Some patients with dengue fever go on to develop dengue hemorrhagic fever dhf, a severe and. Dengue shock syndrome an overview sciencedirect topics. Manifestasi klinis dari penyakit ini mulai dari asipmtomatis sampai demam berdarah dengue yang disertai syok atau yang disebut sebagai dengue shock syndrome dss. In the past 30 years, dengue transmission and the frequency of dengue epidemics have increased greatly in most tropical countries in the american region. National notifiable diseases surveillance system nndss note. Dengue, dengue haemorrhagic fever and dengue shock. Coagulation abnormalities in dengue hemorrhagic fever. Many kinds of research about prognostic factors of dengue shock syndrome had been done despite upon on who 1997 guideline.
Pathogenesis of dengue haemorrhagic fever and its impact. Acute pancreatitis with new onset diabetes in dengue shock syndrome dss is very rarely reported. This epidemic was followed by two more outbreaks of dengue feverone in 1981 and one in 1997. Case presentation on dengue fever, dengue shock syndrome 2. In some cases, dengue turns into dengue hemorrhagic fever, which causes bleeding from your nose, gums, or under your skin. Shock dengue shock syndrome and hemorrhage dengue hemorrhagic fever occur in less than 5% of all cases of dengue. We report a case of expanded dengue syndrome, where three uncommon presentations occurred concomitantly. Dengue shock syndrome dss is one of the serious complications in cases of dengue haemorrhagic fever dhf. Dengue haemorrhagic fever, dengue shock syndrome, risk factors, predictor, haematocrit introduction dengue fever is an endemic infective disease in malaysia.
Infeksi virus dengue pada manusia mengakibatan spectrum menifestasi klinis yang bervariasi mulai dari. Kondisi ini dipercaya memiliki hubungan basis imunopatologis halstead, 2011. Dengue hemmorhagic fever dhf adalah penyakit infeksi virus akut yang disebabkam oleh virus dengue dan terutama menyerang anakanak dengan ciri demam mendadak dangan manifrstasi perdaraham dan bertendensi menimbulkan syok dan kematian. Dengue hemorrhagic fever and dengue shock syndrome. Dengue syok sindrom bukan saja merupakan suatu permasalahan kesehatan masyarakat yang menyebar dengan luas atau tiba tiba, tetapi juga merupakan suatu permasalahan klinis, karena 30 50 % penderita demam berdarah. It can also become dengue shock syndrome, which causes massive bleeding and shock. After a few days it can progress to dengue hemorrhagic fever or a dengue shock syndrome which, if recognized in time, is treatable. As the disease spreads to new geographical areas, the frequency of the outbreaks is increasing along with a changing disease epidemiology. Forty percent of the worlds population, about 3 billion people, live in areas with a risk of dengue. A prognostic model for development of profound shock among children presenting with dengue shock syndrome. Known also as dengue hemorrhagic fever dhf, it starts abruptly with high continuous fever and headache plus respiratory and intestinal symptoms with sore throat, cough, nausea, vomiting, and. Pada umumnya pasien mengalami fase demam selama 27 hari, yang diikuti oleh fase kritis selama 23 hari.
Expanded dengue syndrome is a new entity added into world health. Dengue in the context of the imci i dengue, dengue haemorrhagic fever and dengue shock syndrome in the context of the integrated management of childhood illness department of child and adolescent health and development discussion papers on child health dengue in the context of the imci cah whofchcah05. Clinical spectrum among symptomatic infection ranges from undifferentiated fever viral syndrome, dengue fever df, and dengue haemorrhagic fever dhf to the expanded dengue syndrome with isolated organopathy unusual manifestations. A syndrome due to the dengue virus that tends to affect children under 10, causing abdominal pain, hemorrhage bleeding and circulatory collapse shock.
For this reason, some items on this page will be unavailable. In severe cases, the patients condition may suddenly deteriorate after a few days of fever. Ini adalah jenis demam dengue yang paling parah dan bisa menyebabkan gagal jantung dan ginjal, bahkan kemungkinan juga berujung pada kematian. Sehingga penulis dapat menyimpulkan bahwa penyakit dhf adalah penyakit yang disebabkan oleh arbovirus. To know prognosis factors in dengue hemorrhagic fever dhf which have a potency to become dss. Manifestasi klinis infeksi virus dengue dapat bersifat asimtomatik, atau dapat berupa demam yang tidak khas, dengue fever, dengue hemorrhagic fever atau dengue shock syndrome dss. Jika sampai mengalami syok, artinya penyakit anda sudah masuk kategori dengue shock syndrome dss. Berbagai aktivitasnya menjadi bagian dari perjalanan usia yang terus bertambah.
