IntroductionProptosis in children with acute-onset accompanied by signs of inflammation is commonly caused by orbital cellulitis, however, the possibility of rhabdomyosarcoma should always be considered by the clinician. This is a case report of a five-year-old boy presenting with an acute-onset of proptosis without a history of trauma and systemic infection. Our clinical differential diagnosis included orbital cellulitis and orbital rhabdomyosarcoma.PurposeTo report a case of orbital cellulitis that clinically and radiologically mimics rhabdomyosarcoma.Case presentationA five-year-old boy presented with rapid-onset proptosis, periorbital edema, pain and visual loss in the left eye for two weeks without a history of trauma, upper respiratory tract infection, sinusitis or immunosuppression. Our clinical differential diagnosis includes rhabdomyosarcoma and orbital cellulitis. Complete blood count reveals a leukocytosis. Multislice computed tomography (MSCT) scan shows lesions involving the lateral orbit and the retro bulbar space. Antibiotics combination and adjunct anti-inflammatory intravenously shows excellent clinical resolution.ConclusionsThe study demonstrates difficulty in differentiating acute orbital cellulitis from rhabdomyosarcoma based on clinical findings. In addition, the case highlights that antibiotic combination of cephalosporin and aminoglycosides together with an adjuvant corticosteroid as an anti-inflammatory was effective in the case of acute orbital cellulitis.

Introduction: Toddlerhood is a period that is very sensitive to the environment so more attention is needed especially the adequacy of nutrition. Nutrition problems, especially stunting in a toddler can inhibit the growth and development of the children. This study aimed to identify various obstetric medical characteristics and determine the obstetric medical determinant factors that most influence pregnant women with the incidence of stunting in Mamuju Regency, West Sulawesi. Methods: This study was conducted from June until August 2019 in Mamuju Regency, West Sulawesi. The total samples in this study were 88 people who were taken from mothers who had stunting toddlers aged 2-5 years old in Mamuju Regency, West Sulawesi. A total sampling method was used. A cross-sectional with the retrospective approach with a regression test. Data instruments were used questionnaires, observation sheets, and checklists. Results: The result of the stunting study was found from the toddler nutrient data from January until June 2020  in West Sulawesi by using total sampling. The researchers found a sufficient influence for the complication during childbirth factor, while the weak relation of the stunting based on the ages, parity, pregnancy spacing, poor obstetric history, comorbid disease, maternal surface, neonatal surface, hemoglobin levels, and the history of Sectio Caesarea (SC). Conclusion: One of the obstetric medical factors that have a sufficient relationship for causing the stunting for children is the complication during childbirth, while other obstetric medical factors have a very weak relation to the stunting case.

Background: Glaucoma is the second leading cause of blindness for over 70 million people worldwide. Bilateral blindness occurs with an estimated 10%. In Indonesia, the prevalence of glaucoma is 0,46%. That means, that 4 to 5 out of 1.000 people suffer from glaucoma. Content: The aim of this study was to analyze four risk factors that can affect the occurrence of glaucoma, namely age factor with diabetes and hypertension history, gender, family medical history, and race. This research used a literature review from 20 journals containing four risk factors for glaucoma. The results showed that diabetes and hypertension are often found in the elderly and that glaucoma symptoms can be exacerbated by increased intraocular pressure. Moreover, glaucoma patient with a positive family medical history of glaucoma has a higher value of intraocular pressure than glaucoma patients without a positive family medical history of glaucoma. Other results showed that men are more at risk because they have a different axial length than women, and Asians are considered riskier than Europeans because Asians’ awareness of eye health is very low. Conclusion: Based on the review, four risk factors could greatly affect the occurrence of glaucoma.

No abstract

No abstract