What started as a routine visit to the clinic for fever and vomiting turned into a nightmare for 1.4-year-old Arumi Aghnia Azkayra and her family.
The toddler from Bima, NTB, Indonesia eventually lost her right hand due to a severe infection; a consequence her mother believes stemmed from a series of medical missteps across three hospitals.

Here’s a breakdown of what happened, according to Arumi’s mother, Marlina:
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April 10 — Admitted to Puskesmas Bolo
- Arumi was taken to the emergency department at Puskesmas Bolo for fever and vomiting.
- An IV was inserted into her left hand, but swelling occurred shortly after.
- Marlina alerted the nurses, who removed the IV.
- A new IV was inserted into Arumi’s right hand a few hours later. She was transferred to the children’s ward the next day.
April 11–13 — No improvement in condition
- Arumi stayed in the children’s ward for four days, but her condition did not improve.
- On April 13, Marlina requested a referral to RSUD Sondosia.
- Before the referral, a nurse attempted to inject medication into Arumi’s swollen right hand.
- Marlina warned that the hand looked inflamed, but the nurse dismissed it as “just the plaster” and proceeded with the injection.
Later that day — Swelling worsens
- Arumi cried out in pain and pulled her hand away.
- The IV was removed again, but her right hand became increasingly swollen, from fingers to the back of her hand.
- Marlina tried warm compresses to reduce the swelling.
- That evening, Arumi was finally referred to RSUD Sondosia, but no IV was inserted because staff couldn’t find a suitable vein.
April 13 night — New IV at RSUD Sondosia
- At RSUD Sondosia, nurses managed to insert an IV in Arumi’s left hand.
- Her condition briefly improved and she was admitted to the children’s ward.
April 14 — Condition deteriorates again
- Arumi’s right hand started swelling again the next morning.
- Marlina informed the pediatrician, who said it was fluid buildup and advised using cold compresses.
- Despite compressing for hours, Arumi’s hand swelled beyond the elbow, turned black, became hard, and her fingers went stiff.
April 15 — Referral request initially denied
- Marlina requested a referral to RSUD Bima, but it was denied.
- Instead, she was only given ointment and an IV injection.
- Desperate, Marlina ran to the ER crying, carrying Arumi and begging for help.
- Later that day, the referral was finally granted.
April 15 night — Admitted to RSUD Bima
- At RSUD Bima, Marlina’s concerns were again dismissed.
- The attending doctor said it was “just inflammation” and would subside with medication.
- A nurse reportedly told her:
“Don’t overthink it, ma’am. As long as your child isn’t crying hysterically, she’ll be fine.” - That night, Arumi suffered from high fever and pain, but no doctor came to examine her from midnight to the next day.
April 16, 11 a.m. — Emergency surgery finally conducted
- After seeing Arumi’s condition worsen, Marlina broke down in tears again.
- A specialist finally examined Arumi and called for emergency surgery.
- The doctor found her hand was severely infected, likely due to an earlier IV injection site.
- Her fingers were declared non-functional.
April 18–19 — Transferred to RSUP NTB
- On the night of April 18, Arumi was referred to RSUP NTB for more advanced care.
- By April 19, doctors determined that the infection had spread too far.
- They advised that amputation was necessary to prevent further complications.
May 12 — Arumi’s hand amputated
- With her parents’ consent, Arumi underwent surgery to amputate her palm and fingers.
- Marlina said, “My toddler lost her future because of this medical negligence.”
Now, a demand for justice

Marlina is calling on authorities to:
- Launch a thorough investigation into the incident.
- Hold accountable the medical staff involved.
- Provide long-term support for Arumi, including:
- Educational aid
- Prosthetic assistance
- Psychological support
She’s also urging the Health Ministry and local government to review emergency referral systems and hospital protocols in NTB to prevent another child from suffering the same fate.
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We want justice, not just for Arumi, but for every child who depends on this system to survive.”

