Page 266 - Abstract Book KONIKA 18

Infection & Tropical Disease

P-ITD-023
Characteristics of Malaria Infection in Children at Tena Teke Public Health
Center, Southwest Sumba January-March 2020

Hedi Hardiyanti Adi , Suryadi Limardi , Stevanny Keo , Ni Made Dwiyathi Utami 2
1
1
1
Tena Teke Public Health Center and Karitas Hospital , Southwest Sumba, East Nusa Tenggara, Indonesia
1
2
Abstract
Background East Nusa Tenggara is a province which has a high incidence and prevalence of malaria after
Papua. Information regarding the characteristics of malaria towards children from Tena Teke Public Health
Center is very important. Objective To determine the characteristics of children with malaria infections
in Tena Teke Public Health Center, Southwest Sumba, January-March 2020. Methods This research is a
descriptive study, using cross-sectional design and retrospective data collection in children aged from 1-15
years who were diagnosed with malaria infection. Results The total results from the malaria study from 104
children aged 1-15 years, 48 children (46%) infected with P. vivax and 56 children (53.8%) infected with
P. falciparum. Incidences of malaria were more prevalent in 57.7% of boys compared to 42.3% of girls.
The incidences of malaria infection in children aged 1-5 years old was 11 (10.6%), children aged 6-10 years
old was 72 (69.2%) and children aged 11-15 years old was 21 (20.2%). The three most common clinical
symptoms were fever (92%), headaches (91.3%) and nausea (81.7%). Hepatomegaly is more common in P.
Vivax infections than in P. Falciparum. Conclusion Most malaria infections in this study were by P. falciparum
(53.8%), with the ratio of occurrence more in boys compared to the girls. Age of the most malaria-infected
children is between 6 to 10 years old. Most symptoms are fevers, headaches and nausea. Hepatomegaly is
more common in P. vivax infections than in P. falciparum.
Keywords: malaria infection; children; characteristics

P-ITD-024
Severe Impairment due to Delayed Diagnosis of Pott’s Disease
and Abdominal Tuberculosis: A Case Report

Andika Herdiansyah P, Giyati Retnowati, Aga D.Aristyaputra
Department of Child Health, Bhayangkara Sartika Asih Hospital, Bandung, West Java, Indonesia

Abstract
Backgroud In developing countries, the proportion of extrapulmonary tuberculosis (TB) cases are increasing.
Nowadays, spondylitis TB (Pott’s disease) and abdominal TB is a rare clinical condition but can cause
severe vertebral and neurological sequelae. The symptoms develop insidiously due to the slow progression
of the disease, contributing to a significant delay between the symptoms onset and diagnosis. However,
more severe condition can be prevented with an early precise diagnosis Objective To highlight diagnostic
approach towards Pott’s disease and Abdominal TB case to prevent delayed diagnosis. Case A 14-year-old
boy presented to the Emergency Unit with chief complaint of lower extremity weakness accompanied
with tingling and numbness. Incontinence and weight loss were also occurred. Three months prior, patient
had recurring abdominal pain that has been treated in Primary Health Care (PHC) but was not showing
significant improvement. Further history evaluation indicated no close contact with any suspected TB
patient. There were decreases on both motor and sensory functions. Chest X- ray was within normal limits,
Mantoux test showed induration 14 mm. Spine X-ray showed destruction in thoracic spine 9-10. Abdominal
USG showed mild ascites accompanied by enlarged para-aortic lymph nodes. MRI showed impression of
spinal TB with Gibbus and spinal cord compression. Currently, the patient is being monitored with oral
anti-tuberculosis drugs, prednisone and surgical procedure was conducted and physiotherapy was planned.
Conclusion Although extrapulmonary TB is more challenging to diagnose, comprehensive history taking
and physical examination will help to provide early diagnosis and better outcome.
Keywords: delayed diagnosis; Pott’s Disease; abdominal TB

218 KONIKA XVIII Abstract Book