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Indonesia - North Sumatra - Bird flu suspect from Aceh treated in Medan hospital - "Probably not bird flu" - March 7 +

Gert van der Hoek

In Memoriam - Editor, Senior Moderator
MONDAY, 07 MARCH 2011

RSUPHAM hospitalized patient suspect bird flu


MEDAN - A resident of Aceh infected with bird flu suspect, MH (15) while being treated at General Hospital Center for Haji Adam Malik (RSUPHAM) Medan.

PR RSUPHAM, Sairi Saragih, said, the MH go into RSUPHAM on Sunday (6 / 3) yesterday. He is suspected of being infected with H5N1 virus because the symptoms like high fever, cough, and shortness of breath. "When you sign in, the temperature is 40 degrees, decreased consciousness, coughing and tightness," he said, this afternoon.

According Sairi, MH suspected bird flu because there are birds that died near his home suddenly. "And when that condition he had a fever," said Sairi.

To ascertain whether the MH positive for bird flu or not, RSUPHAM still doing checks. The medical team have done a photo, and examination of swab samples taken by swab (fluid), nose and throat that was sent to Jakarta for testing.

"Last night we sent to Jakarta. Approximately one week of the new results came back," he explained.

Currently, the condition of MH tend to improve. Body temperature had dropped to 36 degrees Celsius. MH treated at Bird Flu Space, RSUPHAM.

waspada
 
Re: Indonesia - Bird flu suspect from Aceh treated in Medan hospital

Re: Indonesia - Bird flu suspect from Aceh treated in Medan hospital

From another source; NAD = Aceh.

Monday, 07/03/2011

Suspected Bird Flu - NAD Origin - Adolescent Treated in Dr Adam Malik

Khairul Ikhwan - detikNews


Medan - Muhammad Hidayat (15), a resident of the village of Kuta Cepu, Simpang Kere, Babussalam District, Aceh Singkil, Nanggroe Aceh Darussalam (NAD) was forced to receive intensive treatment in a special installation space Central General Hospital (Dr) Haji Adam Malik Medan because of fever high. Strong suspicion, Hidayat bird flu.

After receiving treatment since Sunday (6 / 3) night, Hidayat body heat begins to decline around 36 degrees Celsius on Monday (07/03/2011) afternoon. Earlier, the body heat Hidayat recorded at 40 degrees celsius.

Patient's father, Ajman, said Hidayat had a high fever after neighbors chickens died suddenly with his mouth foaming.

"Chicken neighbors many died suddenly. The next day Hidayat high fever and had shortness of breath. The hospital in Singkil, Hidayat was then referred to Adam Malik," said Ajman.

While PR Dr Haji Adam Malik Medan, Sari Saragih said, to ensure Hidayat bird flu, the medical team took blood samples to be tested in the laboratory.

"The results of laboratory tests will be obtained about four days. For a while, the patient was placed in the installation of suspect bird flu in the rear of the hospital building," said Saragih.
 
Re: Indonesia - Bird flu suspect from Aceh treated in Medan hospital

Re: Indonesia - Bird flu suspect from Aceh treated in Medan hospital

Source: http://www.eksposnews.com/view/14/2...dam-Malik-Medan-Isolasi-Remaja-asal-Aceh.html

Senin, 7 Maret 2011 | 23:06:37
Suspect Flu Burung, RSUP Adam Malik Medan Isolasi Remaja asal Aceh

Google translation:

Monday, March 7, 2011 | 23:06:37
Suspect Bird Flu, Dr Adam Malik Medan from Aceh Insulation Teenagers

MEDAN (EKSPOSnews): General Hospital Center for Adam Malik was forced to take care of MH (15) residents of Nanggroe Aceh Darussalam in a hospital isolation room because it indicated the government's suspect bird flu.

Subsection Head of Law and Public Relations Dr H Adam Malik, Sairi Br Saragih, in Medan, Monday, March 7, 2011, said the MH which is the first child of the couple A and N went into hospital on Sunday (6 / 3) with the condition of fever quite high.

