Demam Reumatik

Streptococcus pyogenes, Penyebab demam reumatik

Demam Reumatik adalah suatu penyakit peradangan serius yang dapat secara permanen mempengaruhi struktur dan fungsi jantung, terutama katup-katup jantung.[1] Demam reumatik atau disingkat "DR" merupakan suatu sindrom klinik akibat infeksi streptococcus beta–hemolyticus golongan A dengan gejala satu atau lebih gejala mayor yaitu poliartritis migrans akut, karditis, korea sydenham, nodul subkutan dan eritema marginatum.[2] Demam reumatik akut biasanya muncul pada anak-anak antara usia 6 dan 15 tahun, dengan hanya 20% dari serangan pertama kali terjadi pada orang dewasa.[3] Penyakit ini dinamakan demikian karena kesamaan dalam presentasi untuk reumatik.[4]

Gejala

Gejala demam rheumatik terdiri dari 4 stadium yaitu:[2]

Stadium I

Stadium ini berupa adanya infeksi saluran nafas bagian atas oleh kuman beta hemolyticus golongan A dengan keluhan demam, batuk, sakit menelan.[2] Kadang disertai muntah dan diare.[2] Pada pemeriksaan hasil terdapat eksudat dan tanda-tanda peradangan lainnya.[2] Infeksi ini biasanya berlangsung selama dua sampai empat hari dan dapat sembuh sendiri tanpa pengobatan.[2]

Stadium II

Disebut periode laten masa antara infeksi streptokokus dengan permulaan gejala demam rheumatik.[2] Biasanya dalam waktu satu sampai tiga minggu.[2]

Stadium III

Ialah fase akut demam rheumatik.[2] Gejala minor berupa gejala peradangan umum dengan didapatkannya demam tidak begitu tinggi, lesu, berat badan menurun, anoreksia.[2] Anemia dijumpai sebagai akibat tertekannya sistem eritropoletik, bertambahnya volume plasma, memendeknya umur eritrosit dan adanya pendarahan dari hidung (epistakasis).[2]

Stadium IV

Disebut juga stadium inaktif.[2] Baik pasien DR tanpa kelainan jantung maupun dengan kelainan jantung reumatik tanpa gejala sisa, katup tidak menunjukkan gejala kelainan.[2] Tetapi pasien yang dengan kelainannya, pada fase ini pasien DR/PJR dapat mengalami reaktivasi penyakitnya.[2]

Referensi

  1. ^ Corwin J. Elizabeth, Buku saku Phatofisiologi, EGC, Jakarta, 2000.
  2. ^ a b c d e f g h i j k l m n (Indonesia) Ngastiyah, Perawatan Anak Sakit, Edisi 2, Jakarta, 2005.
  3. ^ (Inggris) Kumar, Vinay; Abbas, Abul K; Fausto, Nelson; Mitchell, Richard N (2007). Robbins Basic Pathology (edisi ke-8th). Saunders Elsevier. hlm. 403–6. ISBN 978-1-4160-2973-1 .
  4. ^ "rheumatic fever" di Kamus Medis Dorland

Read other articles:

Basmati

Beras basmatiBrown regular rice (left) compared to brown basmati riceGenusOryzaTanah asalIndia, Pakistan dan Nepal Basmati adalah varietas beras aromatik panjang berbutir ramping yang secara tradisional ditanam di India, Pakistan, dan Nepal.[1][2] Pada 2018-19, India menyumbang 65% dari perdagangan internasional beras basmati, sementara Pakistan menyumbang 35% sisanya.[3][4] Banyak negara menggunakan tanaman padi basmati yang ditanam di dalam negeri; namun, bas...

 

 

羅生門 (電影)

本條目存在以下問題，請協助改善本條目或在討論頁針對議題發表看法。 此條目需要补充更多来源。 (2018年3月17日)请协助補充多方面可靠来源以改善这篇条目，无法查证的内容可能會因為异议提出而被移除。致使用者：请搜索一下条目的标题（来源搜索：羅生門 (電影) — 网页、新闻、书籍、学术、图像），以检查网络上是否存在该主题的更多可靠来源（判定指引）。 �...

 

 

Alsace

Region of France For other uses, see Alsace (disambiguation). Elsaß redirects here. For the battleship, see SMS Elsaß. For the region of the German Empire, see Alsace-Lorraine. This article needs additional citations for verification. Please help improve this article by adding citations to reliable sources. Unsourced material may be challenged and removed.Find sources: Alsace – news · newspapers · books · scholar · JSTOR (August 2022) (Learn how and ...

