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INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2 to Nov 8, 2006

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Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

AlaskaDenise said:
What precipitate the spinal tap? Different symptoms?
I dunno. :confused: Maybe they're also looking for something else? Meningitis or something like that?
 
Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

According to results x-rayed, on his [her] lungs had a little pneumonia

So......since it's not respiratory, they're checking for neurotropic.?

.
 
Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

toggletext-ed from Indonesian:

His [her] mouth was installed Ventilator
MK's Condition continued Memburuk

Oct 9, 2006

RSHS, (GM). -

The last condition for the patient suspect bird flu had the initials MK (65), the citizen Kp. Babakan Cinta, the Pasirhalang Village, Kec. Cisarua, Kab. Bandung, it was reported continued to worsen. According to the Head of Hasan Sadikin Space of the Hospital Poinciana Tree (RSHS) Bandung, Adang represented the Chairman of the Handling of Bird Flu, Dr. Hadi Yusuf, Sp.P.D., K.P.T.I., on Sunday (8/10), casualties were forced to have to put on the ventilator (respiratory aids) through the mouth.

"Casualties's respiration continued to descend through to lowest was recorded by 38 times per the minute. Therefore, casualties used the ventilator," said Adang.

In the meantime, further Adang, increasingly bad him the condition for casualties till at this time was triggered by bad him the condition for casualties when being brought to maintenance space RSHS. At first again after being done by observation by the team of the handling of bird flu, he continued, casualties also it was known contracted pneumonia (the acute lungs).

"When putting on the ventilator then casualties were still being seen heavy when breathing. Casualties also continued to experience the cough," he explained while adding, the age factor also was influential towards casualties's resistance.

It was related that not yet the improvement of the condition for casualties who came on reconciliation of RS Saint Yusuf, Adang said, as far as this is concerned his side still could not memprediksikan the condition for casualties, will continue to improve or be the reverse. "Although each possibility could happen, we continued to try well so that casualties recover," flat Adang.

Therefore, to ascertain casualties positive or not terjangkit the virus avian influenza (AI), the sample of blood and apus [?] casualties were immediately sent to the Body of Health Research And Development (Balitbangkes) RI in Jakarta. Rancananya, the sample of casualties's blood was just sent, on Monday (9/10, today, Ed.).

In the meantime, the Ron condition (11), the citizen Street [*snip*] Kec. Bojongsoang, Kab. Bandung, that was reconciled to RSHS not long after MK, tended to improve.

As being reported beforehand, RSHS Bandung again received two patients suspect bird flu had the initials MK (65) and Ron (11). Was based on the data anamnesis, both of them were expected terjangkit the virus H5N1 alias bird flu. That was reinforced by the existence of contact with the poultry that died.


Whereas for MK, casualties it was known experienced difficult pneumonia and were aggravated by the condition for his [her] awareness that weak. Therefore, casualties were forced to have to put on the ventilator.

According to the husband MK, Itang (72), his wife began to experience the sign of the fever since Thursday early afternoon (5/10). And two weeks beforehand, said Itang, two from his five property chickens died suddenly. "The death of my chicken was sudden and did not have signs was sick. In fact, the chickens his plan for Lebaran later," said Itang.

http://www.klik-galamedia.com/20061009/kolomlengkap.php?kolomkode=20061009023759
 
Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

AlaskaDenise said:
According to results x-rayed, on his [her] lungs had a little pneumonia
So......since it's not respiratory, they're checking for neurotropic.?
She's been put on a respirator, so it's probably a lot of pneumonia. :(
 
Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

Theresa42 said:
I dunno. :confused: Maybe they're also looking for something else? Meningitis or something like that?

She is most likely developing meningo/encephalitis symptoms. This could be any or all of a list of possibilities including:

Severe headache
Loss of consciousness
Neck stiffness
Seizures

It is well known that bird flu is a neurotropic virus and causes encephalitis. Those doctors probably don't know that, however, and will be looking for glucose, protein, pressure levels in the CSF to distinguish bacterial vs viral meningitis.
 
Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

vaffie said:
She is most likely developing meningo/encephalitis symptoms. This could be any or all of a list of possibilities including:

Severe headache
Loss of consciousness
Neck stiffness
Seizures
I'm pretty sure the lady is unconscious -- one of the reports says that "the team of the doctor suspected the infection happened because the awareness that descended...." "Descended awareness" means unconscious (perhaps in and out of consciousness), I think.
 
Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

The Condition for the Bird Flu Patient in RSHS worsened

Nine doctors..??

Other patient (Ron, 11 ) improved



Bandung -- MIOL: the Condition for the health of Mama Komariah, 67, the patient suspect bird flu that was treated in Handsome Sadikin space of the isolation of the Hospital Poinciana Tree (RSHS) Bandung, at this time increasingly worsened.
NY Mama was the citizen of the ...., the Village of bar Sand, of the Cisarua Subdistrict, the Bandung Regency, West Java (West Java), that was treated in RSHS since Saturday (7/10).

To make the medical maintenance effective against Mama, that till Monday his condition increasingly worsened, the team of the control doctor of RSHS bird flu dropped nine doctors off."
We will not be reckless in handling the patient suspect bird flu like Mama."So, we dropped nine doctors off.The number not yet including several special doctors, among them the lung doctor, said the chairman of the team of the control of Hadi Yusuf bird flu, on Monday.

Hadi said, originally blood pressure Mama could increase through to 40 levels celcius, and oxygen to his blood precisely descended.
As medical anticipation efforts, the team of the doctor was forced to install the ventilator implement."Before being installed the ventilator implement, the team of the doctor could try to make use of cover oxygen to the respirator."
However the condition Mama stayed unstable.And, to restore again the condition for his health,Till today the implement (the ventilator) this be forced still continue to we rose, said Hadi.

Hadi mangakui since being sent from the Hospital Saint Yusuf Bandung on Saturday (7/10) last week, the condition Mama still continued to worsen, was increased by the existence of pneumonia to his lungs.
"Nearby breathless, and the body ethnic group that was not yet stable, also had few problems to his lungs," said Hadi.
In the meantime, to know whether Mama positive was affected by the bird flu virus or was the reverse, continued Hadi, RSHS was still being waiting for results of the sample inspection of blood of the Department's laboratory of the Health in Jakarta.According to Itang, the husband Mama, two weeks before his wife was attacked breathless and the temperature of the body rose, his two kept chickens died suddenly."Two days after his kept chicken died suddenly, the temperature of the body istri"
I (Mama) suddenly boasted was accompanied breathless, he said.
Till Monday, the number of patients suspect bird flu that still was treated in RSHS numbering five people."However, only Mama that the condition for his health was still worsening."

Whereas the other patient the condition for his health gradually improved, said Hadi.

http://www.mediaindo.co.id/berita.asp?id=113596
 
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Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

"Spinal taps are routine with comas of undetermined origin".

Pugmom at FluWiki
 
Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

More details about situation in Bandung Hospital

The patient Suspect Bird Flu in RSHS Still was Critical

Bandung -- MIOL: the Condition for the patient suspect bird flu Mama Komariah, 65, that was treated in RS Handsome Sadikin (RSHS) Bandung, continued to worsen.Apart from already did not make himself aware, the citizen Kp.The Love round, the Heulang Sand Village, To.Cisarua, Kab.
Bandung, this also experienced breathless difficult.

"Apart from the sample of blood, we also took the sample of casualties's spinal cord."We suspected, casualties did not only experience the infection on the chest, but also has attacked the brain, and that happened to the bird flu patient in several neighbouring countries, explained the Chairman Tim the Handling of RSHS Hadi Jusuf Bird Flu, on Monday.

Although already since Sunday (8/10), respiratory aids have been given to casualties, but his breathless condition has not still improved.
The temperature of casualties's body also still was tall, so as the tight supervision continued to be carried out by the team of the doctor.
The "condition for stable casualties, but heavy."

We were still being waiting for the sample inspection of blood, whether he was positive terjangkit bird flu or not, said Hadi.


In the meantime, because the condition for his body continued to improve, four patients suspect bird flu that beforehand was treated in RSHS, has been permitted to come home, on Monday.

