Kigcigitasi_Istilan 1. Soper: Radaan wenganvk yang datam visa dibang unean dengan raresangan Rat Tamun tae terbargon Lopenshnym 2 tde Memioer “auaban “Verbal yg balk, plex terre 1 pupil Bk, BAB a Bae: uncontefed 2. Dowam . low tush % prelawan ingersi yar, was x dalam tubo | Mentingtat (bil dot’ SA 0 SuhU Sbolonye 5 a/ proses Alani bus) welawan ingest /nyarit aotoimun/ Rapa) dation wasot dim tbdh >. Aapeitigger: “/ meldoar ny femeuide darnin perio nea Carteri Siar anterior) 4, Skigta-iteerite : gejala dari iFterie yity Ferbahan skldra, wambran murosa, dan Forit Md yellow afibar bilitvbin ronsene. wanin di dim jacingan Atay di Gairan “Wersaial S MRED. Microscopic Aggy vAraton fee / pemveritsann dilaeukan ¥ Aekeesi ANbsdl SUB Hdd Lepnsgiva memparan ci ae ae on 9] Aiaanor> legrDsiesis 6. Deppstinns adulan genus batters dim situ spin chaete (batreri gam fecyatif) Wondgteasi Masoialr 1 O07 48 th Reader YHA I hari © demam © savie Bln pebat { igh ligt mantt © ayeri otek © HWAL-muNinh —7 dlr ampe COE? 2. kerja tog ni FR di Maluty sdatan he seni 4, PF: © selera ik tere te ileferien . injersi Mier 4 fs '~ + fai bardi —> fdr ado funder syor + 90/100 moti — hiyotenti car v/em) + FOE notes. 3M r/menit ~> aonocma' + fOnbhi § wWreering - BGAN. pacu 4. P. Lab. eo (weesie T lagi [quan angers’... «© Toombait Fingers viTus7y esgot t pensaran oman sertt Ohta ini an tat eorenm S ginjat teryar oreo tn +3 fas Feit ie €. TemeriFsaan Penynja + Dengue, (46 \gMC) ->dogaan dengue cope 0 Elisa Wqih lortespicn (¢) Ls bike ras SOalNYR doi finggal di datral endemi si--- © MAT (£77 Tr toimah lapospDsis ssedioun agus doris X¢i (¢) qawernsit+ MalATin (8. GulciParvm) cartier Alain Scanned with CamScannerBRAIN STOR MING OF ue te kerja soy permmi fomuesaae Reader Y Sak | hari deginisi Fenyeoae f-demaw MOraniibne fee mo poyIatery Sareategln wal - montah Rae aig ebont fey /Gort Penyeoabnyn apa « ee ————, a > stern itterie he ie erie epee Ta legi lanan ngerss -- © inyersi ster 4 fase irene « Tombait YF ingess viEUs7 + fai bardi 9 tak ado tunde syor SABHT TY enoaran oman yy wenga + 90/60 mary > hipotenti oy ts v/a) ‘ Crewe ist Got "reba + Flee notus BY r/menit ~> aonocmat 2 5 ginjat teyangou + TOREH A Weeding E> 7 BGRNg. pare —_ aaron yer at se eit Fe Temeriesaan Fenynjana emt neta ue: ine CO gM O__Riisemtqnnsoptsgion 1) SADT Ce gamers maiasie Derg; 4 com ween CR falci Par) dogaan jon conde Cartier Malaria. —— Deginisi lntepretasi hati @% lab Ebologi Morgolagi Lpbsica ce | Taralatsann PILI HAM ° StuEUr Tenagahan v sigat fpatterinyor Fompliraci (weit didase -.