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Paediatrica Indonesiana

paediatrica-indonesiana
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Published by Ikatan Dokter Anak Indonesia

ISSN : 00309311 EISSN : 2338476X DOI : -

Core Subject : Health,

Health Professions Medicine & Pharmacology

Paediatrica Indonesiana is a medical journal devoted to the health, in a broad sense, affecting fetuses, infants, children, and adolescents, belonged to the Indonesian Pediatric Society. Its publications are directed to pediatricians and other medical practitioners or researchers at all levels of health practice throughout the world.

Arjuna Subject : -

Articles 2,127 Documents

128 129 130 131 132

Conjunctival Mycobacteriosis Nastiti N. Rahajoe; Darmawan B. Setyanto; Muhammad Rhum; Tetty A. Usman
Paediatrica Indonesiana Vol 33 No 7-8 (1993): July - August 1993
Publisher : Indonesian Pediatric Society

A 6 1/2- year old Indonesian girl with 30 kg of body weight was consulted to the Department of Child Health, Cipto Mangunkusumo Hospital - Medical School University of Indonesia , Jakarta, for eye, surgery tolerance. At 3 1/2 years old, she came for the first time with a granulomatous tumor on her left eye. Excision was done, and histopathologic examination revealed granulation tissue corresponding to tuberculosis. The patient was referred to the Department of Child Health for further exploration. Sensitin test was positive for Mycobacterium intracellulare, not for Mycobacterium tuberculosis. The tumor reappeared twice and the last histopathologic examination revealed nonspecific granulation tissue.

Prenatal Diagnosis of Thalassemia Sunarto Sunarto
Paediatrica Indonesiana Vol 33 No 7-8 (1993): July - August 1993
Publisher : Indonesian Pediatric Society

Thalassemia is an individual as well as a community health problem in some countries. It causes a lifelong suffering for the affected individuals. There is no treatment other than supportive, i.e. regular transfusions and removal of iron overload from the body. Only by such continuous and expensive treatment thalassemic patients can-generally achieve nearly normal health, but the health burden of such therapy for a large number of thalassemic patients is unaffordable by the affected communities. Prevention of the births of thalassemic babies is the choice for controlling the thalassemia and has been successful in many countries. For this purpose reliable and time accurate prenatal diagnosis is a conditio sine qua non. Blood fetal sampling is safe and can be done after 16 weeks gestation, amniocentesis after 14 weeks, and even chorionic villi sampling as early as 8 weeks gestation. In vitro globin synthesis analysis applied to the fetal blood sample is very reliable to measure the rate of synthesis of the globin chains that make up the hemoglobin. The-DNA analysis of the fibroblasts obtained by amniocentesis or of the chorionic villus sample is very sensitive and specific for the diagnosis of the genetic disorder in thalassemias. By involving the prenatal diagnosis, the birth of B-homozygous thalassemia has decreased by up to 90%.

Blood Bilirubin Content in Neonatal Tetanus Patient with Hyperbilirubinemia during Treatment with Intravenous Diazepam Taslim S. Soeetomenggolo
Paediatrica Indonesiana Vol 32 No 3-4 (1992): March - April 1992
Publisher : Indonesian Pediatric Society

An evaluation on 128 neonatal tetanus patients with hyperbilirubinemia was done at the Department of Child Health, Dr. Cipto Mangunkusumo General Hospital, Jakarta. The patients were treated with high dosages of diazepam intravenously. This drug is potential to cause the increase of blood bilirubin, and in turn this latter condition is potential to cause kernicterus. Of the 128 patients there were 70 males and 58 females. The age of the patients were mostly (79.6 %) 4- 7 days. Fourteen of the 128 patients showed the increase of their blood bilirubin content during the second day of treatment, but after that it declined gradually during the next 3 days. The mortality of the 14 patients was 8 (57.1 %), so far no kernicterus was recorded among them. Among the 128 patients, 114 patients showed the decrease of their blood bilirubin content during the treatment. During 3 days the blood bilirubin content became less than 10 mg/dL. No kernicterus was recorded among those patients. It was concluded that intravenous diazepam is not dangerous in patients with mild and moderate hyperbilirubinemia, and no kernicterus was recorded during evaluation.

Immunoglobulin M and G in Virologically Confirmed Dengue Hemorrhagic Fever Tatang K. Samsi; H. Wulur; D. Sugianto; C. R. Bartz; R. Tan; A. Sie
Paediatrica Indonesiana Vol 32 No 3-4 (1992): March - April 1992
Publisher : Indonesian Pediatric Society

Starting from September 1987, a one year prospective study on lgM and lgG in dengue hemorrhagic fever, was carried out at the Department of Pediatrics, Sumber War as Hospital West Jakarta. This report describes the preliminary finding of the study from September 1987 through June 1988. Virus isolation and serologic analysis (HI, lgG and lgM capture ELISA) for DHF were done by NAMRU 2 in Jakarta. The subjects were 151 virologically confirmed DHF patients consisting of 82 boys and 69 girls of 6 months - 15 years old. Serum samples were collected: (I) on the day of admission; (II) on the day of discharge and (Ill) 2 weeks after the first samples. Serum samples I, II, and Ill were collected from respectively 151, 131 and 64 subjects on respectively 3.5 Â± 1.7; 8.8 Â± 2.7 and 16.8 Â± 2.1 days of illness. Positive lgM titer from acute sera was observed in 20% of subjects. A positive correlation between HI -lgM and HI -lgG was also observed. The percentage of positive lgM titers rose with the increase of HI titer, the percentage of positive lgG titer was lower than that of /gM but a sudden increase exceeding that of lgM was observed at the HI liter of 320 and more. This study revealed that HI titer of640 and 1280 were indicators for the primary and secondary dengue infection respectively and lgM capture ELISA can be used as a reliable predictor for DHF even more in fatal cases where only single serum is available.

