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The Journal of Society Medicine (JSOCMED)
Published by PT. CoinReads Media Prima
ISSN : -     EISSN : 29645565     DOI : https://doi.org/10.47353/jsocmed.v2i1
Core Subject : Health, Science,
Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience
The Journal of Society Medicine (JSOCMED) | ISSN (e): 2964-5565 is a leading voice in the Indonesia and internationally for medicine and healthcare. Published continuously, JSOCMED features scholarly comment and clinical research. JSOCMED is editorially independent from and its The Editor-in-Chief (EIC) is Prof. dr. Aznan Lelo, PhD, SpFK. JSOCMED offers many attractive features for authors, including free online access to all research articles, online publication ahead of print, and online responses to articles published as Quick Comments. In addition, as befitting a publication of the Journal of Society Medicine, JSOCMED implements best practice in scientific publishing with an open peer review process, declarations of competing interests and funding, full requirements for patient consent and ethical review, and statements of guarantorship, contributorship, and provenance.
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 5 Documents
 1 
Search results for , issue "Vol. 4 No. 5 (2025): May" : 5 Documents clear
Management of Autoimmune Encephalitis with Refractory Status Epilepticus Saputra, Rangga; Oktaliansah, Ezra
Journal of Society Medicine Vol. 4 No. 5 (2025): May
Publisher : CoinReads Media Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71197/jsocmed.v4i5.209

Abstract

Introduction: Autoimmune encephalitis (AE) is a leading cause of non-infectious encephalitis. Its diagnosis remains challenging due to the often non-specific clinical presentation and difficulties in confirming antibody-negative cases. Comprehensive evaluation is essential to establish the diagnosis of AE. Case Report: We report a 25-year-old male presenting with decreased consciousness and seizures, accompanied by behavioral changes over the preceding 10 days. Electroencephalography (EEG) showed normal waveforms, and cerebrospinal fluid (CSF) analysis did not suggest infection. Brain CT scans were unremarkable, and serologic tests for herpes simplex virus (HSV) IgG and IgM were non-reactive. Notably, anti-NMDAR antibodies were positive. The patient was managed in the ICU with mechanical ventilation, sedated with propofol, and administered phenytoin for seizure control. Empirical treatment with acyclovir was given for 10 days, with no clinical improvement. First-line immunotherapy with methylprednisolone (1g/day for 5 days) was initiated but failed to produce neurological recovery. On day 14, CSF analysis indicated autoimmune etiology; plasma exchange was performed over three days, resulting in clinical improvement. Conclusion: Diagnosing and managing antibody-negative AE remains challenging. Clinical judgment, supported by the exclusion of differential diagnoses and the absence of characteristic radiological and immunological findings, can justify the initiation of immunosuppressive therapy or plasma exchange, which may lead to significant clinical improvement.
Management of Acute Pulmonary Edema in Kidney Transplant Patients in the ICU Ginting, Muhammad Aldi Rivai Ginting; Suwarman, Suwarman
Journal of Society Medicine Vol. 4 No. 5 (2025): May
Publisher : CoinReads Media Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71197/jsocmed.v4i5.210

Abstract

Introduction: Kidney transplantation is the standard treatment for end-stage renal disease (ESRD), significantly improving survival rates and quality of life. However, pulmonary complications are a leading cause of morbidity and mortality post-transplant. Case Report: This case report presents a 50-year-old male with chronic kidney disease (CKD), diagnosed five months prior and undergoing regular hemodialysis. He had a history of hypertension and diabetes mellitus. The patient underwent a 9-hour kidney transplant surgery without complications. Post-operatively, urine output was minimal (5 mL), prompting vasopressor support to elevate the mean arterial pressure above 150 mmHg, which improved renal function. On days one and two post-surgery, the patient developed respiratory distress, with a chest X-ray revealing pulmonary edema. Continuous furosemide infusion was initiated to manage fluid overload, leading to improvement in the patient’s respiratory status. By day four, the patient was stable and transferred from the ICU to a regular room. Pulmonary complications, including pulmonary edema, affect up to 80% of kidney transplant recipients in the first year post-transplant and contribute to high morbidity and mortality. Conclusion: This case emphasizes the importance of early recognition and management of pulmonary edema through fluid management and vasopressors. Timely intervention, including diuretic therapy, is crucial for stabilizing kidney transplant recipients and improving patient outcomes. The report highlights the need for further research to establish evidence-based guidelines for fluid management in kidney transplant patients. Effective management is essential for enhancing post-operative recovery and quality of life in transplant recipients.
Cervical Cancer with Bulky Tumor: A Case Report Hezron, Teuku Maizaldi; Hasanuddin, Hasanuddin
Journal of Society Medicine Vol. 4 No. 5 (2025): May
Publisher : CoinReads Media Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71197/jsocmed.v4i5.211