The four patients who have been stated by the bird flu negative were Great, 9, from Kp.The Subang mountain, Kel.Cilamajang, Kec.Kawalu, the Tasikmalaya City, the older brother's patient was siblings Wildan, 20, and Krisna, 17, the citizen Rt 04/05 the Andir Camp, the Kahuripan Warehouse Village, Kec.Lembang, Kab.Bandung as well as Holy Rahmawati, the child was 14 months old, the citizen Street....RT 03/06 Ds.Hegarmanah, Kec.Jatinangor, Kab.Sumedang.

"Appropriate protap, after being stated by the bird flu negative, they have been treated for seven days to restore his condition."At this time their condition has been very healthy, and was permitted to come home, stated Hadi.


http://www.mediaindo.co.id/berita.asp?id=113650
 
Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

toggletext-ed from Indonesian:

4 patients ?Suspect? AI were permitted Pulang [to go home]
Oct 10, 2006

Bandung, (PR). -

Four suspect bird flu that was treated in Poinciana Tree Space of RSHS Bandung has been returned to his house was their respective, on Monday (9/10). Was based on results of the sample test in Balitbangkes Jakarta, Wil (20), Kris (17), Az (9), and Sc (14 months), was stated by the bird flu negative.

Clinically, Wil and Kris were stated healthy. For almost seven days, they did not suffer hot high and did not have the complaint anything. The two mature patients from Lembang, it was suspected only suffered the normal respiratory tract infection. Likewise Az and Sc, clinically his situation was good.

Four people came home made use of the ambulance belonging to RSHS and was delivered to his house was their respective. Therefore, according to the latest report, only a patient suspect that was treated in Poinciana Tree Space of RSHS Bandung, that is MK.

Attacked the brain?

The condition for the patient suspect bird flu, MK (65), was not yet said improved. The team of the doctor that handled took the sample of his [her] spinal cord liquid to be checked in Balitbangkes Jakarta. ?Kesadaran MK descended after hot two hari,? the Chairman's words Tim [team] the Handling of the Case of Bird Flu from the Handsome Sadikin Hospital (RSHS) Bandung, Dr. Hadi Jusuf, Sp.P. D. KPTI, on Monday (9/10).

According to Dr. Hadi, MK's cerebral membrane liquid must be checked because frightened of having the possibility of the brain of the inflammation, meningitis. The indication was in that direction seen because when entering Poinciana Tree Space, MK did not make himself [herself] aware.

?If results of the upper laboratory inspection his [her] cerebral membrane liquid showed positive terjangkit the virus H5N1, this was the first case in Indonesia. Beforehand, the virus H5N1 that was proven attacked the brain had happened in Thailand,? he said.

According to Dr. Hadi, oxygen in MK's blood still was low so as to have to be helped the ventilator. Although being not too heavy, still was gotten by pneumonia on the left and right lungs. Moreover, leucocytes and trombosit him was still low. Nevertheless, blood pressure and the temperature of his [her] body have improved. ?Suhu the body has been good, approximately 36 levels celsius,? he said.

http://www.pikiran-rakyat.com/cetak/2006/102006/10/0209.htm
 
Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

toggletext-ed from Indonesian:

The condition for the Patient MK Still Kritis
Oct 10, 2006

PASTEUR, (GM). -

The bird flu Virus (H5N1), apart from causing the inflammation in the part of the lungs, the big possibility also attacked the brain part. This matter it was known was based on results of the inspection of Tim [team] Doctor the Handling of Hasan Sadikin Hospital Bird Flu (RSHS) Bandung against MK (65), suspect bird flu that at this time was treated in RSHS Poinciana Tree Space.

The chairman Tim [team] Doctor the Handling of RSHS Bird Flu, Dr. Hadi Yusuf, Sp.P.D., K.P.T.I., to the reporter in RSHS, on Monday (9/10) said, the patient MK still in the stable condition critical. Could be counted, since first enters RSHS up to now, his [her] condition tended to worsen. The team of the doctor, said Hadi, has taken the sample of blood, the sample apus [mucus?] the throat, including the sample of the spinal cord liquid and the liquid MK of the patient's brain.

"His [her] sample has been sent by us to Balitbangkes in Jakarta, on Sunday (8/10). However results were not yet known, still in the process of the laboratory inspection," said Hadi.

