Professional Documents
Culture Documents
• Introduction
• Literature review
• Conclusion
introduction
3
Introduction
Reumatic Fever
Endemic in Indonesia,
India, Africa, America.
Etiology and Predisposition
Predisposition
1. Social economic
Environment 2. Climate and
geographic
3. Weather
PATHOGENESIS
Cross
reaction
Streptococcus
are attached in
pharyng
Clinical manifestations
Divided in 3 stadiums, as :
• Stadium I (early infection)
• Stadium II (latent phase)
• Stadium III (clinical manifestations)
Stadium I
• Early infection of Streptoccous B-Hemolythicus Group A
• This infection usually lasts 2-4 days and can heal itself without treatment.
• It usually occurs 10-14 days before the first manifestation of rheumatic fever
Stadium II
• This stage is also called the latent period, the period between
• Usually, this period lasts 1-3 weeks, except for Chorea which can
Arthritis + carditis without Total 4 weeks Acetosal 100mg / kgbb for 2 Attend to school after 8 weeks,
cardiomegaly weeks no restriction in sport activity
Gradual mobilitation 4 weeks 75mg / kg for the next 4 weeks
Arthritis + cardiomegaly Total 4 weeks Prednisone 2 mg / kg body Attend to school after 12 weeks,
weight for 2 weeks, tapering do not do heavily exercise
Gradual mobilitation 4 weeks off for 2 weeks
Acetosal
75mg / kg starting from the 3rd
week for 6 weeks
Arthritis + cardiomegaly + Total : during decompesation Prednisone 2 mg / kg body Attend to school 12 weeks,
decompesatio cordis cordis weight for 2 weeks, tapering decompensation is resolved.
off for 2 weeks Don’t do exercise 2-5 years
Gradual mobilitation Acetosal
75mg / kg starting from the 3rd
week for 6 weeks
and major cause of mitral stenosis and insufficient of mitral in the world.
Prognosis
Depends on permanent damage of the organ (heart)
• Ad vitam : dubia ad bonam
• Ad sanationam : dubia ad bonam
• Ad fungsionam : dubia ad malam
CONCLUSION
CONCLUSION
Streptococcus
Betahemolyticus The presence of 2 major criteria
group A are found and or 1 major
criteria plus 2 minor criteria,
Rheumatic fever