"Sunday at around 14:00 pm when the patient arrived at hospital is in a state of high fever reaching 40 degrees Celsius. But today (Monday (7 / 3) the heat has dropped to 36 degrees Celsius," said Saragih.

In addition, he continued, the patient himself known in a state of cough and shortness of breath. The medical team also have done some activities such as photo thorax and taking swab samples to determine whether positive patient bird flu or not.

"Taking swabs is ideally performed three times. However, we are only two times to take swabs and another one done tomorrow and this result can only be known next week," he said.

Section Head of Guidance and Control of Epidemics and Disasters, North Sumatra Health Office, Suhadi said it had lowered the team to Dr Adam Malik to take samples and examine the further development of the patient's condition.

Some actions and handling of them will be the team taking the swab swab (Fluid) nose and throat to be forwarded to the laboratory Balitbang Kemenkes RI.

"The most rapid results can be found three days ahead and is normally for five hari.Kalau indeed tested positive, we will coordinate with the Health Department in the place of origin of patients," he said. (An)
 
Re: Indonesia - Bird flu suspect from Aceh treated in Medan hospital

Re: Indonesia - Bird flu suspect from Aceh treated in Medan hospital

Residents Subulussalam 'Suspect' Bird Flu Referral to Dr HAM
Medan, (Analysis)

M Hidayat (17) residents of Simpang Kiri district of Kuta Cepu Subulussalam suspected bird flu (H5N1) was referred to the General Hospital Center for Haji Adam Malik (Dr HAM) by PHC Dates, Sunday (6 / 3) afternoon. When referred to the Human Rights Dr Hidayat unconscious condition. Now patients in the intensive care isolation room RSUP human rights.

Dr PR Kassubag human rights, Sairi M Saragih time journalist confirmed on Monday (7 / 3) said that when patients go to Dr human rights body temperature reached 40 degrees Celsius, accompanied by coughing and shortness of breath. The patient is also unconscious. But these days her body temperature had dropped from 40 to 36 degrees Celsius. While awareness is still declining.

Karmon Saragih (51), uncle Hidayat said on Thursday (3 / 3) after school to admit it Hidayat fever with high heat. It was Hidayat only given hometown drug alone. Until Saturday (5 / 3) Hidayat condition worsened. The family took him to the nearest village midwife for treatment and Hidayat only injected and given medication.

On his return from the village midwife, his condition did not improve, the higher the heat. On Sunday (6 / 3) morning Hidayat was unconscious with the conditions of high heat loss and mouth foam. The family later brought to the PHC.

"Because of suspected bird flu, the health center and then refer him to Dr human rights, on Sunday (6 / 3) afternoon with the conditions at that time was unconscious," said Karmon adding no Husbandry Department down to the village. Monitoring of journalists in the field, the patient still unconscious. Her whole body mounted tools. (Bara) :tiphat:http://www.analisadaily.com/index.p...rujuk-ke-rsup-ham&catid=3:nasional&Itemid=128
 
Re: Indonesia - Bird flu suspect from Aceh treated in Medan hospital

Re: Indonesia - Bird flu suspect from Aceh treated in Medan hospital

Mar 8th 2011,

Patient Suspect Bird Flu Improved


MEDAN - The condition of MH (15), the patient suspect bird flu from Kuta Cepu, Simpangkiri, Subulussalam treated at Dr Adam Malik Medan has experienced significant progress.

"The body temperature of the first class student was normal Subulussalam MAN, which is 36 degrees Celsius. And when you arrive in Medan on Sunday (6 / 3), the MH's body temperature reached 40 degrees Celsius and in unconscious condition," said Dr Subsection Head of Public Relations Adam Malik Sairi M Saragih, to Serambinews.com Tuesday (8 / 3).

