17 Children in Bali Experience Mysterious Acute Kidney Failure

ILLUSTRATION PIXABAY

DENPASAR - Chairman of the Indonesian Pediatrician Association (IDAI) Bali I Gusti Ngurah Sanjaya Putra said that there is one thing in common with most of the mysterious cases of acute kidney failure that attack children, especially those treated at Prof Ngoerah Hospital.

"Of the 17 people treated, this is while many of the cases are related to each other, but have not been considered as the cause. Because there is MISC (Multisystem Inflammatory Syndrome in Children), there are also many similar cases outside", said Sanjaya in Denpasar, Friday, October 14.

From the results of the examination, most of the children with the mysterious Acute Kidney Injury (AKI) had positive antibody test results, so there is a possibility that the patient had previously contracted COVID-19.

"The antibody test is positive, it indicates the formation of natural antibodies, indicating that he had suffered from COVID-19 whose parents did not know, and this is the case", said the doctor at Prof Ngoerah Hospital.

Of the 17 patients treated at Prof Ngoerah Hospital since August 2022, six of them experienced a rapid deterioration, so they did not undergo the test, while the rest had positive antibodies.

"But, there is a negative patient, we will repeat the examination because the symptoms are the same and the results are still negative. Until now we can't confirm this is because of MISC, that's why it's called a mysterious AKI because from those who are fine, their kidney function has dropped drastically", Sanjaya told the media.

Of all the patients, the doctor said only four children had received the COVID-19 vaccination because the other children were not old enough to receive the vaccine dose.

Apart from these similarities, Sanjaya said there were no other findings. When the screening was carried out, his party did not find any symptoms of congenital abnormalities, including those leading to the use of certain drugs.

"On average they are healthy with only coughs, colds, vomiting, diarrhea, but signs of dehydration are not appropriate and there are urinary disorders, even not urinating for 24 hours, sometimes parents feel their children are fine", he said.

Of the 17 patients at Prof Ngoerah Hospital, toddlers were dominated by toddlers and four patients were over the age of six. 11 of them died, one child received treatment and five others were able to move and undergo routine checks.

"The average death rate in a state of very terminal kidney function, which we call acute kidney failure, is difficult when that happens. The normal glomerular filtration rate is above 90 ml/minute/1.73 meters squared while they come below 15 ml/minute /1.73 meters squared", he explained.

In the midst of the sudden rise of mysterious acute kidney failure cases that attack hundreds of children in Indonesia, Sanjaya emphasized that this disease is dangerous.

"MMR mortality rate is quite high, so it is necessary to be alert to detect it as early as possible. If there are symptoms of gastrointestinal infection and do not urinate, it must be checked immediately, because it will have a severe impact if you have to do dialysis until the terminal is severe, you can die", he said.