Hadi also said the taking reason of the sample of the spinal cord liquid and the liquid of the patient's brain MK. According to, that was done to anticipate the existence of the virus that attacked the part of the patient's brain. The team's concern of the doctor, was based on the case experience that had happened in Thailand.

If quite true what was worried by the team of the doctor, was significant this was the first case that happened in Indonesia. The taking of the spinal cord against the patient suspect bird flu also that first was done in RSHS. Concerning the last condition for the patient MK, Hadi stated, his [her] condition was still staying bad. Moreover because oksigenisasi him was ugly, at this time MK has been installed respiratory aids (the ventilator). The level of leucocyte and trombosit the patient MK also below normal. "But we did not yet find the existence of new pneumonia. We were waiting for results of Balitbangkes," said Hadi.

In the meantime, four patients suspect bird flu that his condition improved and was stated by the bird flu negative, was permitted to come home, on Monday (9/10). They were the older brother was siblings from Lembang, Wildan Budiansyah (20) and Krisna Karya Nugraha (17), Azis Muslim (9) from Tasikmalaya, and Suci Rahmawati (14 months) from Jatinangor, Kab. Sumedang.

http://www.klik-galamedia.com/20061010/kolomlengkap.php?kolomkode=20061010092514
 
Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

(Adds hospital director, details)
JAKARTA, Oct 11 (Reuters) - An Indonesian woman being treated in hospital has tested positive for bird flu, a health official said on Wednesday.
Indonesia has become one of the frontlines in the battle against the disease. So far, 52 people have died of bird flu, the highest of any country, with the majority of deaths occurring since the beginning of this year.

"A 67-year-old woman living in the Cisarua area of Bandung had contact with fowl," the official from the bird flu information centre said by telephone. The woman was admitted to the hospital on Oct. 7 and was still alive, the official added.

The woman tested positive to the H5N1 virus after a test at a health ministry laboratory and one conducted by NAMRU, the U.S. Naval Medical Research Unit based in Jakarta, the official added.

Hadi Yusuf, the director of the Hasan Sadikin hospital in Bandung, southeast of the capital Jakarta, said the woman was being treated with the anti-viral drug Tamiflu and antibiotics.
"Her condition is bad. For a second day, she has been on a respirator and her blood pressure is high."

Yusuf said the woman had come down with a fever two weeks after being in the vicinity of dead chickens.

Despite the rise in the human death toll, the Indonesian government has resisted mass culling of birds, citing the expense and impracticality in a huge, populous country where keeping a few chickens or ducks in backyards is common.

Worldwide, 148 people have died of bird flu since 2003.
 
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Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

A woman in hospital with suspected bird flu
Jakarta Post - October 11, 2006

JAKARTA (AP): A 67-year-old Indonesian woman was seriously ill in hospital in West Java capital of Bandung Wednesday with suspected bird flu, authorities said.

The woman had contact with chickens before falling sick, but tests on whether she had the H5N1 virus were not yet conclusive :confused: , said Runizar Roesin from the national bird flu information center.

"We will not declare it as a positive case until we are 100 percent sure," he said.

Aside from bird flu symptoms such as high fever and breathing difficulties, the woman has also been diagnosed with encephalitis, said Dr. Hadi Yusuf, heading the team treating the patient at the Hasan Sadikin hospital in Bandung, West Java province.

Yusuf said the woman was seriously ill and was breathing through a respirator.

<snip></snip>
 
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Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

The First case of Stick Bird Flu of the Brain from Bandung

Bandung -- MIOL: Mama Komariah, 67, that was treated in RS Handsome Sadikin (RSHS) Bandung positive terjangkit the bird flu virus.
The assurance was received after Litbangkes checked the sample of casualties's blood in the third inspection.


"Casualties were also recorded as the first bird flu patient in Indonesia that experienced the attack of the bird flu virus to the stick of the brain."
Beforehand, the inflammation attack of the brain because of this virus just was found in Thailand, explained the Section Head the Health West Javanese Yudi Prewar, on Wednesday (11/10).


Especially to Mama, Litbangkes took the sample of blood through to four times, among them also took the sample of his spinal cord.

Casualties did not experience pneumonia to his lungs, but precisely the inflammation of the brain or meningitis, that was caused by the bird flu virus
.
The inflammation attack of this brain, explained Yudi, caused comma casualties while being treated.However, this incident was very rare happened, so as the community might not worry him.

