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Patricia Wulandari
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INDONESIA
Scientific Journal of Pediatrics
Published by Phlox Institute: Indonesian Medical Research Organization
ISSN : 30256224     EISSN : 30256224     DOI : https://doi.org/10.59345/sjped
Core Subject : Health, Science,
Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health
Focus Scientific Journal of Pediatrics (SJPed) focused on the development of medical sciences especially pediatrics and child health for human well-being. Scope Scientific Journal of Pediatrics (SJPed) publishes articles which encompass all aspects of basic research/clinical studies related to the field of pediatrics and allied science fields, especially all type of original articles, case reports, review articles, narrative review, meta-analysis, systematic review, mini-reviews and book review.
Arjuna Subject : Kedokteran - Pediatrics, Perinatology, and Child Health
Articles 44 Documents
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Very Early-Onset Ulcerative Colitis Manifesting as Acute Rectal Prolapse and Persistent Hematochezia in a Three-Year-Old Child: An Observational Analytic Case Study of Diagnostic Trajectory and Multimodal Intervention Revika; Neni Sumarni; Galih Widiyanto
Scientific Journal of Pediatrics Vol. 4 No. 2 (2026): Scientific Journal of Pediatrics
Publisher : Phlox Institute: Indonesian Medical Research Organization

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59345/sjped.v4i2.373

Abstract

Background: Very early-onset ulcerative colitis (VEO-UC), diagnosed before six years of age, is uncommon and often presents atypically. In toddlers, severe proctitis with tenesmus can weaken pelvic floor support and cause full-thickness rectal prolapse, which can mimic solitary rectal ulcer syndrome, cow's milk protein allergy or primary rectal prolapse. Objective: To describe the diagnostic course, treatment and six-month outcome of a toddler with VEO-UC presenting with full-thickness rectal prolapse. Methods: A boy aged 3 years 3 months presented to K.R.M.T. Wongsonegoro Regional Hospital with persistent mucoid hematochezia, a 1-kg weight loss and full-thickness rectal mucosal prolapse. He was followed over seven epochs from baseline (T0) to month 6 (T6). Work-up comprised colonoscopy with biopsy, abdominal ultrasonography and serial inflammatory biomarkers. Treatment was a Thiersch anal cerclage with oral mesalazine induction (60–80 mg/kg/day). Results: Colonoscopy showed continuous hyperemia and multiple 2–6 mm ulcers with fibrinous exudate in the rectosigmoid and descending colon; ultrasonography found no mass or lymphadenopathy. After cerclage on hospital day 2 and mesalazine induction, the Pediatric Ulcerative Colitis Activity Index (PUCAI) fell from 45 at T0 to 0 at T5–T6 . Hematochezia had resolved by week 4. Fecal calprotectin declined from 880 to 35 μg/g (−96.0%), and weight rose from 13.0 to 14.6 kg (+12.3%). The prolapse did not recur. Conclusion: Full-thickness rectal prolapse in early childhood can be the first sign of VEO-UC. Prompt colonoscopy and combined medical and surgical management were followed by anatomical stabilization and mucosal healing in this patient.
Serial Hematologic-Inflammatory and Electrolyte Course in an 18-Month-Old Boy With Febrile Urinary Tract Infection and Kikiros Grade 5 Phimosis: A Single-Patient Case Study Hanna Paulina Wibowo; Zuhriah Hidajati; Herwanto
Scientific Journal of Pediatrics Vol. 4 No. 2 (2026): Scientific Journal of Pediatrics
Publisher : Phlox Institute: Indonesian Medical Research Organization

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59345/sjped.v4i2.375

Abstract

Background: Febrile urinary tract infection (UTI) in an uncircumcised toddler can coexist with severe preputial stenosis, which raises resistance to voiding outflow. Objective: To describe the clinical, hematologic-inflammatory and electrolyte course of an 18-month-old boy with febrile UTI and Kikiros Grade 5 phimosis over four hospital days. Methods: This single-patient case study, reported to the CARE guideline, covers an uncircumcised boy treated at K.R.M.T. Wongsonegoro Regional Hospital, Semarang, Indonesia, from January 31 to February 3, 2026. He presented after 3 days of antipyretic-refractory fever (38.6 °C) with vomiting, sunken eyes, obstructive voiding distress and Kikiros Grade 5 phimosis. Vital signs and blood counts were tabulated, with one chemistry panel. No inferential statistics were used. Results: Urinalysis showed leukocyturia, bacteriuria and proteinuria. Leukocytes at admission were 10.4 × 103/μL, hemoglobin 11.4 g/dL, hematocrit 33.10% and platelets 312 × 103/μL. On Day 3, C-reactive protein was 16.80 mg/L, globulin 4.0 g/dL, potassium 5.50 mmol/L, sodium 136 mmol/L and ionized calcium 1.19 mmol/L. He received eight agents, including ceftriaxone, dexamethasone and furosemide. Temperature fell to 36.8 °C and heart rate from 136 to 104 beats/min. Leukocytes fell to 5.1 and then settled at 8.3 × 103/μL, while platelets rose from 191 to 323 × 103/μL. Voiding symptoms had resolved by Day 4. Conclusion: In this child, symptoms and inflammatory markers improved within four days of combined treatment, and no single agent can be credited. Genital examination in febrile boys, renal ultrasonography after discharge and topical corticosteroid therapy for phimosis are advisable.
Cardiorespiratory Trajectory, ROX Index Extubation Failure, and Post-Tracheostomy Liberation in Pediatric Odontogenic Ablett Grade IV Tetanus Complicated by Cardiac Arrest: An Observational Analytic Case Study Dyah Retnayati; Indra Ihsan; Aldian Tri Wahyuda
Scientific Journal of Pediatrics Vol. 4 No. 2 (2026): Scientific Journal of Pediatrics
Publisher : Phlox Institute: Indonesian Medical Research Organization