-> * Aiognorls [ab mikwbioloni infers Prognocis Epidemiology: + FE Manig Flinig Patoy 2 fatot Penagarran diagnosis Canam, 7,0) Scanned with CamScannerCAVES Ste 4 Sitar Agro (Carreri) Demam £ infers: - eNWE sital /core screw |. Doginist demam s ings - WWUN O1¥b — Ol x 2AM > Mecanibme feraty mn sohu = GNjar YWombang 0,5 am 3. fate Oumam Ct eto logi myer) = Wefsigar FoMensal (MH bersel 1 15 vidoe 4. GRjala Elinig OTGANEHE ain tdE persifat wewgiran, S. Penyebae® /FR bia inpte ss Bisa Saja Wongy nwhgFan) pada hevan Fecteau 7 ada Yg Scr alamiak tinggat Ai twbuls gajal ¢ coy. Femitn Wasur ter kent Infersi Barter’ = Leptospinosis Menlliti gaqalve periplasm: gem dahean °/ © Deginisi ac gprae rey ncn 2 womutar separiang 2. Etiologi > Morgolagi Leplosita sp. somabutiye esturur - Dye Vwidop di att coun t | bolan #Sitat batitrinyer = Qeea thdp ocarn * Aiognos's [ab mikmbiolani infers — Farrwimbulan optimal Gi Ningycungan oem % Epidemiologi + FH sho 28 - 30° 4. Patog 2 fatof = SUCH Hemperator ant, (emnbalo. tHograt 5. Manig Fling Feasaman ait, tonal gekal curah Wyant 6. Ponaqarran diagnosis Canam, FF, PDD? Xdivedakan enjd : 1. Intepretrsi hati) % lab = SACVIN Fatogen (Leg Inrerrgan,) 8. Tatalatsann PILI HAM = SEAN Mon PARDO ( L tn a 9. Tenagahan lo, Fompliraci cweit dicase ~-> WL. Pragnoeis LEPTOSPIRO SIS Deginisi Legrospicnsis / Weil's disease a/ penyarit eRe: pry dimaitan '/ bakit! Leptospicn 29- ere Barred Lepmseirn of. - A] barteri gram megade sicodnere = MeRANEEN’ manwsia £ hawan égn mengin NOX Fulit yane) ¢erfoFA mavpun muFosa Wau mawe Fe aliran daca (chg bisa meng. Yar w seluwh Adpvb) - Fada Manusia sering Er pagaran Gairan fupdn hevan Cukama = uring!) (quae fontuk I6g / de Isg (air / tanah Ya tlh ker Pon taminas Cairan tuboh hewn) Scanned with CamScannerNetor arama = TUeuy! = Cow - Ok “fy ~ bow < bak i Ws FR Egemnologi #Diordlasi di donioe > Adan dilaportan dari Indowetin, tadia, Thailand. * StiLonpa Calawe mucin Woy = Vereasar di Acin Tenggara dit » Jarartn (200%) > Mumeai: (los) + Sri Late Ceo8) = Uda mvstiman Cid Hl jan dene + tania!) © Thailand wujan Utara » Guprat (India) = Secata global leprospiensis Lincidenst): © Oi | Ger (00-000 /tahun di doermle \aaiklim sedaney © 19-100 ger (00.000 /tahun di daca AMOR (arta + 7% OD Per (00-000 /xaon Rade tendon uirbrn & Eagaran rap ed eowpok WRN Po HOw bi ndonesn ~ Aetdoar Iwas Ero lem troply = Pusat Dare eingor mag Ranenres Indonesia, CER (case Fatality rare Hertinag) Focus Lagi. di indon Qi te Pole ada di: » Banen (oF) « DYomn (25:42) + Ulery (16.19%) BMorantikas (eco Fa gFO, Redon an Wesis ALS, = Do Faws FiNgan yang, seni RAIA = tawy porn (welibactan Janey hg, Rary 1 SR ginyal) bisa maton buvh CAWAI Inape gemantauan di [CO ~ THO: Wornlitas A/ (O"/> Cte dp barva- Fini oar S- Go}, = lansin t inanokomeromis FR Kernan ‘Gambar 1, DITRIBUSI Leptospirosis dl INDONESIA