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Fighting Two Battles in One Body: Unpad Doctors Save Patient from Guillain-Barré Syndrome and Deadly Pneumonia

The story began in Tasikmalaya with a 59-year-old woman whose legs suddenly gave way beneath her. Within days, weakness crept into her arms, her speech slurred, and her breath grew shallow. Her family rushed her from one hospital to another, until finally, she was referred to Dr. Hasan Sadikin General Hospital in Bandung—where doctors from Universitas Padjadjaran would uncover a rare and life-threatening combination: Guillain-Barré Syndrome (GBS), Miller Fisher type, compounded by hospital-acquired pneumonia.

Leading the case was Professor Suwarman, an intensive care expert from Unpad’s Faculty of Medicine. By the time the patient arrived at the ICU, she was already struggling to breathe. GBS, an autoimmune attack on the nerves, had weakened her respiratory muscles. Pneumonia then struck, further blocking her lungs. Without immediate intervention, the odds of survival were slim.

The medical team acted quickly. The patient was intubated, placed on mechanical ventilation, and given a cutting-edge therapy known as Therapeutic Plasma Exchange (TPE), which “filters” harmful antibodies from the blood. After 18 tense days in the ICU, her breathing improved and she was successfully weaned off the ventilator—a hard-won victory for both patient and physicians.

This case highlights the delicate balance required in modern critical care. GBS itself is rare, affecting only one to four people per 100,000 annually, but when paired with pneumonia, the mortality risk can soar above 30%. The Unpad team’s coordinated approach demonstrates how comprehensive management—neurological, infectious, and respiratory—can save lives in the most complex cases.

Beyond a single patient, this story is a reminder of the importance of early hospital infection prevention, rapid diagnosis, and access to advanced therapies in Indonesia’s intensive care units. It also shows how Indonesian clinicians are contributing to global knowledge on rare but deadly neurological disorders. By tackling this challenge head-on, Universitas Padjadjaran is advancing SDG 3: Good Health and Well-Being, while strengthening Indonesia’s voice in the international medical community.

Unveiling Indonesia’s Cancer Code: Unpad Identifies High Rates of KRAS Mutations in Colorectal Patients

In Bandung, researchers at Universitas Padjadjaran are uncovering the hidden genetic codes behind one of the deadliest cancers in the world: colorectal cancer (CRC). Globally, CRC accounts for nearly two million new cases and close to a million deaths each year. In Indonesia, it is the fourth most common cancer—but with unique patterns that distinguish local patients from those abroad.

A research team led by Dr. Reno Rudiman and colleagues from the Faculty of Medicine at Universitas Padjadjaran and Dr. Hasan Sadikin General Hospital investigated whether KRAS gene mutations, often seen as cancer’s “engine switches,” were influencing Indonesian patients’ disease profiles. Analyzing 53 tumor samples from patients, the team used advanced DNA sequencing methods to search for genetic changes that could guide treatment.

The findings were striking: more than half (52.8%) of the patients carried KRAS mutations, with specific variants like p.Gly12Asp appearing most frequently. Surprisingly, the mutations were not linked to factors such as age, tumor stage, or family history. This indicates that KRAS is widespread across diverse patient groups in Indonesia, highlighting the urgent need for broader genetic testing as part of standard care.

For patients, this knowledge could mean a turning point. Detecting KRAS mutations early allows doctors to avoid ineffective treatments—like certain targeted drugs that fail in KRAS-positive cancers—and instead tailor more effective strategies. “Personalized treatment based on genetic profiling is no longer optional,” the researchers emphasized. “It’s the path toward saving lives and avoiding wasted resources.”

By mapping Indonesia’s cancer genetics, Universitas Padjadjaran is helping to accelerate progress toward SDG 3: Good Health and Well-Being. The work underscores Unpad’s leadership in precision medicine for Southeast Asia, boosting both local resilience and global recognition in the Times Higher Education Impact Rankings.

 

 

Eyes on Diabetes: Unpad Reveals How Vision Loss Connects to Nerve Damage

Diabetes is one of Indonesia’s fastest-rising health threats, affecting more than 10 million adults. Beyond blood sugar, the disease silently damages organs—including the eyes, where it can lead to blindness.

