A clinical case of concurrent mycoplasma pneumonia and dengue hemorrhagic fever in a tourist from Thailand

The article describes a clinical case of concurrent infectious diseases - dengue hemorrhagic fever and mycoplasma pneumonia in a patient who came back from the area endemic for dengue fever. Further, the patient was diagnosed with clostridial colitis which was the complication. Clinical, laboratory, and radiological parameters used in the diagnosis of diseases were evaluated.

Impact of Land-use Change on Dengue Hemorrhagic Fever in Kolaka District, Southeast Sulawesi Province, Indonesia

Land use change is contributing to the emergence of zoonotic diseases in the community. And can cause an increase in the spread of the virus through arthropods. This study aimed to determine the association of land use factors and dengue hemorrhagic fever in Kolaka District, Southeast Sulawesi Province, Indonesia. The secondary data obtained from various governments of Indonesia were used for this study. Data of dengue hemorrhagic fever from Ministry of Health of Republic Indonesia. Land use data is derived from the classification of Citra Landsat 8 on a scale of 1: 250,000 from 2010 to 2020. The Spearman rank correlation test was used to examine the relationship between land-use change and the incidence rate of dengue hemorrhagic fever. The results of this study In Period 2010-2015 is a correlation between Agriculture with dengue hemorrhagic fever ( α = 0.812, p <0.05), and water bodies with α =0.812. The area of agricultural land is increasing every year; in 2010, only 3.32% increase to 51.08% in 2015. Furthermore, in period 2016-2020 is a correlation between Forest with dengue hemorrhagic fever (α = 0.900, p <0.05), and Settlement (α = -0.900, p <0.05). Our findings could be used to improve the understanding of land-use change and dengue hemorrhagic fever in the Kolaka district and provide information on land use that does not damage the environment.

Prevention of Dengue Hemorrhagic Fever (DHF) by Planting Lemongrass at SMK 17 Agustus 1945 Surabaya

Dengue Hemorrhagic Fever (DHF) is a disease caused by the dengue virus which is transmitted through the bite of the Aedes aegypti and Aedes albopictus mosquitoes. Dengue Hemorrhagic Fever (DHF) is caused by the dengue virus and is transmitted by the Aedes aegypti mosquito, which is characterized by a sudden fever of two to seven days without a clear cause, weakness or lethargy, restlessness, heartburn accompanied by signs of bleeding on the skin in the form of bleeding spots, bruising or rashes. sometimes nosebleeds, bloody stools, vomiting blood, decreased consciousness or shock. This PKM aims to provide detailed information about DHF and how to prevent DHF using lemon grass. After participating in this lesson, participants are expected to be able to understand what dengue is, the benefits of lemongrass and know how to plant lemongrass in their neighborhood. The method used in this research is to conduct counseling and distribute pretest and posttest. The results show that this community service program can increase students' knowledge by 64.3% related to the dangers of dengue fever, the benefits of lemongrass as a mosquito repellent plant and how to plant lemongrass correctly.

SIADH (Syndrome of Inappropriate ADH Secretion): Perplexing Look of Dengue Fever

Dengue is a mosquito-borne disease (female mosquitoes of the Aedes genus, principally Aedes aegypti) caused by any one of four closely related dengue viruses. It is endemic in tropical and subtropical continent. World health organization (WHO) currently estimates there may be 50 -100 million dengue infections worldwide every year with over 2.5 billion people at risk of dengue. Symptomatic dengue virus infection may manifests as undifferentiated fever, classical dengue fever (with or without unusual hemorrhages), and dengue hemorrhagic fever (with or without shock). Isolated organopathy or expanded dengue syndrome (EDS) was coined by WHO in the year 2012 to describe cases, which do not fall into either dengue shock syndrome or dengue hemorrhagic fever. The atypical manifestations noted in expanded dengue are multisystemic and multifaceted with organ involvement, such as liver, brain, heart, kidney, central/peripheral nervous system, gastrointestinal tract, lympho reticular system. Dengue virus has long been considered as a non-neurotropic virus, as animal studies have shown that virus does not cross blood brain barrier. Hyponatremia may be found in association with dengue fever and is thought to be caused by peripheral fluid extravasation and resulting intravascular hypovolaemia. But hyponatremia due to syndrome of inappropriate secretion of anti-diuretic hormone (SIADH) in Dengue fever is rare. We report a 40 years old male who was diagnosed as Dengue fever (Dengue Ns1Ag positive) with thrombocytopenia and hyponatremia. He was admitted and further investigations revealed SIADH. He responded well to cautious sodium replacement and addition of tolvaptan. He recovered completely and was discharged after one week. Thus, all clinicians should keep in mind the possibility of SIADH as a part of expanded dengue syndrome.

