dd fever
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DD fever
By
Gatut Wicaksono(04020013)
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Main causes of fever
Infections (Bacterial, virus, TB, parasitic,
rickettsia) are by far the most common cause
of fever in children. Infection remains the
likely diagnosis in a febrile child until proven
otherwise.
Noninfectious (collagen/vascular, malignancy,
drugs, allergy, recent immunization, periodicfevers).
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Diagnosis that fever is caused by an
infection is supported by the following:
Underlying conditions predisposing to infections (e.g.,Immunocompromised status, splenectomy, sickle cell anemia,neonates and young infants, intravascular catheters)
Fever of 40C or greater, presence of chills, diurnal fluctuation offever
A focus for infection (e.g., tonsillitis, pneumonia). In case of feverwithout a focus, the diagnosis can usually be rapidly established bylaboratory means (e.g., UTI, malaria)
Short duration of fever occuring, for example, in viral infections
Rapid response to antibiotics in bacterial infections
Concomitant herpes labialis Leukocytosis >20,000 in bacterial and leukopenia < 5,000 in viral
infections
High procalcitonin (PCT) levels. PCT is low in viral infections andinflammatory diseases, for example, connective diseases andneoplasma
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Diagnosis that fever is not caused by an
infection is supported by the following:
History (e.g., recent vaccination, drug intake)
Persistent or insidious fever of low degree (
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DDX Perbedaan
(Tipe demam)
Gejala Pemeriksaan Terapi
Relapsing Fever(Borrelia)
characterized byperiods of fever
lasting 29 days,
separated by
afebrile periods
of 27 days
sudden onset ofhigh fever,
lethargy,
headache,
photophobia,
nausea,
vomiting,myalgia, and
arthralgia
Additional
symptoms:
abdominal pain,
a productivecough, and mild
respiratory
distress
thin or thickblood smears
stained with
Giemsa or
Wright's stain.
Oral orparenteral
tetracycline is the
drug of choice
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Daftar Pustaka
A. Sahib El-Radhi,James Carroll,Nigel
Klein.2009.Clinical Manual of Fever in
Children. Springer: Verlag Berlin Heidelberg
Powell,Keith R.2003.Nelson Textbook of
Pediatrics 17th edition:Fever.Elsevier
Science:USA
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