As the disease spreads to new geographical areas, the frequency of the outbreaks is increasing along with a changing disease epidemiology. Aug 31, 2016 clinical and laboratory characteristics of dengue shock syndrome in children complied with current who guidelines as markers of severe disease and presented variables to predict risk of shock. Characteristics of dengue shock syndrome match who markers of. 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. Dengue shock syndrome how is dengue shock syndrome.
This increase is believed to be to be due to multiple factors. Itu adalah gambaran kalau pasien diterapi secara adekuat. Apr 18, 2012 dengue shock syndrome ssd dengue syok sindrom dss adalah kasus deman berdarah dengue disertai dengan manifestasi kegagalan sirkulasi syok renjatan. Management of dengue haemorrhagic feverldengue shock syndrome. Demam dengue dan demam berdarah dengue disebabkan oleh virus dengue, yang termasuk dalam genus flavivirus, keluarga flaviviridae. Demam dengue dan dhf disebabkan oleh salah satu dari 4 serotipe virus yang berbeda antigen. Role of cognitive parameters in dengue hemorrhagic fever and. Manifestasi klinis dari penyakit ini mulai dari asipmtomatis sampai demam berdarah dengue yang disertai syok atau yang disebut sebagai dengue shock syndrome dss. However in 2011 revised who guidelines, dengue was divided into dengue fever df, dengue hemorrhagic fever dhf without shock or with shock dss and expanded dengue syndrome. Management of dengue haemorrhagic feverldengue shock. Lcs lum department of paediatrics, faculty of medicine, university of malaya, kuala lumpur introduction the major pathophysiology in dengue haemorrhagic fever dhf and dengue shock syndrome dss is an acute increase in vascular.
Expanded dengue syndrome is a new entity added into world health organization who classification system to incorporate this wide spectrum of unusual manifestations. 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. Dengue shock syndrome definisi dengue shock syndrome dss adalah sindrom syok yang terjadi pada penderita dengue hemorhagic fever dhf atau demam berdarah dengue. Kondisi ini dipercaya memiliki hubungan basis imunopatologis halstead, 2011. Menurut kriteria who tahun 1997 dinyatakan sebagai dhf derajat iiiiv. Immunopathologic mechanisms of dengue hemorrhagic fever. Chapter 2 clinical diagnosis dengue virus infections may be asymptomatic or may lead to undifferentiated fever, dengue fever df or dengue haemorrhagic fever dhf with plasma leakage that may lead to hypovolaemic shock dengue shock syndrome, dss figure 2. Jadi kalau kamu dapat 15 pasien dss dalam sebulan, kemungkinan yang meninggal adalah 1 orang. Mar 24, 2017 salah satu kasus infeksi virus dengue dengan angka kematian paling tinggi adalah dengue shock syndrome dss, kirakira 7%. Dengue virus can either cause dengue fever, dengue hemorrhagic fever or dengue shock syndrome due to the antibodydependent enhancement chew et al. Dengue fever also known as breakbone fever, is a mosquitoborne topical disease caused by the dengue virus dengue fever, a benign syndrome.
A large majority of the dengue infections occur in humans without any noticeable illness. Dengue virus infections are a major cause of morbidity and mortality in tropical and subtropical areas of the world. Pdf on oct 29, 2018, mudji rahayu and others published demam dengue find, read and cite all the research you need on researchgate. 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. Dengue shock syndrome how is dengue shock syndrome abbreviated. These serotypes are members of the flavivirus genus, which also contains the viruses that cause yellow fever, and can occur. Abdominal pain, muscle pain, haemorrhage and four more signs that indicate dengue has progressed to dengue shock syndrome. May 03, 2019 a child with dengue hemorrhagic fever or dengue shock syndrome may present severely hypotensive with disseminated intravascular coagulation dic, as this severely ill picu patient did. Ctso, highlights the first successful treatment of dengue shock syndrome caused by. Pdf social determinants of dengue shock syndrome in semarangpurpose this study. Tujuan penelitian adalah mengetahui faktorfaktor yang berhubungan dengan kejadian dengue shock. Aedes aegypti is the major vector for transmission of dengue virus in lahore, pakistan. Dengue shock syndrome dss is one of the serious complications in cases of dengue haemorrhagic fever dhf. Department of health and human services centers for.