The victim is now conscious. It was evident from the response when there is a pinch or call. RSUP medical team until it's been three times to swap (mucus) to be sent to a laboratory in Jakarta. If no obstacles, the results of the examination that was to be known within a week, whether positive or negative MH bird flu.

serambinews
 
Re: Indonesia - Bird flu suspect from Aceh treated in Medan hospital

Re: Indonesia - Bird flu suspect from Aceh treated in Medan hospital

Source: http://medan.tribunnews.com/2011/03/08/satu-lagi-suspect-flu-burung

Satu Lagi Suspect Flu Burung
Tribun Medan - Selasa, 8 Maret 2011 13:08 WIB

Google translation:

One More Suspect Bird Flu
Medan Tribune - Tuesday, March 8, 2011 13:08 pm

Reuters MEDAN / AKBAR
TREATED - MH suspect bird flu patient hospitalized in the isolation room when Dr Adam Malik, Medan, on Monday (7 / 3).


Reuters-MEDAN.com, MEDAN - General Hospital Center (Dr) H Adam Malik, Medan, on Monday (7 / 3) again received the patient suspect bird flu. The patient this time coming from Kuta Cepu, Kecamatan Simpang Kiri, Subulussalam, Nanggroe Aceh Darussalam.

Patient initials MH (15), direct treatment in the isolation room. The condition of the patient is very weak and declining consciousness. The first child of five children and Nursiyah Ajman couple, arrived at Adam Malik Hospital on Sunday (6 / 3) approximately 14.00. When I got MH in the condition of fever reaching 40 degrees Celsius. However, on Monday, the heat begins to decline to 36 degrees Celsius,

"After receiving intensive treatment, these patients are better, the heat declines," said Dr Law and Public Relations Sub Section H Adam Malik, Sairi Saragih Br.

Sairi explained, the nurse was doing a photo swap thorax and taking samples to identify the cough and shortness of breath experienced by patients. Sampling was also to find out more about whether the patient was positive for bird flu.

"Taking this swap ideally performed 3 times. However, we are only two times to take the swap and 1 more done tomorrow. But the results can only be known next week," said Sairi.

Uncle patients, Karmon Saragih said Thursday before, when home from school, MH, students of SMAN Subulussalam class I was already in a state of ill with vomiting and headache conditions.

"The next day, one of his chickens died suddenly, in a state hospital, he immediately planted the chicken and the incidence of death of chickens he's not just that one time. Ayam his death row until the numbers 30 individuals," he said.

Because pain does not go away, MH immediately taken to the village midwife and injected. But MH is still sick, so her family immediately decided to bring treatment to Medan.

Head of North Sumatra Province Health Office, Dr Chandra Syafei SpOG through the Head of Section (Kasi) Guidance and Control of Epidemics and Disasters, Suhadi has reduced the team to RS Adam Malik for taking liquids nose and throat to be forwarded to the laboratory Balitbang Kemenkes RI.

"The most rapid results can be found three days ahead and is normally for 5 days. If positive, we will coordinate with the Health Department where the patient came from," he said.

Wait a Week Again
Health CONDITION MH until Monday (7 / 3) still has not improved. Although his fever is down but his body was still lying low in the isolation room Dr Adam Malik, Medan.

MH indicated as suspect bird flu (H5N1). But to be sure, Citizens Kuta Cepu, District Simpang Kiri, Subulussalam Nanggroe Aceh Darussalam (NAD) is still undergoing treatment at the isolation room and wait for the swap decision by the health department.

MH condition was still suffering from cough and shortness of breath. The medical team had twice taken the swap than three times as required. However, to ascertain whether the MH is positive of bird flu, still have to wait another week Balitbangkes research. (IMR)

Author: Sofyan_Akbar
Editor: rudi
Source: Tribune Medan
 
Re: Indonesia - Bird flu suspect from Aceh treated in Medan hospital - "probably not bird flu"

Re: Indonesia - Bird flu suspect from Aceh treated in Medan hospital - "probably not bird flu"

The doctors : "probably not bird flu"


machinetranslation

Tuesday, March 8, 2011 |

Patient Suspect Bird Flu in Adam Malik Hospital in Medan Suffers Lung Disorders

MEDAN (EKSPOSnews): The result of the medical team while the General Hospital Center for Adam Malik Medan, on the patient suspect bird flu, MH (15) citizens of Nanggroe Aceh Darussalam, diagnosed with lung disorders and the brain.

