Challenges in Providing Treatment of Severe Malaria Case in a District Hospital of Remote Area in Indonesia
Severe Malaria is commonly found due to Plasmodium falciparum infection, which is causing high mortality in patient. A Severe case might be difficult to treat optimally in the remote settings area that could be due to lack in awareness of disease manifestation and inadequate diagnostic facilities. W...
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| Format: | Article |
| Language: | Indonesian |
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Department of Internal Medicine, Faculty of Medicine Universitas Indonesia
2017-03-01
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| Series: | Jurnal Penyakit Dalam Indonesia |
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| Online Access: | http://jurnalpenyakitdalam.ui.ac.id/index.php/jpdi/article/view/112/102 |
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| author | Dimas Priantono Asep Purnama Erni Juwita Nelwan |
| author_facet | Dimas Priantono Asep Purnama Erni Juwita Nelwan |
| author_sort | Dimas Priantono |
| collection | DOAJ |
| description | Severe Malaria is commonly found due to Plasmodium falciparum infection, which is causing high mortality in patient. A Severe case might be difficult to treat optimally in the remote settings area that could be due to lack in awareness of disease manifestation and inadequate diagnostic facilities. We report a case of Severe Malaria Falciparum infection, confirmed by blood smear eamination of Plasmodium falciparum (Pf) parasites. Patient had received Artemicinin Based Combination Therapy (ACT), which consisted of dihydroartemisinin (DHA)-piperaquine and primaquine (PQ) with no clear clinical and microscopy improvement. The second line anti malaria consisted of quinine, doxycycline, and PQ was then initiated, showing clinical and microscopy responses. |
| format | Article |
| id | doaj-art-e1db20f2d9984c44bc7a13b140b9fdcf |
| institution | OA Journals |
| issn | 2406-8969 2549-0621 |
| language | Indonesian |
| publishDate | 2017-03-01 |
| publisher | Department of Internal Medicine, Faculty of Medicine Universitas Indonesia |
| record_format | Article |
| series | Jurnal Penyakit Dalam Indonesia |
| spelling | doaj-art-e1db20f2d9984c44bc7a13b140b9fdcf2025-08-20T02:01:09ZindDepartment of Internal Medicine, Faculty of Medicine Universitas IndonesiaJurnal Penyakit Dalam Indonesia2406-89692549-06212017-03-01414144http://dx.doi.org/10.7454/jpdi.v4i1.112Challenges in Providing Treatment of Severe Malaria Case in a District Hospital of Remote Area in IndonesiaDimas Priantono0Asep Purnama1Erni Juwita Nelwan2RSUD Larantuka, Kabupaten Flores Timur, Nusa Tenggara Timur IndonesiaSMF Penyakit Dalam, RSUD dr. T.C. Hillers, Maumere, Kabupaten Sikka, Nusa Tenggara Timur Indonesia Divisi Tropik Infeksi, Departemen Ilmu Penyakit Dalam, Fakultas Kedokteran Universitas Indonesia/Rumah Sakit dr. Cipto Mangunkusumo, Jakarta Indonesia Severe Malaria is commonly found due to Plasmodium falciparum infection, which is causing high mortality in patient. A Severe case might be difficult to treat optimally in the remote settings area that could be due to lack in awareness of disease manifestation and inadequate diagnostic facilities. We report a case of Severe Malaria Falciparum infection, confirmed by blood smear eamination of Plasmodium falciparum (Pf) parasites. Patient had received Artemicinin Based Combination Therapy (ACT), which consisted of dihydroartemisinin (DHA)-piperaquine and primaquine (PQ) with no clear clinical and microscopy improvement. The second line anti malaria consisted of quinine, doxycycline, and PQ was then initiated, showing clinical and microscopy responses.http://jurnalpenyakitdalam.ui.ac.id/index.php/jpdi/article/view/112/102Artemisinin Combination Therapydoxycyclinemalaria falciparumquinine |
| spellingShingle | Dimas Priantono Asep Purnama Erni Juwita Nelwan Challenges in Providing Treatment of Severe Malaria Case in a District Hospital of Remote Area in Indonesia Jurnal Penyakit Dalam Indonesia Artemisinin Combination Therapy doxycycline malaria falciparum quinine |
| title | Challenges in Providing Treatment of Severe Malaria Case in a District Hospital of Remote Area in Indonesia |
| title_full | Challenges in Providing Treatment of Severe Malaria Case in a District Hospital of Remote Area in Indonesia |
| title_fullStr | Challenges in Providing Treatment of Severe Malaria Case in a District Hospital of Remote Area in Indonesia |
| title_full_unstemmed | Challenges in Providing Treatment of Severe Malaria Case in a District Hospital of Remote Area in Indonesia |
| title_short | Challenges in Providing Treatment of Severe Malaria Case in a District Hospital of Remote Area in Indonesia |
| title_sort | challenges in providing treatment of severe malaria case in a district hospital of remote area in indonesia |
| topic | Artemisinin Combination Therapy doxycycline malaria falciparum quinine |
| url | http://jurnalpenyakitdalam.ui.ac.id/index.php/jpdi/article/view/112/102 |
| work_keys_str_mv | AT dimaspriantono challengesinprovidingtreatmentofseveremalariacaseinadistricthospitalofremoteareainindonesia AT aseppurnama challengesinprovidingtreatmentofseveremalariacaseinadistricthospitalofremoteareainindonesia AT ernijuwitanelwan challengesinprovidingtreatmentofseveremalariacaseinadistricthospitalofremoteareainindonesia |