POLA SEBARAN DAN RISIKO KEJADIAN DEMAM BERDARAH DENGUE DI KECAMATAN MEREK KABUPATEN KARO

Dengue Hemorrhagic Fever is still one of the public health problems in the Merek District and tends to show a fluctuating increase. It was reported that in 2017 the total number of DHF cases was 38 cases with a morbidity or Incidence Rate (IR) of 9.4 / 100,000 population, while the case fatality rate (CFR) was 5.3%. DHF is caused by an imbalance between the three interacting factors, namely host, agent, and environmental factors. The use of Geographic Information System (GIS) is carried out to obtain information about the distribution of cases in each region. The purpose of this study was to determine the distribution patterns and risks that influence the incidence of dengue hemorrhagic fever (DHF) in the Merek District of Karo District. Observational research with a case-control design. The case is DHF sufferers. Control is not a sufferer of DHF. Samples were taken by simple random sampling of 62 cases and 62 controls. Where researchers do measurements on the dependent variable beforehand the effect (DHF), while the independent variables are retrospective to determine whether there is a risk of DHF events. The statistical tests used were Chi-Square (bivariate analysis) and Logistic Regression (multivariate analysis). The results of the bivariate analysis showed risk factors for age, education, use of wire mesh and eradication of mosquito nests related to the incidence of DHF. The results of multivariate analysis showed that the risk factor that played a role in the incidence of DHF was the eradication of mosquito nets. The incidence of DHF increases in people who do not have the habit of PSN (Mosquito Nest Eradication) for that practice of cleaning and draining water reservoirs, closures, and burial of used goods.

ANALISIS KETAHANAN HIDUP PENDERITA DENGUE HEMORRHAGIC FEVER (DEMAM BERDARAH) DENGAN REGRESI COX KEGAGALAN PROPORSIONAL (Studi Kasus : Rumah Sakit Islam Nahdlatul Ulama Demak)

Dengue hemorrhagic fever is an acute febrile disease caused by the dengue virus, which enters the human bloodstream through the bite of a mosquito of the genus Aedes Aegypti or Aedes Albopictus. Based on World Health Organization (WHO) records, it is estimated that 500,000 dengue hemorrhagic fever patients require hospital treatment every year and most of the sufferers are children. To analyze the relationship between recovery time in dengue fever patients and the factors that influence it using regression analysis, the dependent variable is the failure time and the function of the response variable tends to fail constant so to find out the relationship using Cox proportional hazard regression. Cox proportional hazard regression is a regression model that is often used in survival analysis. Survival analysis is a method used to describe data analysis in terms of time from the time of origin defined until a certain event occurs. In this study, the recovery time of dengue fever patients as a function of failure is proportional. The observations used by the researchers for each patient were not the same. The population of this study were all patients with dengue fever. The data used was obtained from the medical record section for data on the length of hospitalization of patients regarding the recovery of patients with dengue fever. The conclusion of the research shows that the factors that affect the recovery time of dengue fever patients are hematocrit, platelets, immunoglobulin G, and immunoglobulin M.

Description of Extraordinary Events of Dengue Hemorrhagic Fever In Belu Regency, East Nusa Tenggara Province 2020

