Cases of Kidney Failure Reappear, DKI Jakarta Health Office Advises Residents Not to Give Medicine Immediately If a Child Has a Fever

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JAKARTA - The Head of the Surveillance, Epidemiology, and Immunization Section of the DKI Health Service Ngabila Salama asked the public not to immediately give syrup preparations when a child has a fever.

This was in response to two new cases of atypical progressive acute kidney failure (GGAPA) in Jakarta, after some time no cases appeared in Indonesia. Ngabila advises residents to consult a doctor when their child has symptoms of illness.

"Try not to take the medicine right away. Even if the complaint doesn't get better, you have to take the medicine under the supervision of an expert doctor. We will leave it to the expert doctor to make the best justification and treatment," Ngabila told reporters, Monday, February 6.

Of these two new cases of kidney failure, one confirmed case has died. Meanwhile, one other case is still suspected of kidney failure and is currently undergoing treatment.

"Those who are currently being treated are in better condition. Of course, there is better progress," he said.

As is well known, one of the recurring cases of kidney failure was suffered by a 1-year-old child. He had a fever on January 25, 2023. The child was given a fever-reducing syrup that was bought at the pharmacy by his caveman under the brand name Praxion.

On January 28, the patient had a cough, fever, runny nose, and was unable to urinate (anuria) and was then taken to the Pasar Rebo Health Center, Jakarta, for examination, and on January 31, received a referral to Adhyaksa Hospital.

Because there were symptoms of GGAPA, it was planned to be referred to the RSCM, but the family refused and was forced home. On February 1, the parents decided to bring the patient back to the National Police Hospital and receive treatment in the emergency room, and the patient started urinating.

On February 1, the patient was then referred to RSCM for intensive care as well as fomepizole therapy. However, 3 hours after being admitted to the RSCM at 23.00 p.m. Western Indonesian Time (WIB), the patient was declared dead with confirmation of GGAPA.

Meanwhile, one other case is still a suspect, a 7-year-old child, had a fever on January 26, then took a syrup for fever that was purchased independently.

The chronology, on January 30, received fever-reducing tablets from the Puskesmas. On February 1, the patient went to the clinic and was given a concoction of medicine. On February 2, he was treated at the Kembangan Hospital, then referred, and is currently still undergoing treatment at the Jakarta RSCM.

With the addition of new cases reported, as of February 5, 2023 there were 326 cases of GGAPA and one suspect spread across 27 provinces in Indonesia. Of these, 116 cases were declared cured, while six cases are still undergoing treatment at RSCM Jakarta.