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All Journal International Journal of Health, Engineering and Technology HelFin Journal
Ida Bagus Eka Utama Wija
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Agriculture, Biological Sciences & Forestry Chemical Engineering, Chemistry & Bioengineering Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Engineering Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Materials Science & Nanotechnology Mechanical Engineering Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary

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DEMAM REUMATIK DENGAN CHOREA SYDENHAM: LAPORAN KASUS Ida Bagus Eka Utama Wija; Keswari Aji Patriawati2
HelFin Journal Vol. 1 No. 1 (2024): Januari
Publisher : Fakultas Vokasi Universitas Kristen Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33541/helfin.v1i1.5351

Abstract

Demam reumatik merupakan penyakit peradangan akut yang dapat menyertai faringitis yang disebabkan oleh Streptococcus beta-hemolitikus grup A. Chorea Sydenham terjadi pada 15% kasus demam reumatik dan sangat jarang pada dewasa. Tujuan dari penelitian ini adalah untuk mengetahui penanganan yang tepat untuk kasus demam reumatik. Studi ini menggunakan desai case report dari satu pasien yang mengeluhkan gerakannya tidak terkontrol, Pengumpulan data menggunakan data rekam medis dan wawancara dari ibu pasien. Data yang didapat dari pasien akan dibandingkan dengan kajian literatur. Manifestasi chorea muncul dalam 1-6 bulan setelah infeksi streptokokus. Pada pasien dengan diagnosis demam reumatik disertai chorea perlu di berikan Benzatin Penicillin G IM 1.200.000 U sebagai pencegahan primer dan sekunder terhadap infeksi Streptokokus beta-hemolitikus grup A pada faring yang berulang. Untuk mengobati gejala chorea perlu diberikan obat Haloperidol. Pemberian asam Valproat juga disarankan karena lebih cepat waktu penyembuhannya, lebih minim efek samping dan tidak memberikan resiko rekurensi. Pasien dengan demam reumatik dengan atau tanpa karditis perlu dilakukan tirah baring di rumah sakit untuk memantau perkembangan penyakit apabila penyakit berkembang kearah karditis
The Relationship Between Leukopenia and Dengue Fever in Child Patients Ida Bagus Eka Utama Wija; Audrey Gunawan; Nia Reviani
International Journal of Health Engineering and Technology Vol. 4 No. 4 (2025): IJHET NOVEMBER 2025
Publisher : CV. AFDIFAL MAJU BERKAH

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Abstract

This study aims to analyze the relationship between leukocyte counts and the incidence of dengue infection in pediatric patients. The study employed a cross-sectional analytical design, collecting data from medical records of patients diagnosed with dengue fever and dengue hemorrhagic fever at RSU UKI from August 1 to 14, 2024. Among 95 patients who met the inclusion criteria, results showed that the majority experienced leukopenia, with percentages of 54.7% on the first day, 52.6% on the second day, and 44.2% on the third day. A significant relationship was found between leukocyte counts and hematocrit values (p = 0.000). Dengue fever occurred more frequently than dengue hemorrhagic fever, with higher prevalence among male patients and those aged 10–18 years. The peak of leukopenia was observed on the second day, which may help predict the critical phase of plasma leakage. Furthermore, the study highlights that monitoring leukocyte trends provides an early indicator for clinicians to anticipate disease progression and potential complications. Regular hematological evaluation, especially within the first three days of fever onset, is essential for distinguishing between mild and severe forms of dengue. The findings also support the integration of leukocyte monitoring with other clinical parameters, such as platelet count and hematocrit levels, to improve diagnostic accuracy and treatment outcomes. Early recognition of leukopenia patterns can aid in timely interventions, reducing the risk of shock and hemorrhagic manifestations. Therefore, this research reinforces the importance of leukocyte count as a vital prognostic marker in pediatric dengue cases, contributing to better patient management and clinical decision-making in endemic regions
Co-Authors Audrey Gunawan Keswari Aji Patriawati2 Nia Reviani