Fatror Pesito 1. Menowe usia 2 7. lamin ~ HEC DANAE PA usa (S- 69 th -h 0 =Q = FabUS arate yarn dilaportan 4. Manurot feberjaan 1 qeinitas = atexivits 1g Werhoburgan dengan Aivos/ Waqpotopn yg tercemari urin Hes teCingersi = Rekeryaain ae yy loerhob: dgn ferranian EHO oninmal ~ Query priemnarary = A ferounan Raret = apurvie = Petgplahen ikan # onggjas ~ ‘pan = frggali S2leran “er ~ feret asad - doeter Qe = Peter ramvatg = 6 heya = forapicia sata di endow Lope.. HOES TRsiFo tap = Fonte dgn aie /lumpuc /tarah / rogue ‘Py Aertemar cin FOS KECINRORS = Saat \atihan milikr = Wereasi Cherenaang, jiFing, camping, Irunting, fishing. ganhening = Renggonn aie tuna Mojan ~ Varyian di war rumah (-) alas RAR > Mamet Reinsoan Penderitn best / Peja 0 = AeAIVTtny AT ewngat permit dan Iva dibadarn ~ Areata ies Fats ~ trardi di soto Scanned with CamScanner= RA torany bit LEPT@SPIROSIS (sae = lack of Fnowledge of (ette. . IK) MS HANTUI = DI INDONESIA |=3==~ 4. FR berlasarran Rbendagns vus dim roman Nee et ice ~ 4x lebin soap’ Hertena (epta = TWus ya Serine jd PRervoie: ° tits cio! ofr) Rebun ofits mma elven ~ Webondam biaatary \nin dim wmoh Panying) > Famvir + Pacing * Sapy 5. Monuat lingporgan abioniee biotie = doar rawan ‘banji ¢ «a muh = fersawoliouy / Fer relovnan = Tetnpart vePtensi Colum tenaty) » danaw) = Vivopongan tran tak Sorat = 1 fund Teak tage gong aie - Sdopan derar Tman yy cae wenyylir Sam fon WetaAC mA yy THE dleolo. Facies ae cups CoCOR re ale Ye Wwenggorare, dgn eehnagian + GH emt, flo cw 9 rd - BS o Fenvlacan Largsona atograis + Sakogsiologi ~ data Jurin)Calrun trouer lain yYQmengandiny Portas Loprsgion yranule fe tubuh oir How you can get infected = uth Prmanier (PERC AN forane Faaue/ rewn gatnaman) = \wumon 7 \wttan (Mud: Sex (ado maser Yoruawen, iby Fe janin (ver cauar esentns 51 tw) Renwrarun rae LAcoyyno, welalui opraropn ai, songpi, donay, teloran salen oie ,& LoMPUT Yo YerceMar ale Yewon Hater’ L--- berranan Kidup di tamale slim 24 hari $ \btan di air Ohase \npobasi t L-3o hari 3 Ohm maosve Re bdr, MasvE EE Sicculos Scanned with CamScannerliga > SE POS) — wonypoat WuA> Ee, Save <0 Horgan yy biasm kena = aigjal, Ram, Wan Dagar reeyrd Aga > Wflamesi twbd lo INES ftial difus 2 Wwormsig der Ay H Wah > Folestass atibat gembaran deyerenré, Gh hepotosie: Haw 7 Pedaraban inmmalveolar Creal, Wd hon inralvolar Mes , deposi liner Tg & eon Gado Fermutaan Aveo las organ (ain sijatwrg 9 trinracditiy © HR A WEMINANS + tray > vwitls Vos Wav L, Pemavian yanin / aborts Sgntan Fro rarer Bide welewak Qlasentr Duppos's Lolo ners aber Leptesricn S€ Syermen = diawcil keroyantona gase Ronyabit nye = musi di Geredaram dara + 10 hari Ager infection OWNS SEesiwen: = Darah dan ant Fea gplan Verarin (diawbtl Wo Wari ertamn Sait 4 Baran) = Seroyn (hiamoit 2% dan selang voaety by dad) = Orin Lf Gakan dim Lj ary Seger ditworowsi) ~ Calan Ceromsginal 4 didlisar (P[ waran) Panerinaan Laborrtorivm. ‘ite apache of ahraay dag ‘ 7 ¥ + ce | . 