Thrombocytopenia in Dengue Hemorrhagic Fever Sunarto Sunarto; Sutaryo Sutaryo
Paediatrica Indonesiana Vol 32 No 3-4 (1992): March - April 1992
Publisher : Indonesian Pediatric Society

According to WHO thrombocytopenia is one of the diagnostic criteria of DHF. On the other hand many studies have reported DHF cases without evidence of thrombocytopenia. One hundred fifty nine DHF out of485 suspected cases were assessed for their platelet counts. Diagnosis of DHF was established based on the WHO criteria, and confirmed by the hemagglutination inhibition test. The platelet counts were done serially and intensively by phase contrast microscope from the first day of hospitalization until the patient's discharge. In 77 patients thrombocytopenia appeared for the first time during hospitalization. Mild thrombocytopenia appeared in almost all of these cases before thrombocyte count of 100,000 reached. Seventy two patients had shown thrombocytopenia on the day of admission. No thrombocytopenia was found on the second day of illness, the earliest time of the detection of thrombocytopenia was on the Jrri and the latest was on the 8th day of illness. Thrombocytopenia lasted 1-5 days. It is concluded that many DHF diagnosis would have been missed if the thrombocyte investigation had not been done serially and intensively. Mild thrombocytopenia in DHF suspected patients should call attention to do platelet investigation intensively in those cases.

Cerebral Palsy : Review of 49 Patients Gulhis Deda; Ugur Karagol; Yavuz Gurer
Paediatrica Indonesiana Vol 32 No 3-4 (1992): March - April 1992
Publisher : Indonesian Pediatric Society

Fourty nine cerebral palsied patients admitted between 1989-1990 are reviewed according to type of paresis and the incidence of epilepsy and mental retardation. Eighteen (36,7%) of these patients were epileptic and 22 (44.89%) were mentally retarded. Out of 6 right-sided hemiparetic patients 3 (50%) had clinical seizures being all generalized tonicclonic epilepsy. In the left-sided hemiparetic group only 1 patient (16,66%) had clinical seizures being left-sided focal epilepsy.

Trichobezoar in Two Children E. M. Halimun; E. Kandouw; A. Arianto; S. Safiun
Paediatrica Indonesiana Vol 32 No 3-4 (1992): March - April 1992
Publisher : Indonesian Pediatric Society

Two cases of trichobezoar in females of 11 and 12 years respectively have been presented. Trichophagia as a common habit or it could be a sign of emotional tension. Etiological clues should be sought and the underlying stress be removed and ameliorated.

A Case of Pyloric Diverticulum H. A. Tangkilisan; S. M. Salendu-Warouw
Paediatrica Indonesiana Vol 32 No 3-4 (1992): March - April 1992
Publisher : Indonesian Pediatric Society

EG, an 11-year-old- Indonesian boy, 30 kg of body weight and 130 em of body length was admitted to the Department of Child Health, Gunung Wenang General Hospital Manado with pyloric diverticulum. The main complaint was sudden frequent hematemesis. The first attack of this symptom developed when he was 9 years old. Physical examination showed only tenderness in the epigastric region. The laboratory findings were normal. The diagnosis was based on the Barium meal X-ray, which showed an additional appearance in the pyloric region (prebulbar). He was treated with conservative treatment and after 10 days of hospitalization, he was discharged in good condition.

Reflux Nephropathy and Vesico-Ureteric Reflux in Children - Radionuclide Technique Kemas Firman
Paediatrica Indonesiana Vol 32 No 3-4 (1992): March - April 1992
Publisher : Indonesian Pediatric Society

Reflux nephropathy is defined as 'renal scarring' associated with vesica-ureteral reflux (VUR) and consists of calyceal clubbing or deformity with overlying corticomedullary scarring. The older terms chronic pyelonephritis and chronic atrophic pyelonephritis should be strictly defined as a persistent or recurrent bacterial infection of the kidney involving the renal parenchyma and the pelvi-calyceal system with exudation of inflammatory cells.

Subacute Sclerosing Panencephalltis: Clinical and Laboratory Manifestations Hardiono D. Pusponegoro; Jimmy Passat; M. Hardjono Abdoerachman
Paediatrica Indonesiana Vol 32 No 5-6 (1992): May - June 1992
Publisher : Indonesian Pediatric Society

We reviewed clinical and laboratory findings of 12 cases of Subacute sclerosing panencephalitis (SSPE) hospitalized at our department from 1985 to 1991. All cases were diagnosed and hospitalized at the 2nd stage. The principal clinical manifestations were mental changes, myoclonus, and frequent falls. Other clinical manifestations were ocular changes, involuntary movements, loss of social contact, and spasticity. Diagnosis was based on suppression-burst pattern in EEG and positive antibody titer to measles in serum and cerebrospinal fluid. CT scan was not diagnotic, since it was either normal or showed only non-specific cortical atrophy. Eleven patients (91, 7%) recalled a history of measles in the past. Age of onset of SSPE varied among cases and was difficult to specify precisely due to its subtle nature. None of the cases had been vaccinated against measles. SSPE is a rare disease, but is almost always fatal with prolonged suffering of the patient. Based on our experience with SSPE patients, we recommend to broaden the immunization programme against measles.

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