Page 258 - Abstract Book KONIKA 18

Infection & Tropical Disease

P-ITD-007
Early Onset Congenital Malaria Falciparum: A Case Report

Celine, Ni Made Dwiyathi Utami
Karitas Hospital Southwest Sumba, Southwest Sumba, East Nusa Tenggara, Indoneisa

Abstract
Background Congenital malaria can be a disease burden in the endemic zones of Indonesia. East Nusa
Tenggara is high endemic for malaria after Papua. As it may lead to considerable perinatal morbidity and
mortality, awareness and timely intervention is necessary for desireable outcome and prevention of the
condition. Very few reports of congenital malaria are available. Objective To present a congenital falciparum
malaria we found in a first day neonate at Southwest Sumba, East Nusa Tenggara. Case A baby girl was born
with spontaneous vaginal delivery from a G3P2A0 mother with 31-32 weeks of gestation and positive malaria
falciparum. From the physical examination we found clinically sepsis signs and positive for Plasmodium
Falciparum trophozoit and gamet form in the blood smear test. Artesunate injection was given as the therapy
to the neonate. Conclusion Clinical presentation in congenital malaria may offer a considerable diagnostic
challenge and important for management strategy.
Keywords: congenital; neonatal; malaria

P-ITD-008
Expanded Dengue Syndrome: A Case Report

Teresia C. Tjiang, Angelina Armine S. Putri
Department of Child Health, Eka Hospital, Bekasi, West Java, Indonesia
Abstract
Background Dengue is an endemic disease which still a burden in Indonesia. The manifestation can be
varied from classic to atypical. Atypical infection involving several organs, with or without plasma leakage
known as expanded dengue syndrome (EDS). Early recognition and prompt treatment will enhance the
survival rate. Objective To raise an awareness of EDS in pediatrics. Case An 8 years old boy was brought
into our emergency unit with 4th day of fever and malaise. He was somnolent, tachycardic at 150 bpm,
slightly tachypneic, and febrile at 38 C. Blood works showed hemoglobin of 12.5 g/dL, hematocrit of 34,5%,
o
leucopenia of 1,000/mL, platelet of 37,000/mL and sodium level was 119 mmol/L. NS1 antigen was positive.
Other physical examination was unremarkable. Follow up examination within 12 hours revealed a decrease
breath sound on right lung base, palpable liver 2 cm below costal arch, thready pulse with cold extremities.
Clinical condition deteriorated rapidly within hours, signs of severe plasma leakage was prominent. There
was continuous gastrointestinal bleeding that cause anemia of 7 g/dL. Aspartate transaminase and alanine
aminotransferase level were 6216 and 1229 U/L. The patient was early intubated and transfused with fresh
frozen plasma, cryoprecipitate, and packed red blood cells. On the course of illness there was first degree
of atrioventricular block with pericardial effusion. The condition improved and the patient was discharged
within 9 days. Conclusion Early diagnosis and timely management are fundamental in taking care of patient
with EDS.
Keywords: expanded dengue syndrome; early recognition; atypical manifestation of dengue

210 KONIKA XVIII Abstract Book