Bimbingan_Dengue Dan DHF Sambo Dadik
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Transcript of Bimbingan_Dengue Dan DHF Sambo Dadik
7/23/2019 Bimbingan_Dengue Dan DHF Sambo Dadik
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Genom DENV terdiri dari11.644 nukleotida dantersusun dari 3 protein
struktural yaitu core protein(C), memran (!), dan
en"elope (E) serta # protein
nonstruktural
!emiliki 4 serotipe "irus(Den$1, Den$%, Den$3, Den$
4)
VIRUS DENGUE
Den&ue "irus merupakan&enus 'la"i"irus dan amily
'la"i"iridae
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PenempelanVirus
Fusi
Virus
Translasi
Replikasi
1
2
3
4
7
6
5
Rilisirus
!a"urasi
#u$$in%
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!ani&es"asi 'linis
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aoratory Dia&nosis
• Complete *lood Counts
• +ematocrit
• latelet Count• -erum -G/, -G/
• 0mmunolo&ical /ests (0&!
0&G 2nti Den&ue, Ns1)
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atopysiolo&y
/ransmitted y teite o 2edesmosuito (2edesae&ypti)
0ncuation 3$14days
2cute illness and
"iremia 3$# days
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Den&ue "irus enters and replicates 5itinmonocytes, mast cells, rolasts
0nnate and adapti"e immune response
Cytokine release7 /N'$a, 0$%, 0$6, 0$8
Compliment acti"ation
2ntiody dependent enancement (2DE)tou&t to contriute to se"ere inections
/$cell acti"ation7 CD4 and CD8 cellscytokine production
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No specic terapy
*ed rest
-upporti"e measures7
adeuate ydration
antipiretic (i needed)
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Close monitorin& oypotension9sock
:y&en administration
0V. 0nusion o crystalloids9colloids
latelet transusion
Clottin& actors replacement
Case atality is ;< in &ood centers
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