A research team led by Dr. Raden Maula Rifada from the Faculty of Medicine, Universitas Padjadjaran, studied the link between retinal thickness, ganglion cell layer damage, and reduced blood perfusion in patients with type 2 diabetes. Using advanced optical imaging technology, they examined how diabetes affects not just the eye but also the nerves within it.

The findings revealed that patients with diabetes often showed thinner retinal and ganglion cell layers, alongside reduced blood flow. These changes signal early damage to both vision and brain-related pathways, long before patients notice symptoms. “By looking into the eye, we can actually see the brain’s health and the effects of diabetes on the nervous system,” Dr. Rifada explained.

This research could transform diabetes care. If eye imaging becomes part of routine check-ups, doctors can detect complications earlier and prevent blindness. For patients, it means more than preserving sight—it could also help predict risks for stroke or cognitive decline, conditions closely linked with diabetes-related vascular damage.

By connecting vision care to broader public health, Universitas Padjadjaran contributes to SDG 3: Good Health and Well-Being. The study reinforces Unpad’s leadership in integrating technology and medicine, showing how innovation at a local hospital can generate global insights.

 

 

Unpad Surgeons Pioneer Safer Technique for Correcting Painful Foot Deformity

Hallux valgus, more commonly known as a bunion, is a painful foot deformity affecting millions worldwide. In severe cases, surgery is the only option. But traditional surgical methods often risk joint instability and recurrence.

At Universitas Padjadjaran, orthopedic surgeon Dr. Raden Andri Primadhi and his team developed a modified medial capsulorrhaphy technique, using a figure-of-eight suture to reinforce the joint capsule after bunion correction surgery. This innovation was tested on patients undergoing corrective procedures at Dr. Hasan Sadikin General Hospital, Bandung.

The results were promising. Patients experienced improved joint stability, reduced pain, and a lower risk of post-surgical complications. The modified method is also practical and cost-effective—important for hospitals in resource-limited settings. “Our goal was to create a technique that combines safety, effectiveness, and affordability,” said Dr. Primadhi.

For Indonesia, where many people live with untreated bunions due to lack of access to specialized care, this breakthrough offers hope. Patients can recover faster, return to daily activities sooner, and avoid expensive repeat surgeries. The technique can also be shared across hospitals nationally, building capacity for wider adoption.

This innovation not only advances orthopedic surgery in Indonesia but also contributes to SDG 3: Good Health and Well-Being by improving quality of life through accessible treatment. With this work, Unpad reinforces its reputation as a hub of medical innovation in Southeast Asia, pushing forward in the Times Higher Education Impact Rankings.

 

Unpad Doctors Decode a Hidden Heart Threat in Severe Dengue Case

When a 33-year-old man in Bandung arrived at the emergency department, doctors expected the usual signs of severe dengue: fever, low platelets, and risk of bleeding. But this patient’s case turned into a medical mystery. Instead of bleeding, his heart was failing.

Dr. Miftah Pramudyo from Universitas Padjadjaran’s Faculty of Medicine and colleagues discovered that the man was suffering from fulminant dengue myocarditis—a rare but deadly complication where the dengue virus directly damages the heart muscle. The patient developed two dangerous arrhythmias (irregular heartbeats), putting him at high risk of sudden death.

Doctors immediately placed him in the intensive care unit, stabilizing his condition with advanced cardiac monitoring and emergency therapy. The case was reported as one of the few documented instances worldwide where dengue led to such severe heart involvement. “This shows that dengue is not only a disease of fever and bleeding—it can silently attack the heart,” Dr. Pramudyo explained.

For public health, this discovery is a call to action. Dengue remains one of Indonesia’s biggest health burdens, with tens of thousands of cases reported each year. Identifying unusual complications like myocarditis will help doctors act faster and save more lives. For patients, it’s a reminder that unexplained chest pain or shortness of breath during dengue fever must never be ignored.

By documenting this rare case, Universitas Padjadjaran strengthens Indonesia’s role in global dengue research and reinforces its contribution to SDG 3: Good Health and Well-Being. It also highlights the urgent need for awareness, better diagnostics, and hospital preparedness in dengue-endemic regions.

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