Kasus Varicella Anak
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Kasus Varicella AnakPembimbing: dr. Maria Dwikarya, SpKK
Penulis: Theresia Yoshiana (11.2011.214)
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Identitas PasienNama : An. K. V.Umur : 2thn 8 blnJenis kelamin: perempuan
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Keluhan UtamaMuncul bentol kemerahan yang
melenting di lengan, tungkai, badan, leher, dan wajah sejak 3 hari lalu
Keluhan tambahan: batik dan pilek
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RPSBentol kemerahan yang
melenting muncul sejak 3 hari lalu, dimulai dari tangan, ke badan, lengan, tungkai, leher, dan wajah.
Pasien mengalami batuk pilek 1 minggu lalu, Tidak demam.
Riwayat alergi (-)Riwayat cacar air (-)
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Status GeneralisKeadaan umum : Tampak sehatKesadaran : Compos
mentisStatus gizi : CukupBerat badan : 10 kg
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Status LokalisEfloresensi: vesikel dengan tepi
eritemaLokasi: wajah, leher, badan,
lengan, tungkai
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Foto Pasien
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Foto Pasien
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Pemeriksaan PenunjangTidak dilakukanDianjurkan: pemeriksaan Hb,
Leukosit
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DiagnosisWD: varicellaDD:
◦Variola◦Impetigo
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PenatalaksanaanAntivirus: asiklovir 20mg/kg per
kali selama 3 hariAntihistamin (CTM): 2 x 1 mgIsoprinosin sirup 50 mg/kg/hari
(3x1/2 cth)Bedak caladine (calamine 5%,
zinc oxide 2%, camphora 0,04%, menthol 0,016%)
Boleh mandi
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PrognosisAd Vitam: BonamAd fungsionam: BonamAd sanationam: BonamAd kosmetikum: Bonam
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TINJAUAN PUSTAKA
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Definisi VaricellaInfeksi akut primer oleh virus
varisela-zoster yang menyerang kulit dan mukosa, klinis terdapat gejala konstitusi, kelainan kulit polimorf, terutama berlokasi di bagian sentral tubuh
Sinonim:◦Cacar air◦Chiken pox
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Epidemiologi VaricellaKosmopolitTerutama anak-anak, bisa juga
orang dewasaLaki-laki dan perempuanTransmisi: aerogenMasa penularannya: 7 hari
dihitung dari timbulnya gejala kulit
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Etiologi VaricellaVirus varisela-zoster
◦Infeksi primer varisela◦Reaktivasi herpes zoster
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Gejala Klinis VariselaMasa inkubasi: 14 – 21 hariGejala prodromal: demam tidak tinggi,
malese, nyeri kepala erupsi kulit: papul eritematosa beberapa jam menjadi vesikel (tetesan embun; tear drop) pustul krusta timbul vesikel baru (polimorfik)
Penyebaran: dari badan, sentrifugal ke muka dan ekstremitas, selaput lendir mata, mulut, saluran napas atas
Disertai rasa gatal
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Penatalaksanaan Varicella
Medikamentosa◦Antivirus: asiklovir 20mg/kg per kali, 3-5
hari◦Antihistamin (CTM): 2 x 1 mg◦Isoprinosin sirup 50 mg/kg/hari (3x1/2 cth)◦Bedak caladine (calamine 5%, zinc oxide
2%, camphora 0,04%, menthol 0,016%) Non-Medikamentosa
◦Boleh mandi, jangan sampai vesikel pecah◦Jangan masuk sekolah atau penitipan anak◦Hindari menggaruk lesi, gunting kuku anak
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DD/ Variola, Small PoxPenyakit virus disertai KU buruk,
efloresensi monomorf terutama di perifer tubuh
E/ virus poks (pox virus variolae)Inkubasi: 2-3 minggu, 4 stadium:
◦Inkubasi erupsi: demam tinggi menggigil 3-4 hari
◦Makulo-papular: demam hilang, makula eritematosa jadi papul di ekstremitas (telapak tangan dan kaki), monomorf
◦Vesikulo-pustulosa: 5-10 hari, demam◦Resolusi: 2 mgg, timbul krusta, demam turun
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DD/ ImpetigoImpetigo krustosa=impetigo
vulgaris=impetigo kontagiosa◦Et/ Streptococcus B hemoliticus◦Hanya pada anak; Predileksi: muka◦Efloresensi: eritema dan vesikel cepat pecah
krusta kuning madu, erosi di bawahnyaImpetigo bulosa=cacar monyet
◦Et/ Staphilococcus aureus ◦Anak dan dewasa, Predileksi: ketiak, dada,
punggung◦Efloresensi: eritema, bula, bula hipopion, koleret
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SEKIAN DAN
TERIMA KASIH