MUNCUL GAGAL GINJAL MISTERIUS PADA ANAK, APA PENYEBABNYA?

Summary

The Indonesian Pediatric Association (IDAI) has identified a mysterious acute kidney disorder affecting 131 children in Indonesia, with symptoms ranging from cold and cough to vomiting and diarrhea. The children also experience severe dehydration and a lack of urination. Although initially linked to COVID-19 and MIS-C, no specific viruses have been found. Researchers suspect that the condition may be triggered by contaminated medicines containing ethylene glycol, a toxic substance. Health authorities are collaborating with international experts to investigate, following similar cases in Gambia where children died after consuming contaminated cough syrup.

Takeaways

• 😀 A mysterious case of acute kidney disorders has been detected in 131 children in Indonesia, with varying symptoms including cough, cold, vomiting, and fever.
• 😀 One major symptom of this mysterious kidney disorder is the inability to urinate, resembling severe dehydration in the affected children.
• 😀 The exact cause of this acute kidney disorder is still unknown, despite several tests conducted on the children.
• 😀 Initially, there was speculation that the condition might be linked to COVID-19 or Multisystem Inflammatory Syndrome (MIS-C), but no specific viral cause was found.
• 😀 Various tests, including throat swabs and rectal swabs, were conducted to identify possible infections, but no consistent viral pathogen was detected.
• 😀 The Ministry of Health (Kemenkes) is currently researching the mysterious acute kidney disorder and is considering the possibility that contaminated medications might be involved.
• 😀 One theory suggests that ethylene glycol, a compound used in various products, might be linked to the disorder. However, this requires further investigation.
• 😀 Ethylene glycol is a colorless, odorless substance with a sweet taste, often found in products like polyester, motor oils, cosmetics, and lubricants.
• 😀 The Ministry of Health has engaged in discussions with experts from Gambia, where a similar case of kidney failure in children was linked to a contaminated cough medicine containing ethylene glycol.
• 😀 As of now, no specific bacteria or virus has been identified as the cause of this mysterious acute kidney disorder in Indonesia.

Q & A

What is the mysterious condition affecting children in Indonesia?

The condition is an acute kidney disorder affecting 131 children in Indonesia. It is marked by symptoms like cough, cold, vomiting, diarrhea, fever, and a subsequent inability to urinate.

What are the initial symptoms of this acute kidney disorder?

The symptoms start with common cold-like symptoms (cough and cold), followed by vomiting, diarrhea, and fever. As the condition progresses, the affected children are unable to urinate, leading to severe dehydration.

Has the cause of this mysterious kidney disorder been determined?

No, the cause has not been conclusively determined yet. Various theories have been considered, but research is ongoing.

What are some of the hypotheses for the cause of this illness?

Initially, it was suspected that the illness might be related to COVID-19 or MISC (Multisystem Inflammatory Syndrome). However, further investigations ruled out these as definitive causes.

What methods are being used to investigate the cause of this condition?

Researchers are using various methods, including throat and rectal swabs to test for viral or bacterial infections in the respiratory and digestive systems. Despite these tests, no consistent pathogens have been found.

What is the role of ethylene glycol in the investigation of this condition?

Ethylene glycol, a substance used in products like polyester, automotive fluids, and cosmetics, is being considered as a possible cause. Some suspect that consumption of products containing ethylene glycol may be linked to the kidney issues, but further studies are needed as it has not been detected in the affected children's blood.

How does ethylene glycol affect health?

Ethylene glycol is toxic, and when ingested, it can cause kidney failure, which may lead to severe health complications or death, especially if not treated promptly.

What is the connection between the cases in Indonesia and those in Gambia?

The cases in Indonesia are being studied in conjunction with similar cases in Gambia, where 69 children died from kidney failure after consuming a cough medicine containing ethylene glycol. This connection is helping to guide the investigation in Indonesia.

What steps are the Indonesian Ministry of Health (Kemenkes) taking in response to these cases?

Kemenkes is coordinating with international health organizations, including WHO, and has formed a team of experts, including members from the Indonesian Pediatricians Association and Cipto Mangunkusumo Hospital, to investigate the mysterious kidney disorder.

What has the Indonesian Ministry of Health (Kemenkes) done legally regarding the treatment of acute kidney disorder?

Kemenkes has issued a clinical management guideline through the Directorate General of Health Services, ensuring that there is a standardized approach for treating the acute kidney disorder across affected regions.