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Indonesian Human Cases Dec 4th 2007 to Jan 10, 2008
Bandung - one patient who was expected to be inffected by the bird flu virus was again treated in RS Hasan Sadikin Bandung.
Arlan Tamrin (35) became the patient suspect 108th bird flu that had been treated in RS this government.
Dr Emmy Pranggono, the doctor that handles the bird flu patient, said the condition for the patient was very weak. Arlan experienced the high and breathless fever. Until this his condition did not yet improve. His blood pressure provided, the fast breath as well as trombosit him descended, said Emmy in RSHS Bandung, Street Pasteur, on Thursday (3/1/2008).
Arlan Tamrin, a tailor who opened the kiosk in the Rancaekek Market, Kabupaten Bandung.
He was the resident of the Rancaekek Permai Blok H complex 7 ......, the Rancaekek Subdistrict.
According to Emmy, in his residence of Arlan did not maintain the poultry.
However under the sewing table had the Bangkok chicken property of his brother-in-law's older brother, but did not die. His chicken was healthy.
Nevertheless, was regarded by us he suspect because could contact with the poultry, obviously him.
Emmy added the sign of the fever was accompanied by dizziness has been felt by the patient since last Saturday, December 29 2007. Afterwards the next day he went to the clinic.
According to the doctor who checked he said laryngitis, said Emmy. On Wednesday, January 2 2008, around struck 14,00 WIB, Arlan felt lame in the bathroom. After that he cramps and breathless. The patient could not the road, he added.
Afterwards Arlan was run off with to the Rancaekek community health centre. However because of could not be handled, finally was reconciled to RSHS.
In the evening struck 21,00 WIB, the patient entered space of the Poinciana Tree isolation (space treated especially the patient suspect flu birds-red), said Emmy.
At this time, continued Emmy, the patient was installed by the incubation and fentilator. Arlan was then given medicine tamiflu.
From the results inspection x-rayed, we suspected him of being affected by the inflammation of the lungs or broncho pnemoni, he explained.
To confirm whether Arlan was affected by the virus avian influenza, still must be waiting for the development for seven days and was carried out by the PCR inspection.
Beforehand two patients suspect bird flu, that is Bambang (17) and Asup (25), also could be treated in RSHS. However after undergoing the medical inspection, two employees of a restaurant in Cicalengka this was stated by the negative.
More on Arlan, the latest patient in Bandung Hospital
RSHS Again Received Bird Flu Patient
The Hasan Sadikit hospital (RSHS) Bandung last night again received Arlan (33), a patient was expected by bird flu.
The sufferer was reported in the critical condition and had not made himself aware since entering Flamboyan Isolation space approximately struck 21,00. The Komplek resident of the Rancaekek Blok H VII ****, Rancaekek, Bandung this was reported suffered the fever since last Saturday after being touching with the chicken poultry.
Chairman Tim of the Control of RSHS Bird Flu Dr Hadi Jusuf confirmed the Arlan condition in the critical situation and still did not make itself aware (unconcious,ed) although his condition quite stable.
Results of the diagnosis, Arlan indeed to was expected by bird flu, he said in RSHS, on Thursday (3/1/2008).
The maximal action, said Hadi, in accordance with equipment and available equipment in Poinciana Tree space has been given to the patient and the condition for the patient continued to be monitored.
Concerning the condition for two patients was expected by bird flu that entered last Monday, namely Bambang (17) and Asup (25), gradually improved.
But they still continue to in the maintenance in isolation space up until the deadline seven days were waiting for results of the checking of the last condition.
Parents Arlan, Wanimar (57), claimed to be his child began experienced hot the fever since Saturday afternoon.
Two the previous day, Arlan could carry out contact with the kept chicken his relatives in the Wahana Rancaekek Market. Firstly hot high, afterwards Arlan experienced crowded breathed. Because hot did not descend on Monday Arlan was carried to the polyclinic 24 available in Rancaekek, he revealed.
Results of the inspection doker, said Wanimar, Arlan was only attacked by laryngitis. However on last Wednesday morning, Arlan fell did not make himself aware when entering the bathroom, he said.
Because of continuing to make himself aware, he continued, Arlan was run off with to RSHS struck 18,00. His condition continued to not make itself aware until being moved to Poinciana Tree space up until Thursday early afternoon.
RS Hasan Sadikin Bandung treated three patients was expected by bird flu.
Two patients were treated since December 31 and an other patient came on Wednesday night (2/1).
"Two patients BA, 17 and the USA, 25, his condition continued to improve."
However we still could not results of the inspection of the status of his illness of the matter laboratory.
Whereas, one other patient, Har, 33, his condition was still critical, and we were still passing by observation, said Chairman Tim of the Control of RSHS Bird Flu, Hadi Jusuf, on Thursday (3/1).
BA and the USA it was known worked in a restaurant in Rancaekek.
Although doubting the condition for the two patients terjangkit bird flu, but they continued to be handled by the team in accordance with the procedure.
At this time both of them did not use respiratory aids because already did not experience breathless.
