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1yo Indonesian Girl Has Her Hand Amputated After Swelling Was Allegedly Repeatedly Ignored For 3 Days

A medical delay changed this toddler’s life forever.
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.

1yo Indonesian Girl Has Her Hand Amputated After Swelling Was Repeatedly Ignored for 3 Days
Photo via Tribunnews

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

1yo Indonesian Girl Has Her Hand Amputated After Swelling Was Repeatedly Ignored for 3 Days
Photo via Lombok Post

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.”

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