Mission District (San Francisco)

Cet article est une ébauche concernant San Francisco. Vous pouvez partager vos connaissances en l’améliorant (comment ?) selon les recommandations des projets correspondants. Mission District The Mission Mission District Administration Pays États-Unis Ville San Francisco (San Francisco, Californie) Code ZIP 94103, 94110 Démographie Population 47 234 hab. (2008) Densité 9 840 hab./km2 Répartition ethnique Caucasiens : 52,4 %Hispaniques ...

 

 

San Venerio Lighthouse

LighthouseSan Venerio San Venerio lighthouse, atop the island of TinoLocationTino Island La SpeziaLiguria ItalyCoordinates44°01′35″N 9°50′59″E / 44.026512°N 9.849635°E / 44.026512; 9.849635TowerConstructed1840 (first)Constructionmasonry towerAutomated1985Height24 metres (79 ft)Shapecylindrical tower with double gallery at one corner of the keeper’s houseMarkingswhite tower and lantern, grey lantern domePower sourcemains electricity Operator...

 

 

James Connolly

James Connolly James Connolly (bahasa Irlandia: Séamas Ó Conghaile,[1] 5 Juni 1868 – 12 Mei 1916) adalah seorang pemimpin sosialis Irlandia. Ia lahir di daerah Cowgate, Edinburgh, Skotlandia, orangtuanya adalah imigran Irlandia. Dia meninggalkan sekolah untuk bekerja pada usia 11, tetapi ia menjadi salah satu teoretikus Marxisme terkemuka pada zamannya. Dia juga mengambil peran dalam politik Skotlandia dan Amerika. Dia dieksekusi oleh regu tembak Inggris karena p...

P. Kakkan

Indian politician P. KakkanMinister for Home Affairs (Madras state)In office3 October 1963 – 5 March 1967Minister of Agriculture (Madras state)In office13 March 1962 – 3 October 1963Member of Madras Legislative Assembly for SamayanallurIn office1962–1967Minister of Public Works (Madras state)In office13 April 1957 – 13 March 1962Member of Madras Legislative Assembly for MelurIn office1957–1962Member of Parliament (Lok Sabha) for MaduraiIn office1951–1957...

 

 

Norman Thagard

Norman E. ThagardLahir3 Juli 1943 (umur 80)Marianna, Florida, Amerika SerikatStatusPurnawirawanKebangsaanAmerika SerikatNama lainNorman Earl ThagardKarier luar angkasaAntariksawan NASA Norman Earl Thagard (lahir 3 Juli 1943) adalah seorang ilmuwan, purnawirawan Korps Marinir Amerika Serikat, penerbang angkatan laut dan antariksawan NASA asal Amerika Serikat. Ia adalah orang Amerika Serikat pertama yang mengendarai sebuah kendaraan Rusia di luar angkasa. Ia melakukannya pada 14 Mare...

 

 

List of Category A listed buildings in Stirling

Stirling shown within Scotland Map all coordinates using OpenStreetMap Download coordinates as: KML GPX (all coordinates) GPX (primary coordinates) GPX (secondary coordinates) This is a list of Category A listed buildings in the Stirling council area in central Scotland. In Scotland, the term listed building refers to a building or other structure officially designated as being of special architectural or historic interest.[1] Category A structures are those considered to be building...

Slim Harpo

American blues musician (1924–1970) Slim HarpoBackground informationBirth nameJames Isaac MooreBorn(1924-01-11)January 11, 1924Lobdell, Louisiana, U.S.DiedJanuary 31, 1970(1970-01-31) (aged 46)Baton Rouge, Louisiana, U.S.GenresBluesswamp bluesOccupation(s)MusicianInstrument(s)HarmonicaguitarvocalsYears activec. 1950–1970LabelsExcelloStatesideMusical artist Slim Harpo (born James Isaac Moore; January 11, 1924 – January 31, 1970)[1][a] was an American blues musician, ...

 

 

مرحلة النزاع المبكر من الحرب الأهلية السورية

مرحلة النزاع المبكر من الحرب الأهلية السورية جزء من الحرب الأهلية السورية نقطة تفتيش للجيش العربي السوري في دوما، يناير 2012 معلومات عامة التاريخ 29 يوليو 2011 – 20 أبريل 2012(8 أشهرٍ و22 يومًا) من أسبابها محاولة المعارضة لقلب نظام الحكم السوري البعثي الموقع سوريا، البلدان المجاور...

 

 

First Love (Hikaru Utada album)

1999 studio album by Hikaru UtadaFirst LoveStudio album by Hikaru UtadaReleasedMarch 10, 1999 (1999-03-10)RecordedAugust–December 1998Studio Toshiba EMI Studio Studio Terra Studio Z'd Wonder Station Yoyogi On Air Azabu Studio Paradise studio One Voice Kamazawa Recording Studios Burnish Stone Recording Studios Bunkamura Studio Quad Recording Studios Genre J-pop R&B dance-pop Length54:37LabelToshiba EMIProducer Akira Miyake Teruzane Utada Hikaru Utada chronology Pr...

