses reflected by increased leukocyte counts necessitate close clinical monitoring and intensive care to prevent deterioration. Therefore, inpatient care plays a crucial role in ensuring the clinical stability and effective recovery of toddlers with bronchitis. This study analyzed the predictive factors influencing the length of hospital stay in toddlers with bronchitis treated at Bethesda Hospital, Yogyakarta. Methods: This study employed a quantitative approach using an observational analytic method with a cross-sectional design. Data were collected from 90 medical records of 105 hospitalized toddlers aged 1-59 months due to bronchitis in 2023. Age, sex, nutritional status, hemoglobin (Hb) levels, and leukocyte count were the analyzed variables. The data were analyzed using Chi-square and logistic regression. Results: Age and leukocyte count were significantly associated with the length of hospital stay (p<0.05). Younger toddlers were more likely to experience prolonged hospitalization (adjusted odds ratio/OR=0.242), while an increased leukocyte count (leukocytosis) elevated the risk of a longer hospital stay (adjusted OR=4.137). Other variables, including sex, nutritional status, and Hb levels, did not significantly influence prolonged hospitalization. Conclusion: Age and leukocyte count were predictive factors for the length of hospital stay in toddlers with bronchitis at Bethesda Hospital, Yogyakarta, in 2023.
Co-Authors Digdoyo, Ananda Nugroho, Daniel Chriswinanto Adityo Purnajati, Oscar Gilang Puspita, Nita Wikrama, Ketut Wiswa