Belu Regency is located in the province of East Nusa Tenggara (NTT), Indonesia and is an endemic area for dengue fever. Nationally, until June 2020, there were 16,320 cases of dengue fever with a CFR of 0.009%, while in Belu Regency there were 820 cases recorded until June 2020 with a CFR of 0.97%. This study aims to describe the outbreak of DHF by person, place and time as well as the distribution of cases in Belu Regency. this research is descriptive observational with case series design. The source of research data is secondary data on dengue cases obtained from the 2016-2019 Dengue Hemorrhagic Fever (DHF) Report and the DHF outbreak report in January-June 2020, the Belu District Health O ce. DHF cases in Belu Regency until June 2020 were 820 cases with symptoms of fever 2-7 days by 100% and supported by laboratory platelet examinations of 73%. The highest IR rate until June 2020 is 367 per 100. 000 residents with a CFR of 0.97% spread over 12 sub-districts of Belu Regency. The highest IRs (>20 per 10,000 population) are Atambua city, South Atambua, East Tasifeto, West Atambua, Kakuluk Mesak and West Tasifeto subdistricts. The majority of DHF in the age group 5-14 years 521 cases (27.1%) with female sex as many as 495 cases (51.51%). DHF cases were found since the first epidemiological week at the beginning of the year with peak cases at the 13th week. Belu Regency Is a dengue endemic area with an IR of 367/100,000 population with a CFR of 0.97%. The highest cases were in the 5-14 year age group and spread across 12 sub-districts of Belu Regency.

Correlation Analysis between Ratio of C-Reactive Protein/Albumin and Severity of Dengue Hemorrhagic Fever in Children

Dengue Hemorrhagic Fever (DHF) is a dengue infection which can cause shock and leads to mortality. Hypoalbuminemia is a marker of plasma leakage in DHF and correlated with severity of in fl ammatory response triggered by infection, including DHF. C-Reactive Protein (CRP) is a proin fl ammatory marker that also increases in DHF. This study aims to determine a correlation of CRP/albumin ratio with severity of DHF. Cross sectional study on pediatric patients diagnosed as DHF at Saiful Anwar Malang Hospital was done in July-December 2016. CRP levels were examined using immunoturbidimetry method, while albumin was examined by using Bromocresol Green (BCG) method. Correlation of CRP/albumin ratio with DHF severity was analyzed by using Pearson correlation test.The result showed that there were signi fi cant diff erences in CRP levels and CRP/albumin ratios in the Dengue Shock Syndrome (DSS) and non-DSS group (p = 0.002, p = 0.001, α<0.05). There was no signi fi cant diff erence in albumin level in the same group (p = 0.207, α <0.05). Positive correlation found in CRP and CRP/albumin ratio (r = 0.46, r = 0.49, α <0.01). On the contrary the negative correlation was found in albumin (r = -0.21, α <0.01). This is presumably because albumin is an acute phase protein which will decrease along with the severity of infection. In contrast, CRP will increase during the critical phase of infection. It can be concluded that the CRP/albumin ratio was positively correlated with DHF severity, as well as CRP levels, but not positively correlatedwith albumin.

THE EFFECT OF HEALTH EDUCATION ON INCREASING BEHAVIOR FOR THE PREVENTION OF DENGUE HEMORRHAGIC FEVER IN THE COMMUNITY

Background: One form of prevention of dengue haemorrhagic fever is through increasing public knowledge and understanding of the incidence of dengue haemorrhagic fever. Objective: This study was carried out with the aim of knowing the effect of health education on increasing behaviour for the prevention of dengue hemorrhagic fever in community. Methods: This study used a research design in the form of a pre experimental design with one group pre-post test design approach. This research was conducted on September 5, 2021 at RT 01 Kali Pecabean Village, Candi Sub-District, East Java Province, Indonesia. The population of this research is all families who live in RT 01 Kali Pecabean Village. The number of research samples was 26 families that were determined by using a sampling technique in the form of purposive sampling. Families who became respondents in this study were represented by one of the family members who participated in social gathering activities. The inclusion criteria used were families who participated in health education activities conducted at regular social gatherings. The instrument used is The Dengue Haemorrhagic Fever Prevention Questionnaire (DHFPQ). The result of reliability test was .550 and the validity was .84. Analysis of the data used is the Wilcoxon Signed Rank Test with p-value < .05. Result: The results showed that there was an effect of health education on increasing behaviour for the prevention of Dengue Haemorrhagic Fever in the community (p-value .0000). Conclusion: With the results of this study, it is hoped that health workers are expected to increase public understanding through the provision of health education as a preventive measure against the incidence of Dengue Haemorrhagic Fever. In addition, health workers are also expected to provide assistance to the community.