Virus rev
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![Page 1: Virus rev](https://reader034.fdokumen.site/reader034/viewer/2022052620/55721341497959fc0b91ef4e/html5/thumbnails/1.jpg)
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PENYAKIT VIRUS :
- SERING PADA ANAK
- P.U. RINGAN
- DAPAT SEMBUH SEMPURNA
- SERING " SILENT INFECTION "
- KADANG BERAT TERUTAMA PADA
" UNUSUAL SUSCEPTABLE PATIENT "
MENIMBULKAN ANGKA KEMATIAN TINGGI
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HERPES VIRUS GROUP :
* - VARICELLA - ZOSTER VIRUS
* - CYTOMEGALO VIRUS
* - EPSTEIN - BARR VIRUS
* HERPES VIRUS HOMINIS TIPE 1 & 2
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HERPES SIMPLEK
= FEVER BLISTER , COLD SORE, HERPES FEBRILIS,
HERPES LABIALIS, HERPES PROGENITALIS.
DEF. : INFEKSI VIRUS AKUT YANG DISEBABKAN
VIRUS HERPES HOMINIS TIPE 1 ATAU 2,
DITANDAI ADANYA VESIKEL BERKELOMPOK
PADA KULIT ATAU MUKOKUTAN, DAPAT
BERLANGSUNG PRIMER MAUPUN KAMBUHAN
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ETIOLOGI :
* HERPES VIRUS HOMINIS TIPE 1 ATAU 2
* TIPE 1 TEMPAT PREDILEKSI DI ATAS PINGGANG
* TIPE 2 TEMPAT PREDILEKSI DI BAWAH PINGGANG
T.U. DAERAH GENITAL
PREDILEKSI : MUKOKUTAN T.U. BIBIR & GENITALIA
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GEJALA KLINIS :
INFEKSI BERLANGSUNG DALAM 3 TINGKAT
1. INFEKSI PRIMER
2. INFEKSI LATEN
3. INFEKSI REKUREN / KAMBUHAN
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INFEKSI PRIMER :
KONTAK PRIMER
5 - 8 HARIINFEKSI PRIMER
SUHU ME >KGB REG > 24 JAMLEKOSITOSISMALAISEANOREKSI " PRIMARY INOCULATION COMPLEX"
* NYERI PADA SYARAF
* REG. ADENOPATI
1-3 Mg. * VESIKEL BERKELOMPOK
DIATAS KULIT EDEM &
ERITEM, BERISI CAIRAN
SEMBUH/ JERNIH SEROPURULEN
FASE LATEN KRUSTA / ULSERASI
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INFEKSI LATEN :
- TIDAK DITEMUKAN GEJALA KLINIS
- VIRUS DALAM KEADAAN TIDAK AKTIF
- MENUJU GANGLION DORSALIS, MELALUI
SYARAF AFF.
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INFEKSI REKUREN : ( KAMBUHAN )
- MENUJU KULIT MELALUI SYARAF EFF
- TERJADI PADA LOKASI INF. PRIMER.
- DIPACU OLEH :
- TRAUMA FISIK TRAUMA LOKAL,FEBRIS,INFEKSI
HUBUNGAN SEKS, SUNBURN.
- TRAUMA PSIKIS GANGGUAN EMOSIONAL,
MENSTRUASI
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GEJ. KLINIS : - LEBIH RINGAN
- LESI LEBIH SEDIKIT
- PERJ.PENY. LEBIH PENDEK
- SEMBUH DALAM 7 HARI
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* HERPES PROGENITALIS :
ETIOLOGI : HSV TIPE 2
PREDILEKSI : SEKITAR GENITALIA
GEJ. MIRIP H.SIMPLEK LABIALIS ( TIPE 1 )
SERING KALI LEBIH HEBAT
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* HERPES SIMPLEK DISEMINATA :
MENYERANG ANAK 6 BLN - 3 THN.
