The patient has a history of laryngeal papillomas, tuberculosis, and pneumonia. They underwent multiple surgeries including laryngoscopy, biopsy, and tracheostomy. Imaging found infiltrates in both lungs and a smaller left occipital lobe. The patient experienced hypoxic episodes resulting in cerebral palsy. Recurrent papillomas were excised from the larynx and eye, but granulomas regrew in the eye. Biopsies of lesions from the larynx and eye found identical granulomatous tissue with vasculitis.

2.  Angioedema allergic to Ceftriaxone iv

3.  30 May 2013
› Papiloma laryngx
› Laryngomalasia type 1
› Lung TB on Anti-tuberculosa drug
› Operation
 Supraglatoplasti
 Extirpasi Papiloma largynx
 Biopsy

4.  31 May 2013
› Patology Anatomy
› From vocal cord dextra
› Result
 Vocal cord nodule

5.  18 June 2013
› Susp Celullitis preseptal ODS
› Papilloma palpebra ODS
› Culture : Enterococcus Sp.
 Sensitive with Chloramfenicol
› Cefixime, Flagyl, Cravit ED, Polynel,
Gentamycin EO, Breaty Nasaldrop,
Nasomex,
› Consult Hematooncology

6.  25 June 2013
 USG ODS was performed
 OD OS

7.  3 July 2013
› ENT Department
 Patient inward
 Diagnosis :
 Pneumonia
 With Rontgen Thorax
 Infiltrat Suprahilier both lung, paracardial dx, and
retrocardial space
 Laryngomalasia type 1 post Supraglatoplasty, post
Laryngoscopy dan biopsy
 Synekia plica vocalis

8.  31 July 2013
› Release Synekia Plica cord and
Tracheostomy by ENT
› and Evaluation under anestesia by
Opthalmologist
 OS : Cyst Conjunctiva base attach from bulbi
to tarsal superior
 OD: Csyt Granuloma from Conj. Tarsal

9.  MRI Brain
› 16 October 2013
 Lobus occipital dx smaller than si
 There are no pathological sign in other part of
the brain

10.  28 August 2013
› Airway disturbance ec mucous plug
› URTI
› Post Tracheostomy

11.  28 September 2013
› Loss of consciousness in IGD
› Hypoxia encephalopaty ec plug mucous
› Apneu
› PICU
› 1 month in Intensive care Unit

12.  10 January 2014
› Vomitus ec GERD
› Mild to Moderate Dehydration

13.  6 March 2014
› Hospitalization
 Pneumonia
 Papilloma ODS
 Cerebral Palsy ec Hypoxia ec mucous plug
 Inhalation with ventolin, Nacl with suction
 Therapy ampicillin 4x 250mg p.o
 Chloramfenicol 4x185mg p.o

14.  12 April 2014
› Hospitalization
 Common cold
 Tracheostomy ec Synekia plica cord
 Paracetamol, cefixim, ambroxol, salbutamol
was given

15.  21 October 2014
› Papilloma Laryngx
 Laryngoscopy
 Biopsy
 Mass extirpation

16.  19 December 2014
› Operation
 Papilloma Excision ODS
 Conjunctival flap ODS
 Mitomycin OD
 Biopsy
› Post Operative therapy
 Amoxyllin syrup 3x1 cth
 Paracetamol syrup 3x 1cth
 Xitrol Eye Ointment 3x apply ODS
 Xitrol Eyedrop 6xODS

17.  Patology Anatomy Examination Result
› 24 December 2014
› Histological  Tissue Granuloma with
vasculitis
› Identical with PA larynx and eye

18.  10-February 2015
› 2 Month after Post Biopsy Excision
Granuloma ODS
› No Mass was found

20.  11 March 2015
› 2 Month after Post Biopsy Excision
Granuloma ODS
› Re-growth Granuloma ODS
› Granuloma
 at medial canthus size 3x5 mm OD
 At medial canthus size 7x5 mm OS