Avian Flu Response Team Leader Dr Adam Malik Medan, Prof. Luhur Soeroso, in Medan, Tuesday, March 8, 2011, said the lungs of patients that have an infection, but not typical, such as bird flu.

"There's also found a blockage in pneumonia and the possibility of phlegm or the like. The result is a high white blood that is 20.000 mm, while for bird flu patients usually do not have high white blood, which is only about 1500-2000 mm," he said.

He also suspected that it was probably not bird flu, but because of the number of chickens that died in the neighborhood of patients, it can be said to suspect bird flu.

"If the suspect or alleged yes, but definitely not bird flu. So we wait for laboratory results from Jakarta, hopefully not the bird flu," he said.

In addition to lung examined by doctors, patients also consulted a doctor nerves (neurology) because the patient also had experienced seizures.

"The positive neurological examination found that interference in the patient's brain or encephalitis, inflammation of the brain disorder is likely to be caused by high fever," he said.

At present, he added, as a precaution, patients are given tamiflu. When these conditions are also better than when you first went into hospital on Sunday (6 / 3) night.

"When you first go to the hospital, I immediately checked the patient and his condition was serious, but now no response, but not yet realized," he said.

Subsection Head of Public Relations Dr Adam Malik, M. Sairi Saragih, said the patient suspect bird flu has been able to respond if called. However, the patient was not able to talk to.

"His condition has been developed, the level of awareness has also increased and earlier when the patient is scanned, ie, normal body temperature 36 degrees Celsius," he said.

eksposnews

waspada
 
Re: Indonesia - Bird flu suspect from Aceh treated in Medan hospital - "Probably not bird flu"

Re: Indonesia - Bird flu suspect from Aceh treated in Medan hospital - "Probably not bird flu"

<HR style="BACKGROUND-COLOR: #cccccc; COLOR: #cccccc" SIZE=1> <!-- / icon and title --><!-- message -->
The doctors :whistle:: "probably not bird flu":rolleyes:
 
Re: Indonesia - Bird flu suspect from Aceh treated in Medan hospital - "Probably not bird flu"

Re: Indonesia - Bird flu suspect from Aceh treated in Medan hospital - "Probably not bird flu"

In her summary / translation Ida from Bird Flu Information Corner points to neurological complications. These kind of complications are not unusual in relation to influenza, so they don't rule out H5N1 IMHO.


Bird Flu Information Corner

Medan, North Sumatera ::: Bird flu suspect shows nerve signs

Posted by Ida on March 9, 2011

Medan ? Initial examination of bird flu suspect patient treated in Adam Malik hospital, (MH, 15-year-old, from Nanggroe Aceh Darussalam), showed lung and brain disturbances.

Head of Bird Flu Control in Adam Malik hospital, Luhur Soeroso, said patient had lung infection but was not the typical of bird flu. Other findings were the presence of lung blockage, probably because of exudate or others. His white blood count was 20,000, while in bird flu patients usually counted within the range of 1,500-2,000.

Luhur doubted the patient had been infected by bird flu, but as there were many chickens died-off around patient?s neighborhood making him stated as bird flu suspect.

In addition to the lung problem, patient was also showing nerve signs such as convulsion. Neurological examination showed encephalitis or inflammation of brain, which might have been the cause of high fever.

Patient is now under the care of pulmonologist and neurologist.

Luhur said patient was in critical condition at the time of admission, but he improved after had been treated with Tamiflu. Currently, patient has responded to the calling but still unconscious, and his temperature has fallen to 36?C.