Dengue shock syndrome definition of dengue shock syndrome. Dengue shock syndrome public health medical specialties. Expanded dengue syndrome is a new entity added to the classification system to incorporate a wide spectrum of unusual manifestations of dengue infection affecting. The first major outbreak of dengue haemorrhagic fever dhf. Sehingga penulis dapat menyimpulkan bahwa penyakit dhf adalah penyakit yang disebabkan oleh arbovirus. 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. It is an arboviral infection caused by the family flaviviridae. Dengue shock syndrome caused most of 14 deaths manila. A child with dengue hemorrhagic fever or dengue shock syndrome may present severely hypotensive with disseminated intravascular coagulation dic, as this severely ill picu patient did. Dengue haemorrhagic fever dhf and shock syndrome dss. Who revised the clinical classification of dengue, reclassifying dengue fever, dengue hemorrhagic fever dhf, and dengue shock syndrome dss 3 as dengue, dengue with warning signs. Jan 15, 2001 dengue hemorrhagic fever is an important cause of morbidity among asian children, and the more severe dengue shock syndrome dss causes a significant number of childhood deaths. Sindrom syok dengue ssd merupakan bentuk klinis yang paling berat dari demam. Risk factors associated with development of dengue.
Faktor prognosis yang diteliti adalah usia, jenis kelamin, status obesitas, tipe. This epidemic was followed by two more outbreaks of dengue feverone in 1981 and one in 1997. Dengue is the most frequent mosquitoborne viral infection among human beings, with more than 50 million new infections being projected annually. Risk factors for mortality in dengue shock syndrome.
A syndrome due to the dengue virus that tends to affect children under 10, causing abdominal pain, hemorrhage bleeding and circulatory collapse shock. 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. 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. Dengue shock syndrome ssd dengue syok sindrom dss adalah kasus deman berdarah dengue disertai dengan manifestasi kegagalan sirkulasi syok renjatan. Berbagai aktivitasnya menjadi bagian dari perjalanan usia yang terus bertambah. Dengue shock syndrome is severe, and can lead to excessive bleeding and even death. Clinical and laboratory characteristics of dengue shock syndrome in children complied with current who guidelines as markers of severe disease and presented variables to. This is the first case report of thyroiditis in dengue infection. Case presentation on dengue fever, dengue shock syndrome 2. Sindrom syok dengue adalah sindrom berupa syok pada demam berdarah dengue derajat iii dan iv sebagai komplikasi dari demam berdarah dengue derajat ii.
Dengue fever the clinical features of df frequently depend on the age of the. Sindrom renjatan dengue dengue shock syndrome adalah demam berdarah dengue yang ditandai oleh renjatansyok suhendro, nainggolan, chen, 2006. Severe dengue occurs as a result of secondary infection with a different virus serotype. Dengue shock syndrome it can be life threatening youtube.
In severe cases, the patients condition may suddenly deteriorate after a few days of fever. Demam berdarah dengue adalah demam berdarah yang disebabkan oleh virus dengue yang ditularkan oleh nyamuk betina aedes aegypti. The dengue shock syndrome dss is characterized by bleeding that may appear as tiny spots of blood on the skin petechiae. We report a case of expanded dengue syndrome, where three uncommon presentations occurred concomitantly. Clinical characteristics and risk factors of dengue shock. Dengue shok syndrome dss adalah sindroma syok yang terjadi pada penderita dengue hemorrhagic fever dhf atau demam berdarah dengue dbd. 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. Shock syndrome is a dangerous complication of dengue infection and is associated with high mortality. Dengue haemorrhagic fever 12 chapter 2 clinical diagnosis dengue virus infections may be asymptomatic or may lead to undifferentiated fever, dengue fever df or dengue haemorrhagic fever dhf with plasma leakage that may lead to hypovolaemic shock dengue shock syndrome, dss figure 2. Dengue shock syndrome dss adalah sindrom syok yang terjadi pada penderita dengue hemorhagic fever dhf atau demam berdarah dengue. In the past 30 years, dengue transmission and the frequency of dengue epidemics have increased greatly in most tropical countries in the american region. Increased vascular permeability, together with myocardial dysfunction. Although it resolves spontaneously in most cases, dengue hemorrhagic fever dhf and dengue shock syndrome dss are among the leading causes of pediatric hospitalization.