K.U. KURANG BAIK
SERINGKALI FATAL
MENGENAI HAMPIR SELURUH TUBUH
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* DIAGNOSIS BANDING :
1. HERPES LABIALIS IMPETIGO KRUSTOSA
H.ZOSTER
2. HERPES PROGENITALIS ULKUS SIFILIS
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PEM. PENUNJANG :
* LABORATORIUM :
1. TZANCK SMEARS :
KEROKAN DASAR VESIKEL DENGAN OSE
BUAT PREPARAT DENGAN PEWARNAAN GIEMSA
" MULTINUCLEAR GIANT CELL + / INTRA-
NUCLEAR INCLUSION ".
2. " DIRECT FLUORECENT ANTIBODY " ( F A )
3. KULTUR JAR.
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HISTOPATOLOGIS :
- VESIKEL INTRA EPIDERMAL
- INFILTRASI LEKOSIT
- BALOONING DEGENERATION AKANTOLISIS
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TERAPI :
- TUJUAN :
- MEMPERSINGKAT MASA SERANGAN
- MENCEGAH / MENJARANGKAN REKURENSI
- MENCEGAH KOMPLIKASI
1. ANTIVIRUS TOPIKAL
2. ANTIVIRUS SISTEMIK
ASIKLOVIR 200 MG 5x / HR 7 S.D. 10 HR
3. SIMPTOMATIK
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PROGNOSIS
TERAPI SECARA DINI & TEPAT PROGNOSIS
LEBIH BAIK
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VARICELLA - ZOSTER VIRUS.
PENYEBAB : - VARICELLA - HERPES ZOSTER
VIRUS V - Z
INHALASIR.E.S.
VIREMIA
H.ZOSTER
MENURUN MENURUN
" SILENT INFECTION"KEKEBALAN (+)
MANIFES VARICELLAKEKEBALAN +
VIRUS LATEN GANGLION SENSORISKULIT / MUKOSA
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VARICELLA ( CHICKEN POX )
DEF. :
- INFEKSI AKUT PRIMER VIRUS VARISELLA - ZOSTER
- MENYERANG KULIT & MUKOSA
- DISERTAI GEJALA KONSTITUSI
- KELAINAN KULIT POLIMORFI
- T.U. BERLOKASI DI BAGIAN SENTRAL TUBUH
ETIOLOGI : VIRUS VARICELLA - ZOSTER ( GRUP HERPES VIRUS )
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PREDILEKSI : T.U. DIBAGIAN SENTRAL TUBUH
MENYEBAR KE MUKA, MUKOSA MULUT,
KULIT KEPALA, TUBUH, EKSTREMITAS
BAGIAN PROKSIMAL (SENTRIFUGAL)
CARA PENULARAN : - AEROGEN
- SERING PADA ANAK
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GEJALA KLINIS :- M. INKUBASI 10 - 20 HR } R.E.S
VIREMIA I
- PRODROMAL RINGAN } R.E.S. (24 jam) demam ringan,lesu
VIREMIA II
- MAKULA ERITEM +/-
PAPULA
- VESIKEL " TEAR DROPS " + umbilikasi dikelilingi halo eritem
5 - 20 hr (+ 7 hr)
KRUSTA- DISERTAI RASA GATAL
- INFEKSI SEKUNDER K.G.B. REGIONAL MEMBESAR
Beberapa jam
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PEM. PENUNJANG : LAB. TZANCK SMEARS
DIAGNOSIS BANDING : - VARIOLA
- PADA BAYI :
- ERITEMA NEONATORUM
- MILIARIA
- IMPETIGO
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TERAPI : - TOPIKAL : BEDAK, LOTION, KRIM
- SISTEMIK : ANALGETIK, ANTIGATAL
ANTIBIOTIK (bila perlu),
ANTIVIRAL
KOMPLIKASI : BRONKHOPNEUMONI
INFEKSI SEKUNDER
PROGNOSIS : PERAWATAN BAIK VESIKEL UTUH
JAR. PARUT (-)
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HERPES ZOSTER ( SHINGLES )
* DEF.: - INFEKSI AKUT VIRUS VARICELLA - ZOSTER
DENGAN MANIFESTASI NEUROKUTAN
- REAKTIVITAS VIRUS SETELAH INFEKSI PRIMER
VARICELLA
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ETIOLOGI : - VIRUS VARICELA - ZOSTER
PREDILEKSI : - UNILATERAL T.U.