Abstract

Introduction: Cervical cancer is a malignancy originating from the cervix and represents one of the most common cancers affecting women both globally and in Indonesia. Meanwhile, bulky tumor is defined as a lesion measuring ≥4 cm in diameter. Neoadjuvant chemotherapy followed by radical surgery (NACT-RS) has emerged as a viable treatment option for stages IB3 and IIA2 cervical cancer, especially in settings where radiotherapy resources are limited or unavailable. Case Report: A 28-year-old female was presented with abnormal vaginal bleeding persisting for four months. The bleeding was bright red and foul-smelling. The patient also reported postcoital bleeding beginning seven months prior to presentation. A cervical biopsy was performed, and histopathological analysis confirmed a diagnosis of non-keratinizing squamous cell carcinoma. Due to the large tumor size, the patient underwent three cycles of chemotherapy prior to radical hysterectomy as part of her treatment plan. Conclusion: In patients with bulky cervical tumors, neoadjuvant chemotherapy followed by radical hysterectomy can offer favorable perioperative outcomes and remains a critical treatment approach.
Management of Patients with Guillain-Barré Syndrome in the Intensive Care Unit Sani , Fahmi; Suwarman, Suwarman
Journal of Society Medicine Vol. 4 No. 5 (2025): May
Publisher : CoinReads Media Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71197/jsocmed.v4i5.212

Abstract

Introduction: Guillain-Barré Syndrome (GBS) is an autoimmune disorder that affects the peripheral nervous system, commonly presenting with tetraplegia with or without sensory disturbances. This condition manifests as progressive muscle weakness and areflexia, leading to respiratory muscle weakness in severe cases, which often requires mechanical ventilation. ICU complications such as nosocomial infections, hospital-acquired pneumonia (HAP), ventilator-associated pneumonia (VAP), and sepsis are commonly encountered in prolonged hospitalizations. Plasmapheresis therapy is a primary treatment option for GBS, alongside intravenous immunoglobulin (IVIG). Case Report: We report the case of a 42-year-old male patient diagnosed with GBS, who developed respiratory failure and was treated with plasmapheresis. The patient showed significant clinical improvement following three cycles of plasmapheresis, leading to earlier recovery. The patient was successfully weaned off mechanical ventilation after four days. Conclusion: GBS is an autoimmune disorder following infection, leading to nerve cell destruction. Severe muscle weakness can result in respiratory failure, necessitating mechanical ventilation therapy.
Management of Patients with Guillain-Barré Syndrome and Severe Community-Acquired Pneumonia in the Intensive Care Unit (ICU) Junaidi , Agus; Budipratama , Dhany
Journal of Society Medicine Vol. 4 No. 5 (2025): May
Publisher : CoinReads Media Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71197/jsocmed.v4i5.213

Abstract

Introduction: Guillain-Barré Syndrome (GBS) is an immune-mediated polyneuropathy that leads to respiratory failure requiring mechanical ventilation. The neurological deficits in GBS, including airway obstruction, ineffective coughing, and difficulty swallowing, increase pneumonia risk, which worsens patient condition. Community-Acquired Pneumonia (CAP) is a lung infection contracted outside hospitals, and its severity relates to mortality. Appropriate antibiotic therapy is crucial for reducing treatment duration and mortality. Case Report: We report a case of a 20-year-old male who developed respiratory failure due to GBS complicated by severe CAP. The patient was admitted to the ICU, where he received plasmapheresis for GBS treatment, which led to gradual improvement. Due to respiratory failure, the patient required mechanical ventilation. Empirical antibiotic therapy was initiated, considering the severity of CAP and the potential for bacterial resistance. After 13 days of intensive care, the patient was successfully weaned off mechanical ventilation. Conclusion: This case highlights the importance of a timely and comprehensive approach to treating GBS and CAP in the ICU. Plasmapheresis for GBS and appropriate antibiotic therapy for CAP were key in the patient’s recovery. Early intervention and appropriate supportive care, including mechanical ventilation when necessary, are essential for improving patient outcomes. Further studies and refined treatment protocols are needed to optimize care for patients with complex conditions like GBS complicated by CAP.

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