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Fever and Rash
Fever and Rash
DJATNIKA SETIABUDI
Scales
Ulcers
Excoriations
Fissures
Crusts
Scars
TABLE 1
Common Primary Skin Lesions
Macule : Circumscribed area of change in normal skin color, with no skin
elevation or depression; may be any size
Lesion particularly at :
- Skin
- Mucous membranes :
respiratory : nasopharyng, bronchi
digestive : oral cavity, intestine
- Conjungtiva
Serous exudate,
mononuclear cell predominant
Clinical manifestations
Incubation period : 10 – 12 days
Stadium prodromal :
Anamnesis :
- symptoms
- history : - contact
- imunization
Laboratorium :
- leukopenia,
- relative lymphocytosis
Complication
CFR decreased
Symptomatic
Supportive
Vitamin A :
Unicef/WHO reccomendation
Management of complication
Prevention
Active immunization:
- Measles vaccine
- when ? 9 months old
- booster: 15 months --> MMR
Passive immunization
RUBELLA (German Measles)
Acute infection, contagious, caused by rubela
virus (family Togaviridae)
prodromal sign : + / -
Rash : short periode 3 days
Typical sign: lymphadenopathy
post auricular – suboccipital –
posterior colli
Problems in pregnant women
Congenital rubella Syndrome
Clinical Manifestation
Incubation period : 18 + 3 days
Rash : maculopapular
face sentrifugal to
neck – trunk – extremities
24 hours all of body
resolve in 3rd day
Congenital rubella Syndrome
Neurologic : Meningoencephalitis –
Microcephaly – mental Retardation
Mostly in infant
Typical feature :
- Severity of clinical sign unproportionally with
degree of fever
- Simultaniously resolve of rash and clinical sign
Clinical Manifestation
Bad prognosis :
- hyperpyrexia with persistent convulsion
Treatment
Symptomatic
Supportive
Prevention : ?
SCARLET FEVER (SCARLATINA)
Hematogenic spread:
- Meningitis – Osteomyelitis
– Arthritis (septic)
Symptomatic
Supportive
Management of Complication