Lam pk, hoai tam dt, dung nm, hanh tien nt, thanh kieu nt, simmons c, dkk. Faktor prognosis kematian sindrom syok dengue pangaribuan. Pdf on oct 29, 2018, mudji rahayu and others published demam dengue find, read and cite all the research you need on researchgate. Demam dengue dan demam berdarah dengue disebabkan oleh virus dengue, yang termasuk dalam genus flavivirus, keluarga flaviviridae. Javascript is disabled or is not supported by your browser. Infection with one serotype provides lifelong immunity against reinfection by that same serotype, but not against the other serotypes. Patofisiologi yang utama pada dengue shock syndrome ialah reaksi antigenantibodi dalam sirkulasi yang mengakibatkan aktifnya system komplemen c3 dan c5 yang melepaskan c3a dan c5a dimana 2 peptida tersebut sebagai histamine tubuh yang merupakan mediator kuat terjadinya peningkatan permeabilitas dinding pembuluh darah yang mendadak sebagai. Jadi kalau kamu dapat 15 pasien dss dalam sebulan, kemungkinan yang meninggal adalah 1 orang.
Department of health and human services centers for. Dengue haemorrhagic feverdengue shock syndrome dhfdss. Demam berdarah dengue dbd disebut juga dengue hemoragic fever dhf, dengue fever df, demam dengue, dan dengue shock sindrom dds widoyono, 2008. Duque explained that the dengue shock syndrome is a grade four classification, according to the world health organization. Tanda tandanya adalah rasa sangat haus, kulit pucat dan dingin karena tekanan darah sangat rendah, gelisah dan lemah.
Dengue haemorrhagic fever and dengue shock syndrome are major causes of hospital admission and mortality in children. Infection by any one of the four serotypes of dengue virus denv remains asymptomatic in the vast majority. Much remains to be learned about the pathogenesis of the different manifestations of dengue virus denv infections in humans. Sindrom renjatan dengue dengue shock syndrome adalah demam berdarah dengue yang ditandai oleh renjatansyok suhendro, nainggolan, chen, 2006. Sindrom syok dengue adalah sindrom berupa syok pada demam berdarah dengue derajat iii dan iv sebagai komplikasi dari demam berdarah dengue derajat ii. Dengue haemorrhagic feverdengue shock syndrome dhfdss caused by serotype 2 in brazil. The dengue mortality in denpasar is also always there every year. Shock syndrome is a dangerous complication of dengue infection and is associated with high mortality. Malaysia reported its first case of df in 1902 and dhf in 1962. Subyek adalah pasien ssd sesuai kriteria who 1997 yang dirawat di instalasi. Dengue fever the clinical features of df frequently depend on the age of the.
Dunia remaja adalah dunia yang penuh dengan perubahan. Dengue is an acute infectious disease caused by an arbovirus of the flavivirus genus, and is. Pdf dengue fever is a mosquitoborne arthropodborne viral arboviral tropical disease in humans affecting 50528 million people. Sebanyak 80 kasus sampel dengan ratarata umur adalah 7,7 3. Kali ini saya akan membahas tentang penyakit dengue shock syndrome nihh semoga bermanfaat ya. It is an arboviral infection caused by the family flaviviridae. Risk factors associated with development of dengue. Dengue shok syndrome dss adalah sindroma syok yang terjadi pada penderita dengue hemorrhagic fever dhf atau demam berdarah dengue dbd. Salah satu kasus infeksi virus dengue dengan angka kematian paling tinggi adalah dengue shock syndrome dss, kirakira 7%.
Analisis faktor risiko sindrom syok dengue pada anak di. Known also as dengue hemorrhagic fever dhf, it starts abruptly with high continuous fever and headache plus respiratory and intestinal symptoms with sore throat, cough, nausea, vomiting, and abdominal pain. Memprediksi dengue shock syndrome di daerah dengan. Dengue shock syndrome ssd dengue syok sindrom dss adalah kasus deman berdarah dengue disertai dengan manifestasi kegagalan sirkulasi syok renjatan. Dengue shock syndrome dss is defined as any case that meets the four criteria for dhf and has evidence of circulatory failure manifested by what to look for when you evaluate patients for dhf evaluate the patients heart rate, capillary refill, skin color and temperature.
