Karakteristik Pasien Tonsilitis Pada Anak Usia 5-12 Tahun di RSPBA Bandar Lampung Tahun 2020

Tonsillitis is a disease that is often experienced by a person, especially often occurs in children. Based on a survey from the Indonesian Ministry of Health in 2012, the incidence of tonsillitis in Indonesia reached around 23%. Acute tonsillitis that is not properly treated can cause chronic tonsillitis, therefore it is important to know the characteristics of tonsillitis symptoms in order not to develop into chronic tonsillitis. Tonsillitis is an inflammation of the tonsils caused by infection with the Streptococcus group of bacteria or viruses which can be acute or chronic. Symptoms that often appear in tonsillitis are sore throat, difficulty swallowing and when it reaches chronic it can block the respiratory tract. The purpose of this study was to determine the characteristics of tonsillitis patients in children aged 5-12 years at Rspba Bandar Lampung in 2020. The research method in this study was cross-sectional. It is known that the results of the study of tonsillitis patients in children, the most common symptom of which was pain during swallowing (40.5%), tonsillitis patients in children were often found in T2-T2 sizes (37.8%), tonsillitis patients in children were often experienced. by men (71.1%). tonsillitis patients in children are often experienced by ages 7-8 years (48.6%), the incidence of tonsillitis cases is 8.34%, the prevalence of tonsillitis cases in children aged 5-12 years is 41.1%, in children aged 5 -12 years have a lot of chronic tonsillitis. The characteristics found in tonsillitis patients aged 5-12 years, namely swallowing pain, widening of the T2-T2 tonsil size, mostly experienced by men and often occurs at 7-8 years of age, the incidence is 8.34%, prevalence in children. age 5-12 years as much as 41.1% and many children have chronic tonsillitis.

Aortic penetration due to a fish bone: a case report

Background Aortoesophageal fistula (AEF) caused by an esophageal foreign body is a life-threatening crisis, with rapid progress and high mortality. The first case of AEF was reported in 1818, but the first successfully managed case was not until 1980. Although there have been some reports on this condition, in most cases, the aorta was invaded and corroded due to its adjacent relationship with the esophagus and subsequent mediastinitis. To date, few reports have described an aortic wall directly penetrated by a sharp foreign body, likely because this type of injury is extremely rare and most patients cannot receive timely treatment. Here, we present a rare case of a fish bone that directly pierced the aorta via the esophagus. Case presentation A 31-year-old female experienced poststernum swallowing pain after eating a meal of fish. Gastroscope showed a fishbone-like foreign body had penetrated the esophagus wall. Computed tomography revealed that the foreign body had directly pierced the aorta to form an AEF. Surgery was successfully performed to repair the aorta and esophagus. The postoperation and follow-up was uneventful. Conclusions For the treatment of foreign bodies in the esophagus, we should be alert of the possibility of AEFs. The effective management of AEFs requires early diagnosis and intervention, as well as long-term treatment and follow-up, which still has a long way to go.

Case Report: Dengue Hemorrhagic Fever in Children

Patients came to the Puskesmas with the patient's child with complaints of heat for 4 days ago before the patient went to the Puskesmas. The patient began to feel the body shivering for 4 days ago by feeling pain throughout the body accompanied by shivering and not having energy/feeling weak. At present, patients complain of headaches, joints ache and feel just want to stay alone. The patient checked the patient's temperature around 38-39˚C for 2 days ago. The patient did not complain of swallowing pain, decreased appetite, but the patient still ate a lot to improve the condition. The heat arises suddenly during the day, and the patient only takes the drug paracetamol but the heat and pain decrease only slightly. Patients had had time to go to the Puskesmas and check blood at that time obtained 138,000 platelet laboratory results, hematocrit 46.7% and leukocyte rate 3,200/mm3, the patient was given medication by a doctor at the Puskesmas paracetamol 3x500 and vitamin C, and recommended control again the next day. At the time of control, the patient's condition was still weak, headache was still persistent, and also joint pain was still present. Then blood was taken again, and platelet results were obtained 70,000/μl, hematocrit 70.1% and leukocyte count 6,500/mm3, around the patient's home there was 1 child who was treated with dengue fever. The patient complained of nausea but did not vomit. The gums are not bleeding and there are no nosebleeds, then an RL test and a positive result are performed. Patients are advised to be referred to Regional Public Hospital to get further treatment. The patient has never experienced this condition before. The patient had typhus but was not hospitalized, only with outpatient care. Other illnesses are just coughing and the common cold, not serious illnesses. The patient has a drug allergy to ciprofloxacin.

Isolated fracture of hyoid bone as a result of bicycle injury

Authors present a rare case of isolated hyoid bone fractures as a result of a traffic accident. Ten hours before the exam, the patient injured his neck by hitting it against a metal pole which he did not notice while riding a bicycle. Immediately afterwards he felt the pain, and came for an examination due to pain with swallowing. ENT examination discovered no signs of trauma in the oral cavity, oropharynx, hypopharynx, larynx and visible part of trachea. Computed tomography discovered an isolated fracture of hyoid bone. After 24 hour observation, patient was discharged for home care, and was shown a swallowing technique which significantly reduces swallowing pain. At control ENT examination 10 days later patient had no complaints. Control CT examination was not performed, as patient refused it.

Oropharyngeal dysphagia as dominant and life-threatening symptom in dermatomyositis

Background. Dysphagia can be a serious problem in patients with inflammatory myopathies. It may be associated with nutritional deficit, aspiration pneumonia, and poor prognosis. Case report. We presented a 60-year-old male, suffering from difficulty in swallowing, pain and weaknes in the proximal parts of his extremities, and skin manifestation. Laboratory findings showed increased creatine kinase and aldolase. Antinuclear antibodies to HEP-2 subtrate revealed titer of 1:40. Electromyoneurography demonstrated evidence of a proximal myopathy. A muscle biopsy revealed myositis. The baruim swallow test was remarkable for regurgitation, and nasal emerging of barium. Nuclear magnetic resonance images of cranium was normal. Tumor markers CEA, and Ca 19-9 were increased. A dose of 1 mg daily prednisolone was administered and percutaneous enteral feeding was performed. Two months later, the patient developed febrile state, aspiration pneumonia, and died due to respiratory failure. Conclusion. In cases of dermatomyositis with the serious dysphagia, percutaneous endoscopic gastrostomy should be performed as soon as possible. Owerall survival rate is low, even with an adequate therapy administration. Inflammatory myopathies should be considered in any patient with oropharyngeal dysphagia.

To the casuistry of iodism. Thyreoiditis acuta

A person suffering from syphilis has been prescribed calcium iodide (Sol. e. 4.0-180.0 4 times a day with a tablespoon) during the course. In the evening of the same day, after taking the 3rd spoon of the medicine, a patient with a still feeling well had a fever of 39R, a terrible runny nose and severe swallowing pain.