2 + ite Fea a LJ), Memeo || pinnate | | “Ca Seow ti || “rm tae | | em Teepe” || "Caen Saeen | Aaa toe = daraly 8S Gounbaran: Shi fothelert & ArombsiopN ~ Heatinin T= gang. Fungi gidjerl - bihevpins SEPT T = gary. fungei hati = anaisis LCS > dominas set fimgosit: = Fadar etotin normal / + = QWWFOL® Nor mn! Pomaritsaan Mitmcrog E ~ dpt Manggurakan MitDskop lagangan gelap, imono flurmiens, rence carn itunoparr si date ~ Apr deteesi |. di orin t dorih {P less sansinre. Vera hry ada 10.000 barteri “ad “/dpt litot Ubarteri er | LP di mitrosFop) itewo? lagang seler Rewerircaan biaran = dibiatan °/ ++ barteri = lamas manaals SNsiti fits panda = HOF digbal oF diag na sic din -darale LCS Mingy 1 Sarit = Uti minggy RD = Bur shim dibert Ant biote Feweritiaan s2rologjs ~ bisa ferdllagnotis dyn wi (dees) antibod aeny antigen) + Qord seundard & baye digate adalar MAT MAT = 9} werenwenn abody dim sew posien = det Kerdeatess dim dara S-2 hari acter Gale Antipadi tv = Ce p. ditatsi fan dyn ankgen Cervar Mepis Wide feats = TeAESi antigen -antibodi akan wenimbolFan Odfutinnsi yy der dramas ed witmFop lap geap ~ Renognctonn ya dearni yy tertingg (SO7/> aglutivas, ) A diagnos gers Kpvang Leen dimorer PeNivgpatar GE 4X Upat ~ Meola sop plas, doy MAT, 2-S hari, masing Scanned with CamScannereo sdln dg rendetersi _eesearvon Kner, 1:20 Sarotegs Selain MAT —fem. Le M Lepkosgin don = BUSH, . = Oe ele “ymncues @ squsigites (aie = Desice OnSite Leptospira \gG /igM Combo Test Window Putative serology response acteral eM imblood Antibody Level Pe fi Ps >00 Daysafter Infection rr) Livre JOM Leprnsgirm dp digerees: S-7 bruri sHlrngeecs Fareritsoan Moloever = 4) deersi DOA Led 2am, UCM , dan yariegpin = doy dink ~tohokt ney lb diss (0 SHED, 2 FOE ~ Rlemahan . Pelalatan ¢ kenge Kerns + jnarall, siteria diugnosis Laboratorium Krorduga Lerriamsis e IgM eptospim Cr) © Titer MAT 100 (200 400 oF more Eide Udgasieetn Chergantv nay endesimisitas soar wilayah) © diemukan epropitn ser 54 pd dure fad ata dgn Peryecatan MDiagnosis Yonge mass ~ Igolasi bakreri loptoseite ~ Reningyratan fer MAT 4x atay Vol ania spesitven gat aut dan fonvaleen - aa wy ‘Dayld test Ver bed - faa sooner = RCH Ree, Lago sit a ee DNA Leto sei ‘suport Temcconmra man. nen | + tema senna Fenton ‘ove commary ros bos Dinos Yess 1 erosconte aggutnation eat MAT) — confirmatory serloge tenting. svasacle at COC seiareec eon 2 Porras chan maton PCR) = alba COC a ae arin Scanned with CamScanner