Dss is characterized by a massive increase in systemic capillary permeability with consequent hypovolemia. Adalah penyakit infeksi akut yang disebabkan oleh virus dengue melalui gigitan nyamuk aedes aigypt. For this reason, some items on this page will be unavailable. Dunia remaja adalah dunia yang penuh dengan perubahan. 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 complications the symptoms of dengue hemorrhagic fever can trigger dengue shock syndrome. Demam berdarah dengue dbd disebut juga dengue hemoragic fever dhf, dengue fever df, demam dengue, dan dengue shock sindrom dds widoyono, 2008.
Malaysia reported its first case of df in 1902 and dhf in 1962. 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. Pdf determinan sosial kejadian dengue shock syndrome di. For now, only the pao is exhuming the bodies of the individuals who died due to dengue shock syndrome, he said. Faktor prognosis kematian sindrom syok dengue pangaribuan. Dengue shock syndrome definisi dengue shock syndrome dss adalah sindrom syok yang terjadi pada penderita dengue hemorhagic fever. However there are many incidences of symptomatic disease. Nov 06, 2017 dengue complications the symptoms of dengue hemorrhagic fever can trigger dengue shock syndrome. Dengue fever also known as breakbone fever, is a mosquitoborne topical disease caused by the dengue virus dengue fever, a benign syndrome caused by several arthropodborne viruses dengue fever. Characteristics of dengue shock syndrome match who markers. First successful treatment of dengue fever and dengue.
Role of cognitive parameters in dengue hemorrhagic fever. Sehingga penulis dapat menyimpulkan bahwa penyakit dhf adalah penyakit yang disebabkan oleh arbovirus arthro podborn virus. Dengue shock syndrome symptoms, causes, diagnosis, and treatment information for dengue shock syndrome dengue fever with alternative diagnoses, fulltext book chapters, misdiagnosis, research treatments, prevention, and prognosis. National notifiable diseases surveillance system nndss note.
Jul 15, 2009 shock syndrome is a dangerous complication of dengue infection and is associated with high mortality. The immunopathological mechanisms that result in severe complications of dengue virus infection, i. Duque explained that the dengue shock syndrome is a grade four classification, according to the world health organization. Dengue shock syndrome free download as powerpoint presentation. 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. Dss adalah sindrom syokrenjatan pada penderita demam berdarah dengue. Javascript is disabled or is not supported by your browser. Kali ini saya akan membahas tentang penyakit dengue shock syndrome nihh semoga bermanfaat ya. 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. Crystalloid fluid resuscitation and standard dic treatment are critical to the childs survival.
We report a case of expanded dengue syndrome with subacute thyroiditis and intracerebral hemorrhage. Dengue, dengue haemorrhagic fever and dengue shock. Shock dengue shock syndrome and hemorrhage dengue hemorrhagic fever occur in less than 5% of all cases of dengue. Early resuscitation of dengue shock syndrome in children. Known also as dengue hemorrhagic fever dhf, it starts abruptly with high continuous fever and headache plus respiratory and intestinal symptoms with sore throat. Severe dengue occurs as a result of secondary infection. Dengue haemorrhagic fever, dengue shock syndrome, risk factors, predictor, haematocrit introduction dengue fever is an endemic infective disease in malaysia. Penatalaksanaan dengue shock syndrome dss penatalaksanaan. Faktor prognosis kematian sindrom syok dengue sari pediatri.
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