Dengue hemorrhagic feverdengue shock syndrome dhfdss is considered to be an antibodymediated viral disease, although this hypothesis remains. Dengue shock syndrome the condition of patients who progress to shock suddenly deteriorates after a fever of 27 days duration. Dengue shock syndrome dss adalah sindroma syok yang terjadi pada penderita dengue hemorrhagic fever dhf atau demam berdarah dengue. They may range from subclinical infection to dengue fever, dengue hemorrhagic fever dhf, and eventually dengue shock syndrome dss. Dengue shock syndrome definisi dengue shock syndrome dss adalah sindrom syok yang terjadi pada penderita dengue hemorhagic fever. Dengue shock syndrome dss adalah sindrom syok yang terjadi pada penderita dengue hemorhagic fever dhf atau demam berdarah dengue. Some african and haitian data demonstrate a relative dearth of dengue hemorrhagic fever and dengue shock syndrome during dengue fever epidemics, suggesting that these populations may share a genetic advantage to the virus.
Dengue is caused by infection with one of four dengue virus serotypes, i. Itu adalah gambaran kalau pasien diterapi secara adekuat. Jika sudah parah, pasien demam berdarah dengue bisa mengalami kebocoran plasma. The distribution of dengue is geographically determined. The vast majority of dengue infections are asymptomatic but a proportion manifest as a nonspecific febrile illness or. Dengue shock syndrome bukan saja merupakan suatu permasalahan kesehatan masyarakat yang menyebar dengan luas dan tibatiba, tetapi juga merupakan suatu permasalahan klinis, karena 3050% penderita demam berdarah. Dengue shock syndrome public health medical specialties.
The dengue shock syndrome dss is characterized by bleeding that may appear as tiny spots of blood on the skin petechiae. Penyakit dengue adalah suatu infeksi akut yang disebabkan oleh arbovirus arthropodborne virus dan ditularkan melalui gigitan nyamuk aedes aedes albopictus dan aedes aegypti ngastiyah dan ilmu kesehatan anak. The incidence of dengue shock syndrome and dengue hemorrhagic fever has been recording a great increase this year among patients of dengue fever being tested positive and it is alarming that. Dengue fever is classically a selflimiting, nonspecific illness characterized by.
Demam berdarah dengue adalah demam berdarah yang disebabkan oleh virus dengue yang ditularkan oleh nyamuk betina aedes aegypti. Tujuan penelitian adalah mengetahui faktorfaktor yang berhubungan dengan kejadian dengue shock. Patients can recover following appropriate medical treatment. Dengue is common in more than 100 countries around the world. Subacute thyroiditis may develop during the course of dengue fever and. The dengue shock syndrome dss is characterized by bleeding that may appear as tiny spots of blood on the skin petechiae and larger patches of blood under the skin ecchymoses. The clinical manifestations are highly variabel, complex pathogenicity, and the presence of different areas, make us difficult to predict the course of the dengue disease moreover assess the occurrence of dengue shock syndrome dss. Dengue haemorrhagic fever dhf and shock syndrome dss. Clinical characteristics and risk factors of dengue shock syndrome in children. Severe dengue occurs as a result of secondary infection.
Dengue hemorrhagic fever and dengue shock syndrome some patients with dengue fever go on to develop dengue hemorrhagic fever dhf, a severe and sometimes fatal form of the disease. Adalah penyakit infeksi akut yang disebabkan oleh virus dengue melalui gigitan nyamuk aedes aigypt. Dengue fever also known as breakbone fever, is a mosquitoborne topical disease caused by the dengue virus dengue fever, a benign syndrome. A patient with dengue haemorrhagic fever presented initially with acute acalculous cholecystitis along with acute pancreatitis, but later on, during resolution of pancreatitis and cholecystitis, developed pancytopenia, most likely due to haemophagocytic syndrome. Sejenis vaksin telah dibuat untuk mencegah demam dengue tetapi masih dalam tahap uji coba. Dengue haemorrhagic fever and shock syndrome on the rise. The first major outbreak of dengue haemorrhagic fever dhf. Dengue shock syndrome dss merupakan demam berdarah dengue yang ditandai dengan kegagalan sirkulasi termasuk tekanan nadi yang rendah adalah sindrom dss dengue shock syndrome. This deterioration occurs at the time of, or shortly after, the fall in temperaturebetween the third and the seventh day of the disease.
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