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All Journal TRANSPUBLIKA INTERNATIONAL RESEARCH IN EXACT SCIENCES (TIRES) Jurnal Medika Usada
Dwiyana, Cynthia Oktora
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Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Health Professions Mathematics Nursing Physics Public Health

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Cutaneous Larva Migrans on the Dorsum of the Foot in a Rural Primary Care Setting: A Case Report from Sintang, West Borneo Dwiyana, Cynthia Oktora
TRANSPUBLIKA INTERNATIONAL RESEARCH IN EXACT SCIENCES Vol. 5 No. 1 (2026): JANUARY
Publisher : Transpublika Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55047/tires.v5i1.2077

Abstract

Cutaneous larva migrans (CLM), commonly termed creeping eruption, is a zoonotic dermatosis resulting from the intraepidermal migration of filariform hookworm larvae, predominantly originating from dogs and cats, and is endemic to tropical and subtropical areas characterized by warm, humid, sandy environments. This report delineates the clinical manifestations, predisposing factors, and therapeutic approaches to CLM in a rural primary care context, aiming to enhance prompt identification and appropriate management. A 45-year-old woman presented with intensely pruritic, erythematous, serpiginous papules on the dorsum of her right foot that had progressively extended over a two-week period. She reported frequent barefoot work in agricultural fields and residence in an area with numerous free-roaming dogs and cats. Physical examination revealed multiple linear, winding erythematous tracks on the dorsum pedis dextra, consistent with CLM. The patient was treated with oral albendazole, ethyl chloride spray, and an oral antihistamine, along with counseling on personal and environmental hygiene. Pruritus significantly improved within one week, and the skin lesions resolved completely within two weeks. This case highlights the critical importance of identifying the distinctive clinical features of CLM and implementing prompt treatment, particularly in resource-constrained rural settings, as early diagnosis and appropriate management can result in rapid symptom resolution and avert avoidable complications.
Clinical Profile and Risk Factors of Syphilis Patients: The Threat of HIV Coinfection and Congenital Syphilis at the Tanjungpuri Sintang Community Health Center in 2025 Dwiyana, Cynthia Oktora
JURNAL MEDIKA USADA Vol. 9 No. 1 (2026): Jurnal Medika USADA
Publisher : STIKES ADVAITA MEDIKA TABANAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54107/medikausada.v9i1.466

Abstract

Syphilis cases are showing an upward trend globally, including in the working area of the Tanjungpuri Community Health Center, Sintang District. This infection not only affects individuals of productive age but also threatens the health of mothers and fetuses through the risk of co-infection and vertical transmission. This study aims to analyze the clinical profile and risk factors of syphilis patients in the working area of the Tanjungpuri Community Health Center, Sintang, in 2025. This quantitative descriptive study used a case study approach on 123 syphilis patients recorded at the Tanjungpuri Community Health Center during 2025. The data were analyzed univariately to see the frequency distribution of sociodemographic characteristics and clinical profiles. The majority of respondents were of productive age, unmarried (59.35%), had a high school education or equivalent (92.9%), and worked in the private sector (45.53%). Very low preventive behavior was found, with 99.19% of patients not using condoms. Clinically, 6 cases of STIs (4.88%) and 4 cases of HIV co-infection (3.35%) were found, all of which occurred in pregnant women. The recorded clinical effects include cases of abortion, intrauterine fetal death (IUFD), and one case of a newborn with congenital syphilis. Low health literacy and barrier protection behaviors are the main drivers of syphilis transmission. The finding of HIV co-infection in pregnant women and the emergence of congenital syphilis cases underscore the need to strengthen the Triple Elimination program through more aggressive early screening and treatment of sexual partners.
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