DENGUE

DEFINISI

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ETIOLOGI

Virus dengue

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KLASIFIKASI, MARKER, TREATMENT

Dengue Scoring System for Diagnosis:

2: Demam > 39 C selama 2-7 hari

2: Cephalgia

2: Myalgia/Artralgia

2: Nyeri retro-orbital

1: Nausea / vomiting

1: Petekie

3: Hct meningkat ≥ 20%

2: Leukopenia (< 5.000)

3: Trombosit < 100.000

Interpretasi:

Score ≥ 6 : Likely dengue

Score < 6 : Observasi 

WHO Classification 2011 for Early Detection and Preventsion:

Dengue withot warning sign

Dengue with warning sign, seperti:

Severe abdominal pain

Persistent vomiting

Mucosal bleeding

Lethargy/restlessness

Hepatomegaly

Pleural effusion/Ascites

Hemoconcentration

WHO Classification 2011 for Severity:

DF

Demam

Cephalgia, Retro-orbital pain, Myalgia, Breakbone pain

Rash (petekie)

Tidak ada Plasma leakage (efusi, asites, hepatosplenomegali)

Leukopenia (< 5000), Trombositopenia (< 150.000), Hct naik 5-10%

DHF grade I

Demam

Tes turniquet (+)

Plasma leakage (+)

Trombositopenia (<100.000), Hct naik 20%

DHF grade II

DHF grade I + Spontanius bleeding

DHF grade III

DHF grade I atau I I + Gagal sirkulasi (nadi lemah, sistol-diastole < 20, hipotensi, gelisah)

Dengue Syok Sindrome

Penurunan kesadaran + Syok