Now Har, the resident of Rancaekek Housing, Kabupaten Bandung, as being revealed by his mother of Wanimar, 57, began suffered hot and breathless since Saturday (29/12).
He could be carried to the Clinic 24 hours dan
The Rancaekek community health centre, before being reconciled to RSHS. "Sehari-hari, my child worked as the tailor in the Rancaekek market."
Near the place he worked, there were his relatives who liked to maintain the chicken, said Wanimar.
(SG/EM/OL-06)
Bandung - Although his condition was still worsening, the patient's family suspect Arlan Tamrin bird flu (33), could breathe somewhat relieved.
Arlan was stated by the bird flu negative.
However the resident Rancaekek, Kabupaten Bandung must undergo twice the test again to confirm the AI virus did not nest on his body.
Was like this was sent by the Managing Director RS Hasan Sadikin Bandung Cissy RS Prawira to the reporter in his office, Street Pasteur, on Friday (4/1/2008).
For the first test from Balitbangkes the negative patient. But we must do twice again the test so that definitely, said Cissy.
Be proper for the patient suspect bird flu, said he, Arlan must be treated in isolation space till seven days.
Arlan entered RSHS on Wednesday, January 2 2007. If saw from the story of his illness, the big possibility of the patient suffered acute breathing. Not bird flu, said he.
When being touched on by the pulling of the medical treatment cost against the Arlan family, Cissy acknowledged had the administrative mistake.
However he promised the Arlan maintenance will for seven days in space of the Poinciana Tree isolation be released from the cost.
Beforehand, Ms Arlan, Wanimar (57), admitted to spending money of Rp 1.5 million for the hospital cost and medicine.
More on the symptoms of the patient AT, Arlan, who was tested negative
Again, Suspect Bird Flu entered Poinciana Tree Space
Flamboyan Rumah Sakit Hasan Sadikin space (RSHS) Bandung again received the patient suspect bird flu. The patient had the initials AT (33) that was the resident Rancaekek Permai, Kab.Bandung.
AT entered Flamboyan Space, on Wednesday night (2/1). AT was the third patient who was treated in Flamboyan Space since the last four days.
Two patients beforehand that is BMB (17) and AS (25) that entered, on Monday (31/12) at dawn.
According to the mother's information of the patient, Wanimar (57), his child experienced the hot sign, breathless, and the cough since Saturday (29/12).
His body was hot and he complain about breathless and the cough, he said to GM in the Flamboyan Space waiting room, on Thursday (3/1).
AT was just carried to the clinic, on Sunday (30/12) and on Monday (31/ 12) hot him improved was accompanied by the headache, stiff, the cough, and crowded.
On Wednesday (2/1), the sign that was experienced by him worsened, in fact could fall in the bathroom and did not make himself as well as cramps aware. I thought be hit by chikungunya him.
Afterwards was brought by us to the Rancaekek Community Health Centre.
The person in the community health centre suggested that my child was carried here (RSHS, red), he explained.
Wanimar denied his child once contact with the poultry or the chicken died.
However he said in the place kiosk of his child sewed, there was the chicken coop belonging to his brother-in-law's older brother.
In the meantime, one of the doctors who handled the patient, Dr. Emmy H. Pranggono said, the patient when entering complain about breathless and hot the high body.
The reconciliation patient from the Rancaekek Community Health Centre same his blood blood pressure descended, around 70/30 or in the condition shock.
His breath was fast. We at once put on the ventilator and the incubation.
Has been given by Tamiflu and now the inpatient of the rest situation is full, said Emmy while added, from results x-rayed, the patient was known had bronco pneumonia (the inflammation of the lungs).
Whereas two other patients, Bmb and the USA till Thursday (3/1) were still being treated in Flamboyan Space. The condition both of them began to improve.
However did not yet have certain results of the sample research of the patient's blood in Balitbangkes Jakarta.
An earlier report from today from Detikcom, describing the current health situation of patient AT, Arlan in Bandung Hospital.
Jan 4 2007
The condition for the Patient Suspect Bird Flu in Bandung Still was Bad
Pertiwi Ester Novita Manik - detikcom
Bandung - the Arlan Tamrin Condition (33), the resident Rancaekek, Kabupaten Bandung that to suspect bird flu did not yet show the improvement. His condition was still worsening.
It did not yet have the family's one member who was permitted to visit him.
According to the doctor who handled Arlan, Emmy Pranggono, the Arlan condition did not yet have the development.
His health was almost same like when he came. His breath was still being helped the ventilator. We still could not promise anything. His condition was still bad. From results of x-raying him was positive the inflammation of the lungs, he said in RS Hasan Sadikin Bandung, Street Pasteur, on Friday (4/1/2008).
In the meantime your mother of Arlan, Wanimar (57), admits to up to now being not yet permitted to visit the child the three of them this.
I still could not meet Arlan, speaking from outside then still could not, she said soft.
- snip -
Arlan came to RSHS in the condition shock. The temperature of his body achieved 40 levels celsius and blood pressure 70/30.