2022 World Junior Figure Skating Championships

2022 World Junior Figure Skating ChampionshipsType:ISU ChampionshipDate:April 13 – 17Season:2021–22Location:Tallinn, EstoniaHost:Estonian Skating UnionVenue:Tondiraba Ice HallChampionsMen's singles: Ilia MalininWomen's singles: Isabeau LevitoPairs: Karina Safina / Luka BerulavaIce dance: Oona Brown / Gage BrownNavigationPrevious: 2020 World Junior ChampionshipsNext: 2023 World Junior Championships The 2022 World Junior Figure Skating Championships was held from April 13–17, 2022 in Tal...

 

 

Carsismo e grotte evaporitiche dell'Appennino settentrionale

Questa voce sull'argomento geologia è solo un abbozzo. Contribuisci a migliorarla secondo le convenzioni di Wikipedia. Segui i suggerimenti del progetto di riferimento.  Bene protetto dall'UNESCOCarsismo e grotte evaporitiche dell'Appennino settentrionale Patrimonio dell'umanità Tiponaturale Criterio(viii) PericoloNon in pericolo Riconosciuto dal2023 Scheda UNESCO(EN) Evaporitic Karst and Caves of Northern Apennines(FR) Karst et grottes évaporitiques de l’Apennin du Nord ...

 

 

Heart rate

Speed of the heartbeat, measured in beats per minute A medical monitoring device displaying a normal human heart rate Heart rate is the frequency of the heartbeat measured by the number of contractions of the heart per minute (beats per minute, or bpm). The heart rate varies according to the body's physical needs, including the need to absorb oxygen and excrete carbon dioxide. It is also modulated by numerous factors, including (but not limited to) genetics, physical fitness, stress or psycho...

聖克里斯多福及尼維斯

此條目可参照英語維基百科相應條目来扩充。 (2020年2月23日)若您熟悉来源语言和主题，请协助参考外语维基百科扩充条目。请勿直接提交机械翻译，也不要翻译不可靠、低品质内容。依版权协议，译文需在编辑摘要注明来源，或于讨论页顶部标记{{Translated page}}标签。 圣基茨和尼维斯联邦Federation of Saint Christopher and Nevis（英語） 国旗 国徽 格言：Country Above Self  (英语)...

 

 

Samuel Shaftoe

British trade unionist Shaftoe, at an unknown date Samuel Shaftoe (25 May 1841 – 27 November 1911) was a British trade unionist. Born in York, Shaftoe moved with his family to Kingston upon Hull when he was eleven, leaving school and becoming an apprentice basket maker. He joined the Basket Makers' trade union in 1862, and took part in a strike two years later, but lost his job as a result, and moved to Bradford to find work. There, he played a prominent part in a six-month long strike,...

 

 

Armand Borel

Questa voce sull'argomento matematici svizzeri è solo un abbozzo. Contribuisci a migliorarla secondo le convenzioni di Wikipedia. Armand Borel Armand Borel (La Chaux-de-Fonds, 21 maggio 1923 – Princeton, 11 agosto 2004) è stato un matematico svizzero, professore a Princeton dal 1957 al 1993. È noto per i suoi lavori in topologia algebrica, nella teoria dei gruppi di Lie, e per essere uno dei creatori della moderna teoria dei gruppi lineari algebrici. Altri progetti Altri progetti W...

Artur Barciś

Artur Barciś Artur Barciś (IPA: [ˈartur ˈbarʲʨ̑ĩɕ]) (Kokawa, 12 agosto 1956) è un attore polacco, noto soprattutto per aver interpretato il ruolo del testimone silenzioso nel Decalogo del regista Krzysztof Kieślowski. Filmografia parziale L'uomo di ferro, regia di Andrzej Wajda, 1981 Senza fine, regia di Krzysztof Kieślowski, 1985 Decalogo 1, regia di Krzysztof Kieślowski, 1989 Decalogo 2, regia di Krzysztof Kieślowski, 1990 Decalogo 3, regia di Krzysztof Kieślowski, 1990 Decal...

 

 

Julia Görges

Julia Görges Julia Görges en 2019 à Wimbledon. Carrière professionnelle 2005 – 2020 Pays Allemagne Naissance 2 novembre 1988 (35 ans)Bad Oldesloe Taille 1,80 m (5′ 11″) Prise de raquette Droitière, revers à deux mains Entraîneur Michael Geserer Gains en tournois 9 913 954 $ Palmarès En simple Titres 7 Finales perdues 10 Meilleur classement 9e (20/08/2018) En double Titres 5 Finales perdues 11 Meilleur classement 12e (22/08/2016) Meilleurs résultat...