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PAPERCAMPAK
OLEH:
FEBY IFFIYANT I YASSEFF 111001097
PEMBIMBING:
Dr. Sevin Mri!"# S$.A
SMF ILM% PENYAKIT ANAK%NI&ERSITAS ISLAM S%MATERA %TARA
R%MAH SAKIT HA'I MEDAN(01)
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DEFENISI
Menurut WHO, C*$+ ,-!// $en"+i +/ "n !n*en/-r# "n ,i!e22+n 3-ein4e+!i vir/! "n /*/*n"*en"ern n+ ,enn 2er5+62er5+ +e*ern "n 2er2en/+
*+/-3$$/-r "n ,i,/-/i,enn !// /2/ "n *enin+8C ,n ,i!eri ,enn e;-2/+# $i-e+# * *er.
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EPIDEM IOLOGI
C*$+ *en,/,/+i:
Te*$ +e6),-* /r/n 10 *5*
$en"+i /* $, 2"i Te*$ +e6),-* /r/n 10 *5*
$en"+i /* $, n+ /!i 16?/n .
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C*$+ $-in 2n"+ er;,i
$, /!i 2-i# ,enn /r/n"i/:
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Etiologi C*$+ ,- vir/! RNA ,ri F*i-i
Pr*i@3viri,e# en/! Morbilivirus.
&ir/! 5*$+ ,$ 2ern !e-*2e2er$ ri $, e*$er/r 05 ,n!e-* 1) *in/ $, !e,in 2e+/.
P, !// +*r vir/! ini +n +ei-nnin4e+ivi!n" !e+ir 0= !e-* 86) ri.
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PATOGENESIS
Dr3$-ePort of dentry
F!e In+/2!i
F!e Pr3,3r*-
F!e Er/$!i
F!e +3v-e!en!#i$er$i*en!i
De!+/*!iGe;-
Mir!i +e KGBrei3n- vire*i
$ri*erRES
vire*i !e+/n,erNe+r3!i! e$ie-#$e*2en/+n Giant
cell Warthin-Finkeldey
1061( ri n$e;-
86) riK3$-i+ !$3 K3n;/nivii!#53r"# 2/+
Ani23,i # !e- T!i33+!i+ #
(68 riRash maculopapular,i 2e-+n e-in#-eer# ,,# $er/
,n $/n/n#e+!re*i!.
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INFEKTIVITAS VIRUS
Hari Manifestasi
0 &ir/! 5*$+ ,-* ,r3$-e +3n+ ,enn $er*/+ne$ie- n!34rin / +e*/n+inn +3n;/niv in4e+!i $, !e- e$ie- ,n */-i$-i+!i vir/!
16( Pen"e2rn in4e+!i +e ;rinn -i*4i+ rei3n-
(68 &ire*i $ri*er
86) M/-i$-i+!i vir/! 5*$+ $, e$ie- !-/rn n4! ,ie*$ in4e+!i $er*# ,n $, RES rei3n- */$/n$, ,er "n ;/
)67 &ire*i !e+/n,er
7611 Mni4e!!i $, +/-i ,n e*$ -in "n 2ervir/!#er*!/+ !-/rn n4!
1161? &ir/! $, ,r ,n !-/rn n4! ,n ;/ 3rn -in
15-17 Viremia berkurang lalu hilang, virus pada organmenghilang
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M ANIFESTASI KLINIS
Faserodormal
Fase !rupsi Fase"ovalesens
#emam
ringan,batuk
kering,kor$%a,
kon&ungtivitis, koplik
spot
R/*
*+/-3$$/-r"n 2er- ,ri
-eer# ;#-enn --/ +ee+!re*i!.
'uam berubah
men&adihiperpigmenta
si,deskuamasi,
dan suhutubuh normal(
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PEM ERIKSAAN PENUNJANGDee+!i
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DIAGNOSIS BANDING
#iagnosis )anding *e&ala "linis
R/2e--
Ti,+ ,i-i !// *! $r3,3r*- "n!$e!i+. P, $en"+i ini i,+ er,$ 2er5+K3$-i+# e$i er,$ $e*2e!rn KGB ,i!/23+!i$i-.
R3!e3- In4n/* R/* */n5/- ! ,e** e- *eni-n
E@ne* S/2i/* De** ini !e-* 86? ri 2i!n" er;,i!e2e-/* i*2/-n" +e*ern $, +/-i ,n,ii+/i ,enn $en/r/nn ,e** !e5r,r!i! *en;,i n3r*-.
De** S+r-in R/* +/-i ,i4/! ,n *+/-3$$/-r -/!#
erie* "n *en"/ ,enn e+!/r !e$eri+/-i n! !e5r ;e-! er,$ ,i ,er2,3*en "n re-i4 */, ,i2e,+n ,enn5*$+. Tn, $3n3*3ni+ 2er/$ -i,2errn *er !r32eri !er 3n!i-ii!e+!/,iv / *e*2rn3!.
Seven6'3n!3n Di,$+n ri" $en/nn 32 i,+-* !e2e-/* r/* */n5/- ,n i,+ *e*i-i+i
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DIAGNOSIS
"eluhan +emuan klinis
De** Rinii!
B/+# $i-e+ K3n;/nivii!R/* $, +/-i Enne*
D$ ,i!eri,enn :+e;n# *en5re ,n*/n.
R/* *+/-3$$/-er
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KOM PLIKASI
. Lrinii! +/
2. Br3n+3$ne/*3ni
5. Ke;n ,e**,. En!e4-ii!
e. S/25/e S5-er3!in
Pnen5e$-ii!4. Oii! *e,i
. Enerii!
. K3n;/nivii!
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PENATALAKSANAAN
C*$+ *er/$+n !// $en"+i!e-46-i*iin !ein $en32nn" 2er!i4 !i*3*i+# "i/: Me*$er2i+i +e,n /*/*
Ani$irei+ 2i- !// ini
E+!$e+3rn ,n ni/!i4
Ani+3nv/-!i4 ;i+ ,i$er-/+n Me*$ern+n !/! n/ri!i ,n
i,r!i
Pern +/-i ,n *
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C*$+ ,enn +3*$-i+!i r/! ,ir in$ ,i RS /n/: Me*$er2i+i +e2//n 5irn ,n ,ie
"n *e*,i
&i*in A 100.000 I% $er 3r- 1@1
A$2i- er,$ *-n/ri!i ,i-n;/+n
,enn 1)00 I% i$ ri Dn !i $en"/-i "n i*2/-.
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PENCEGAHAN
I*/ni!!i 5*$+:
I*/ni!!i ,!r "n ;i2 ,i2eri+n
er,$ n+ /i! 9 2/-n# ,n,i/-n ! n+ 2er/!i /n.
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TERIM AKASIH