Source: Indonesia newspaper, Ekspos News. http://eksposnews.com/view/14/21396...Adam-Malik-Medan-Menderita-Gangguan-Paru.html
 
Re: Indonesia - Bird flu suspect from Aceh treated in Medan hospital - "Probably not bird flu"

Re: Indonesia - Bird flu suspect from Aceh treated in Medan hospital - "Probably not bird flu"

As I could remember from Karo Cluster incident in Sumatra, one of the eight patients later developed a neurological condition, but the link with H5N1 may have not been established since the patient was administered high doses of oseltamivir and other drugs potentially neurotoxigenic.
 
Re: Indonesia - North Sumatra - Bird flu suspect from Aceh treated in Medan hospital - "Probably not bird flu" - March 7 +

Improved patient suspect bird flu

Tuesday, 15 March 2011 22:10
MEDAN - After undergoing treatment at the General Hospital Center for Haji Adam Malik (RSUPHAM) Medan, the condition of the patient suspect bird flu (H1N1), MH (15) mend.
RSUPHAM Subsection Head of Public Relations, Sairi Saragih said, residents of Kuta Cepu, Simpang Kiri District, Nanggroe Aceh Darussalam Subulussalam has been declared recovered. "Tools such as drip and others are not installed anymore and she has been asking pulang but we have not allowed," he said, tonight.

Sairi explain, Saturday (12 / 3) then, students in grade II SMP Subulussalam it has been moved from room to room insulation Fly A. Lung While the results of swabs are sent to the Research and Health Department, up to now have not received the hospital. "Usually a week to the results already known. But until now we have not received the results of swabs from Balitbangb MOH," he added.

Previously, the MH has a high fever and flu to go home after school and found dozens of his chickens died suddenly. Sunday (6 / 3) she was referred to RSUPHAM approximately at 14.00 pm.

During the treatment of Avian Flu Response Team Leader RSUPHAM, the lungs of patients do exist but are not typical of infection such as bird flu. There's also found a blockage diradang lungs and the possibility of phlegm or the like.

In addition to lung examined by doctors, patients also dikonsul to the doctor nerves (neurology) because he was experiencing seizures. Results positive neurological examination found a disturbance in his brain, or encephalitis, inflammation of brain disorders that might have caused a high fever.

Today, as a precaution to a patient, MH given tamiflu. Based on data received Prof. Sublime, Avian Influenza Response Team Leader RSUPHAM, until recently, there were 171 people infected by bird flu, and 141 of them die.

"This bird flu when it got serious, just imagine what percentage of the deceased. However, cases of bird flu has been found from human to human transmission, which is from birds to humans, "he said.

http://www.waspada.co.id/index.php?...t-flu-burung-membaik&catid=14:medan&Itemid=27
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Re: Indonesia - North Sumatra - Bird flu suspect from Aceh treated in Medan hospital - "Probably not bird flu" - March 7 +

Bird Flu Information Corner

Medan, North Sumatera ::: Bird flu suspect recovering

Posted by Ida on March 16, 2011

Medan ? A bird flu suspect patient from Aceh (MH, 15 years old) in Adam Malik hospital, Medan is recovering. His infusion liquid and other assisting devices have been removed, but he has not been allowed to return home.

Patient is a resident of Kuta Cepu, Kecamatan Simpang Kiri, Kota Subulussalam, Nanggroe Aceh Darussalam.

The patient who is also a junior high school student in Subulussalam, had been removed from isolation unit to pulmonary room. Until now the hospital has not received the confirmation result from the Ministry of Health laboratory.

Previously, patient was referred to Adam Malik hospital after developing high fever and many of his chickens found to have suddenly died. Initial examination showed patient had lung obstruction, apparently because of exudate, and enchepalitis (view previous post).

Patient had been treated with Tamiflu.

Source: Indonesia local newspaper, Waspada. http://waspada.co.id/index.php?opti...t-flu-burung-membaik&catid=14:medan&Itemid=27
 
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