Although not direct contact with the poultry that died, Arlan it was considered as suspect bird flu.
Because of the professional patient the tailor in the Rancaekek market, maintained the Bangkok chicken property of his older brother. The Bangkok chicken was kept under the sewing machine.
Condition of the Patient Presumed to have Bird Flu is Critical
Bandung, Kompas- the Condition for the patient presumed to have bird flu, AT (33), the resident of the Rancaekek Wetan District, Kecamatan Rancaekek, of Kabupaten Bandung that currently is treated in Flamboyan Rumah Sakit Hasan Sadikin Space, did not improve.
Nevertheless, results of the test laboratorioum pointed out At free from the virus H5N1. The managing director RSHS, Cissy Rachiana Sudjana Prawira Kartasasmita, said that in his office, on Friday (4/1).
The situation is generally quite difficult. He is attacked by the disturbance of breathing, now did not yet realise, and his condition grew heavy, he said.
AT arrived in RSHS on Wednesday (2/1) struck 21,00. At that time the temperature of the patient's body achieved 40 Celcius levels, breathless, and his blood pressure 70/30. AT was afterwards given breath aids and did not realise. Moreover, his blood pressure rose to 135/86. From results of the inspection he was affected by the inflammation of the lungs.
Nevertheless, said Cissy, results of the test polymerase chain reaction (PCR) AT did not show the existence of the virus H5N1.
The inflammation of the lungs that were suffered by him it was suspected resulting from the other virus attack.
Apart from AT, terbaring two other patients in Flamboyan RSHS Space that together was expected by bird flu, namely AS (25) and BA (19), two workers in the restaurant in the Rancaekek Subdistrict.
Chairman Tim of the Control of RSHS Bird Flu, Hadi Jusuf explained, the condition both of them improved. They no longer are feverish and the cough.
Results of the PCR inspection of three successive times showed the bird flu negative.
However RSHS continued to treat them as the patient was expected by bird flu till the seventh day. If entering the day to eight, they might come home, said Cissy.
The AT condition (33), the patient suspect bird flu that entered Flamboyan Rumah Sakit Hasan Sadikin Space (RSHS) Bandung, on Wednesday night (2/1) was still critical.
The resident's patient Rancaekek Permai, Kab. Bandung still in the difficult condition and did not yet make himself aware. At this time the patient received intensive attention of the team of the doctor.
In the meantime, two patients suspect other that also was treated in Flamboyan Space, Bmb (17) and the USA (25), his condition has improved.
From several times the inspection, both of them were ascertained by the affected negative the virus H5N1 (bird flu). On Monday (7/1) both of them might have come home.
Concerning still the criticalness of the condition for the patient AT, Dirut RSHS, Dr. Cissy R.s. Prawira to the reporter, on Friday (4/1) said, AT indeed still in the critical situation, did not yet realise, (still unconcious,ed) and experienced the disturbance of difficult breathing.
Although results of the first inspection stated the negative tar-be hit by the virus H5N1, but the medical team was still treating the patient specially and was treating him as the patient suspect bird flu.
Generally his situation indeed was not yet good. Critical, did not yet make himself aware and had the disturbance of difficult breathing. From the report, the patient had the inflammation of the lungs, explained Cissy.
The similar matter was also revealed by one of the team's medical members, Dr. Emmy H. Pranggono. According to him, the condition for the patient far not be different from the previous day (on Thursday, 3/1). Generally his condition was not yet good, the function of his organ yet good and still did not make himself aware.
Respiratory aids also still were used, although the ventilator has decreased. We also gave antibiotik and the infusion liquid, he explained.
Now produced by VCR the patient, was still not known.
Patients presumed to have Bird Flu ready to leave RSHS
Sunday, January 6 2008
The team of the doctor RS Hasan Sadikin (RSHS) Bandung has permitted returning of two patients to be expected by bird flu from the Rancaekek Subdistrict, Bandung.
The family could make preparations to return Asup (21) and Bambang (19), to their residence was their respective. Director RSHS Cissy Rachiana Sudjana explained, the public's situation of two employees of this restaurant increasingly improved. The family could have brought came home the two people after receiving the maintenance for seven days.
Two people entered RSHS last Sunday December 31. Was based on results of the test (Polymerase Chain Reaction or PCR) the Kesehatan Laboratory (Labkes) and the Penelitian Dan Pengembangan Kesehatan Body (Balitbangkes) West Java, the sample of blood of the two people showed the negative H5N1 on Wednesday January 2. However Asup and Bambang could just leave RSHS on Monday January 7 tomorrow.
In the meantime, the condition for the patient was suspected of by other bird flu being named Arlan Tamrin (33) did not yet show the improvement.
According to Cissy, the resident Rancaekek Lovely H7 No 11 of RT 04/29 this still used respiratory accessories.
He was still using the ventilator and was not yet showing the improvement.
If already seven days could just come home, said Cissy when being contacted tonight, on Sunday (5/1/2008).
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