DENGUE VIRAL INFECTION,

in practice
& the unusual manifestation

Anggono

Patofisiologi

WHO. Dengue : guidelines of diagnosis, treatment, prevention, and control, 2009

Soegeng Soegijanto, 2012

Manifestasi klinis

WHO. Dengue : guidelines of diagnosis, treatment, prevention, and control, 2009

Soegeng Soegijanto, 2012

WHO. Dengue : guidelines of diagnosis, treatment, prevention, and control, 2009

Soegeng Soegijanto, 2012

Kegawatdaruratan
Takikardi
Nadi lemah/tidak kuat angkat
CRT > 2 detik
Pucat, basah, dingin (anyep)
Selisih sistolik diastolik menyempit < 20
Hipotensi
Penurunan kesadaran
Kussmaul

Tatalaksana

WHO. Dengue : guidelines of diagnosis, treatment, prevention, and control, 2009

Soegeng Soegijanto, 2012

WHO. Dengue : guidelines of diagnosis, treatment, prevention, and control, 2009

Soegeng Soegijanto, 2012

Tanda perdarahan
Tanda perdarahan masif
Pasien gelisah
Perut distended
Nyeri perut
Shock berulang/tidak teratasi
HCT/PCV turun > 40%

The unusual

KETERLIBA MANIFEST PETANDA

TAN
ASI
Hepar
SSP

Jantung

Hepatitis
Ensefalopati
Ensefalitis
ICB
Miokarditis
Miopati

Ginjal

AKI

SSP

supresi

KET

SGOT, SGPT >1000

Penurunan
kesadaran,
kejang
EKG
Bradi-aritmia
Ekokardiogr
afi
BUN, SC, PU GFR
Abnormal
urin
pansitopeni hemofagosito
a
sis

KETERLIBA MANIFEST PETANDA

TAN
ASI
Paru
Metabolik

KET

ALO
Asidosis

Foto thoraks ARDS

Kussmaul,
ARDS
BGA
Elektrolit
Imbalans
Na, K, Cl, Ca Hipo
Hiper-K
Glukosa
Hipo
WHO. Dengue : guidelines of diagnosis, treatment, prevention,Hiper
and control, 2009
Soegeng Soegijanto, 2012

Terimakasih