Page 217 - Abstract Book KONIKA 18

Gastroenterohepatology

P-GEH-014
Acute Viral Hepatitis A in 15 Years Old Boy: A Case Report

M. Faza Akroma
S HVA Toeloengredjo, East Java, Indonesia

Abstract
Background Annually, worldwide have approximately 1.5 million cases of hepatitis A. Hepatitis A is an
inflammatory liver disease caused by the hepatitis A virus (HAV) through faecal-oral transmission from
contaminated food or drink. In older children and adults, infection is usually symptomatic, with jaundice
occurring in more than 70% of patients. Objective To report a case of acute viral hepatitis A in children
with indication of hospitalization. Case We report a 15-years-old male presented fever for 2 days before
admission to hospital. Patient complained of malaise with yellow eyes for 3 days. Patient complained of severe
vomiting 1 day ago. Patient complained of epigastric and upper right abdominal pain. Patient complained of
urine colour seems like tea for 3 days. Physical examination showed compos mentis, temperature 37.9, eyes
showed scleral icterus, and skin showed jaundice. Liver function test showed increase SGOT (545.6) and
SGPT (1110.4). Increase total bilirubin (10.47) and direct bilirubin (7.39). IgM Anti-HAV showed positive.
Patient diagnosis with Acute Viral Hepatitis A. Patient was treated with NaCl 0.9 % infusion 20 gtt/min
(macro), cefotaxime intravenous 500 mg every 8 hours, metamizole sodium intravenous 500 mg (if fever),
ondansetron intravenous 4 mg every 8 hours, ranitidine intravenous 50 mg every 12 hours, multivitamin/
mineral supplements, and hepatoprotective drug. After 3 days of treatment, the patient was discharged with
good clinical outcome. Conclusion It has been reported that pediatric patients with acute viral hepatitis A
who showed indication of hospitalization with several treatments and have good clinical outcomes.
Keywords: acute viral hepatitis A; icterus; children

P-GEH-015
Correlation of Clinical Symptoms of Gastritis with H. pylori Occurrence
in Children

1
1
Nur’atmi Gusti Dewi , Supriatmo , Karina Sugih Arto , Isti Ilmiati Fujiati ,
1
2
Rina Amalia C. Saragih , Rizky Adriansyah 1
1
1
Department of Child Health, Faculty of Medicine, Universitas Sumatera Utara/Haji Adam Malik General Hospital and
Department of Community Medicine, Faculty of Medicine, Universitas Sumatera Utara ,
2
Medan, North Sumatera, Indonesia
Abstract
Background Helicobacter pylori infection is a problem worldwide, which is the most common cause of
chronic gastritis, and it is strongly associated with gastric ulcer disease and gastric cancer. H. pylori cause
gastritis in infected children with unspecified clinical manifestation and continue having non-specific
symptoms along with their life. Objective To determine the correlation between clinical gastritis symptoms
with H. pylori occurrence in children. Methods A cross-sectional study in 2-18 years old patients with
clinical symptoms of gastritis who came to the outpatient clinic and treated at H. Adam Malik General
Hospital Medan and Educational Network Hospital from December 2019 to May 2020. Patients with clinical
symptoms of gastritis got the endoscopic procedure and Campylobacter-like organism (CLO) test. Results
84 subjects were analyzed with 45 positive H. pylori and 39 negative H. pylori. There were no significant
clinical symptoms differences between the H. pylori (+) group and the H. pylori (-) group. The most clinical
symptom was recurrent abdominal pain (P=0.726), vomiting with P=0.115, haematemesis (P=0.560) the
least clinical symptoms were nausea in a P=0.333. Conclusion There was no correlation between clinical
symptoms of gastritis and the occurrence of H. pylori infection in children.
Keywords: clinical symptoms of gastritis; H. pylori; children

KONIKA XVIII Abstract Book 169