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59345/sjped.v4i2.376

Abstract

Background: Ablett Grade IV tetanus from an odontogenic portal carries high mortality in resource-limited settings because of laryngospasm, autonomic instability and prolonged ventilation. Objective: To describe the cardiorespiratory course, extubation failure by the Respiratory Rate-Oxygenation (ROX) index, and post-tracheostomy liberation in an unimmunized, severely undernourished child with odontogenic Grade IV tetanus. Methods: This single-patient case report followed a boy through a 20-day hospital course within 37 days of follow-up (October 1 to November 6, 2024) at Dr. M. Djamil General Hospital, Padang, Indonesia (ethics protocol CMHC/EC/IRB/2026/0418). Oxygenation indices, the ROX index, the neutrophil-to-lymphocyte ratio (NLR) and the systemic immune-inflammation index (SII) were calculated from serial records. Results: The unimmunized boy, aged 4 years 2 months, weighed 11.0 kg (weight-for-age Z-score −3.0 SD) and had rampant dental caries, 1.0 cm trismus, opisthotonus, aspiration bronchopneumonia and hypertension (130/85 mmHg). On Day 2, reflex spasms rose to 10–12 episodes/day (NLR 7.36; SII 3,946.9 × 10³/μL), followed by apneic cardiac arrest (SpO₂ 80%, PaO₂/FiO₂ 106.7 mmHg). Extubation to high-flow nasal cannula on Day 7 failed within 2 hours (SpO₂ 82%, ROX index 2.2). After meropenem for ceftriaxone-resistant Pseudomonas sp. bacteremia and elective surgical tracheostomy on Day 9, he was weaned to a T-piece within 24 to 48 hours and continuous sedatives were stopped, and enteral baclofen was started. Spasms had resolved by Day 19; decannulation was scheduled for Day 39. Conclusion: In this child, surgical tracheostomy after ROX-documented extubation failure was followed by rapid ventilator liberation and sedative de-escalation. Causation cannot be shown.
Staged Gastrostomy Decompression, Total Parenteral-Enteral Nutritional Optimization, and Delayed Primary Thoracotomy Repair in a Late-Referred Term Neonate With Gross Type C Esophageal Atresia and Symmetric Intrauterine Growth Restriction Dwi Wahyu Kurniasari; Eny Yantri; Benny Sana Putra; Farid I Hussein; Devi Nofriyanti
Scientific Journal of Pediatrics Vol. 4 No. 2 (2026): Scientific Journal of Pediatrics
Publisher : Phlox Institute: Indonesian Medical Research Organization

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59345/sjped.v4i2.378

Abstract

Background: Late referral of neonates with Gross type C esophageal atresia and distal tracheoesophageal fistula (EA/TEF) can be complicated by aspiration pneumonia and nutritional depletion. Objective: To describe physiological, nutritional, and surgical recovery in a late-referred term neonate with EA/TEF and reported symmetric intrauterine growth restriction. Methods: This longitudinal observational case study at Dr. M. Djamil General Hospital, Padang, Indonesia, covered inpatient and outpatient care from June 16 to August 11, 2025. Serial clinical, biochemical, and anthropometric measurements were described using percentage changes, oxygenation ratios, and growth velocity. The manuscript also reports Bradford Hill and Naranjo assessments; no within-patient inferential testing was performed. Results: A 7-day-old male neonate with a birth weight of 2,600 g presented with aspiration pneumonia, oxygen saturation of 88%, and weight loss to 2,200 g (15.38%). Stamm gastrostomy on hospital day 2, parenteral nutrition (84–110 kcal/kg/day), two albumin infusions (1.0 g/kg each), and trophic enteral feeding preceded weight recovery to 2,700 g. Thoracotomy, fistula ligation, and primary anastomosis were performed on day 17. Oral intake reached 280–320 mL/day by discharge on day 27, when weight was 2,955 g. Follow-up weight reached 3,700 g. Conclusion: This case describes recovery following staged decompression, nutritional support, and delayed repair. A single case cannot establish comparative safety, treatment efficacy, or causality.

Page 5 of 5 | Total Record : 44

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