The chairman Tim the Handling of bird flu of RSHS Bandung Hadi Jusuf said, the condition Mama still was very ugly.

Although his awareness has begun to be available, also had the movement of the hands, and good blood pressure, but casualties's breath was still being very heavy.The "neurologist's inspection showed the existence of the brain of the inflammation, or ensevalitis that was caused by the virus."

However, this the bird flu virus or not, we were still being waiting for results of Litbangkes, he stated.

http://www.mediaindo.co.id/berita.asp?id=113914
 
Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

http://www.recombinomics.com/News/10110601/H5N1_Bandung_Confirmed.html
Confirmed H5N1 Case in Bandung Indonesia
Recombinomics Commentary
October 11, 2006

"A 67-year-old woman living in the Cisarua area of Bandung had contact with fowl," the official from the bird flu information centre said by telephone. The woman was admitted to the hospital on Oct. 7 and was still alive, the official added.

The woman tested positive to the H5N1 virus after a test at a health ministry laboratory and one conducted by NAMRU, the U.S. Naval Medical Research Unit based in Jakarta, the official added.

Hadi Yusuf, the director of the Hasan Sadikin hospital in Bandung, southeast of the capital Jakarta, said the woman was being treated with the anti-viral drug Tamiflu and antibiotics.
"Her condition is bad. For a second day, she has been on a respirator and her blood pressure is high."

Yusuf said the woman had come down with a fever two weeks after being in the vicinity of dead chickens.

The above description confirms H5N1 bird flu in an elderly patient (67F) from the Bandung area. There is also evidence for neurological involvement, which is unusual for cases in Indonesia. Similarly, the patient is markedly older than most cases in Indonesia. The sole survivor from the infection in Karo also had neurological complications, but those problems may have been due to a secondary bacterial infection.

It remains unclear if the infection in the older patient with neurological complications represents a new H5N1 strain in the Bandung area. A large number of patients in the area have been hospitalized with symptoms, but most tested negative for H5N1 and recovered after Tamiflu treatment.

Although poultry was dying in the vicinity, to date all reported patients from Bandung have been infected with H5N1 with a novel cleavage site and additional markers that did not match the H5N1 in poultry on Java. The only bird isolate on Java with the novel cleavage site was from a duck on Indramayu and matched a small subset of patients from 2005. All of the more recent isolates were readily distinguished from the H5N1 from the duck in Indramayu.

Recent reports from Indonesia have described H5N1 in cats. H5N1 from a kitten in the Indramayu is the only match for the vast majority of the human H5N1 isolates.
 
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Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

More about Mama Komariah

Metrotvnews.com, Bandung: Mama Komariah, the citizen of the Love Round, the Village of bar Sand, Cisarua, Bandung, West Java, that at this time was treated in Handsome Sadikin space of the Hospital isolation, Bandung, was stated positive bird flu.

According to the Section Head the West Javanese Health of Yudi Prayuda, this assurance was received from results of the inspection of the liquid of bones marrow belakan the patient on the Jakarta Body of Health Research And Development.


From results of the inspection of the patient's urine was found by the virus H5N1.

According to Yudi, the discovery of the bird flu virus in the spinal cord liquid was that the first time in Indonesia.

However, the similar case had been found in Thailand.

Whereas the condition Mama was reported continued to have worsened and lost the awareness.

Mama Komariah was treated in space isolai the Handsome Hospital Sadikin Bandung since Saturday, last October 7.He experienced hot high and breathless several days after the poultry in his house environment died suddenly.

http://www.metrotvnews.com/berita.asp?id=25960
__________________
 
Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

Bone marrow, urine, and spinal fluid??? :eek: :eek: :eek:

.
 
Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

Re: INDONESIA - Bandung (W. Java) Cluster(s) - Oct 2+

AlaskaDenise said:
Bone marrow, urine, and spinal fluid??? :eek: :eek: :eek:

.

If it's present in the blood, which we've known for a long time now, it's going to be present in the urine because the blood is filtered there. It's going to be present in the bone marrow, because that's where the blood goes. And it's going to be present in the spinal fluid if she's in a coma caused by the virus--it's causing encephalitis in her case.
 
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