ABSTRACT
Introduction: Acute recurrent purulent pericarditis is an uncommon pericardium infection that can be life-threatening due to pus production, leading to cardiac tamponade. Case presentation: We report a 36-year-old man referring to our hospital with impending cardiac tamponade who needed urgent pericardiocentesis. The patient's complaints were worsening dyspnea and palpitations in the last two days. The patient had been hospitalized for the same complaint and had pericardiocentesis due to cardiac tamponade approximately three weeks earlier. Physical exam, ECG, and CXR suggest impending cardiac tamponade. Echocardiography indicated massive right and left pericardial effusion and right atrial collapse. The Covid-19 screening test was positive;however, RT-PCR revealed a negative result. The patient was diagnosed with recurrent acute purulent pericarditis with impending cardiac tamponade requiring urgent pericardiocentesis. After the procedure, 1.5 million units of intrapericardial fibrinolytic were administered to patients. His improved hemodynamic and clinical symptoms indicate a successful procedure. Conclusion: This case highlights the challenges of managing an acute recurrent purulent pericarditis patient due to Staphylococcus A. infection in the current pandemic era, including distinguishing it from other contagious diseases due to nonspecific dyspnea, limited therapeutic options, and the effectiveness of intrapericardial fibrinolytic in improving the overall patient conditions, and reducing the mortality rate.
ABSTRACT
The agricultural sector has an important role in national economic development because of the abundant potential of natural resources and can support economic growth in rural areas. According to the Center for Agricultural Data and Information Systems, the Indonesian Ministry of Agriculture in 2020 stated that during the Covid-19 pandemic, the agricultural sector in Indonesia has proven to be a mainstay in stabilizing the country's economy. Until 2020, Bocek Village is the only village in Karangploso District, Malang Regency that does not yet have a Village-Owned Enterprises (VOE). With the Doctoral Service Program (Program Doktor Mengabdi), Bocek Village has established VOE in 2020. The DSP program in Bocek Village aims to create jobs and improve community welfare. The DSP program which is under the auspices of the Institute for Research and Community Service (IRCS) Universitas Brawijaya, is expected to be able to produce Leading Assisted Villages for the development of the agricultural and agro-industrial sectors in Bocek Village. The implementation of the DSP Program in Bocek Village has entered its 2nd year (2021) with a focus on strengthening the role of VOE in developing the community business sector. The team of DSP plans community service activities in the form of strengthening Bocek VOE in agricultural, agro-industry clusters and dissemination of technology and information. An alternative solution for the Bocek VOE business unit is to create a derivative product from citrus fruits, namely orange juice. The raw material for orange juice is the result of the process of sorting ripe oranges that have fallen to the ground. Marketing of citrus fruit juice products is planned by opening a Marketplace that can reach a wider target market. In addition, the potential for online sales can now be said to be more profitable than conventional because it has been supported by the rapidly growing digitalization transformation making online sales and marketing more profitable.