DERMATOM C2 - L2
CARA PENULARAN : - AEROGEN
- DEWASA LEBIH BANYAK
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GEJ. KLINIS :
- MASA INKUBASI 7 - 12 HR.
- PRODROMAL 1 - 2 HR nyeri mialgia, rasa terbakar, gatal
- MAKULA ERITEM ( diatasnya tampak papula, vesikel yang segmental, sepanjang sy.sensoris )
4 - 5 HR
KRUSTA 2 - 21/ 2 minggu
menyembuh
- KELOMPOK LESI YANG SATU DGN. LAINNYA BERBEDA
- RESOLUSI HIPERPIGMENTASI / SIKATRIK
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PEM. PENUNJANG :
LAB. : TZANK SMEARS
DIAGNOSIS BANDING :
HERPES SIMPLEK ZOSTERIFORM
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TERAPI :
- TOPIKAL : BEDAK, KRIM
- SISTEMIK : NEURO ANALGETIKA
ANTIGATAL,
ANTIBIOTIK, ( bila perlu )
ANTIVIRAL acyclovir
(anak) 5x400mg / hr selama 5 - 7 hr
(dws) 5x800mg / hr
STEROID pada beberapa kasus
bila tidak ada k.I./ hati2
dosis 40 mg. Prednison / hr selama 3 - 6 minggu
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HATI - HATI :
- HERPES ZOSTER OPTHALMICUS
- SINDROMA RAMSAY - HUNT
- HERPES ZOSTER GENERALISATA
( pada orang tua, lemah )
KOMPLIKASI - POST HERPETIK NEURALGIA
( pada usia > 40 th )
PROGNOSIS : UMUMNYA BAIK
H.ZOSTER OPTHALMICUS
PERAWATAN & PEM.MATA HARUS DINI
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MOLUSCUM CONTAGIOSUM
DEF. :
- INFEKSI VIRUS PADA KULIT
- KLINIS BERUPA PAPULA-PAPULA PADA
PERMUKAANNYA TERDAPAT LEKUKAN (UMBILIKASI)
BERISI MASSA YANG MENGANDUNG BADAN
MOLUSKUM
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ETIOLOGI : VIRUS D.N.A - POX VIRUS
PREDILEKSI : - PADA ANAK-ANAK T.U.
MUKA, CONJUNCTIVA, MUKOSA BIBIR,
MULUT, TANGAN, PERUT.
- PADA DEWASA T.U. DIDAERAH GENITAL
PUBIS, PERIANAL
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CARA PENULARAN : - AUTO INOKULASI
- KONTAK LANGSUNG
- SERING PADA ANAK ( D.ATOPIK, IMUNOSUPRESI )
- DEWASA MUDA ( PENY. P.M.S.)
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GEJALA KLINIS :
- M. INKUBASI 1 - BEBERAPA MINGGU
- LESI SINGLE / MULTIPEL, BUNDAR, BTK. KUBAH
DITENGAH LEKUKAN (+), UKURAN 1 - 5 mm
- LESI MULA-MULA KERAS, SOLID, WARNA M.MUDA
LUNAK, PUTIH KADANG 2 SUPURASI (+)
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PEM. PENUNJANG :
* HISTOPATOLOGI :
BADAN INKLUSI
(MOLUSCUM BODIES / HENDERSON PATERSON BODIES)
PADA SITOPLASMA SEL SPINOSUM
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* DIAGNOSIS BANDING :
- LICHEN PLANUS
- VERUCA VULGARIS
- EPITELIOMA
- CHICKEN POX
- FURUNKEL
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* TERAPI :
- KURETASE
- ELEKTROKAUTERISASI
- BEDAH
( mengeluarkan massa )
* PROGNOSIS :
- BAIK BILA LESI BERHASIL DIHILANGKAN
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