Diagnosis Demam Rematik pada Anak: Update

Penulis

  • Felicia Dewi Fakultas Kedokteran Universitas Katolik Indonesia Atma Jaya, Jakarta, Indonesia
  • Pamela Fakultas Kedokteran Universitas Katolik Indonesia Atma Jaya, Jakarta, Indonesia

DOI:

https://doi.org/10.55175/cdk.v46i11.409

Kata Kunci:

Demam rematik, infeksi streptokokus, kriteria Jones

Abstrak

Demam rematik adalah penyakit non-supuratif setelah terinfeksi streptokokus beta hemolitik grup A. Gejala demam rematik muncul jika terjadi respons autoimun tubuh yang disebabkan oleh kemiripan antigen streptokokus dengan sel tubuh. Revisi American Heart Association (AHA) tahun 2015 berisi pembagian kriteria mayor dan minor berdasarkan populasi berisiko rendah dan sedang-tinggi, serta pentingnya ekokardiografi pada karditis subklinis. Revisi kriteria Jones bertujuan mempertajam diagnosis untuk tatalaksana yang lebih cepat dan akurat.

Rheumatic fever is a non-suppurative disease caused by Group A beta-hemolytic streptococcal (GAS) infection. Symptoms arose from an autoimmune response inflicted by streptococcal antigen molecular mimicry with host cell. American Heart Association (AHA) revision in 2015 contained mayor and minor criteria classification based on low, medium, and high-risk population, with the importance of echocardiography in subclinical carditis. The Jones Criteria revision aimed to improving diagnosis as an approach for early and accurate treatment.

Unduhan

Data unduhan belum tersedia.

Referensi

Chin TK. Pediatric rheumatic fever. Medscape [Internet]. 2016 [cited 2018 Agust 10]. Available from: https://reference.medscape.com/article/1007946-overview

WHO. WHO expert consultation on rheumatic fever and rheumatic heart disease. Switzerland. 2001.

Seckeler MD, Hoke TR. The worldwide epidemiology of acute rheumatic fever and rheumatic heart disease. Clin Epidemiol. 2011;3:67-84

Pastore S, Cunto AD, Benettoni A, Berton E, Taddio A, Lepore L, et al. The resurgence of rheumatic fever in a developed country area: the role of echocardiography. Rheumatol 2011;50:396-400

Steer A, Gibofsky A. Acute rheumatic fever: Clinical manifestations and diagnosis. UpToDate [Internet]. 2018 [cited 2018 Agust 10]. Available from: https://www.uptodate.com/contents/acute-rheumatic-fever-clinical-manifestations-and-diagnosis.

Gewitz MH, Baltimore RS, Tani LY. Revision of the Jones criteria for the diagnosis of acute rheumatic fever in the era of doppler echocardiography. A scientific statement from theAmerican Heart Association. Circulation. 2015;131:1806–12

Szczygielska I, Hernik E, Kolodziejczyk B, Gazda A, Maslinska M, Gietka P. Rheumatic fever – New diagnostic criteria. Reumatologia. 2018; 56, 1:37-41

Pereira BADF, Belo AR, Silva NAD. Rheumatic fever: Update on the Jones criteria according to the American Heart Association review – 2015. Rev Bras Reumatol 2017;5 7(4):364–8

Chakravarty SD, Zabriskie JB,. Gibofsky A. Acute rheumatic fever and streptococci: The quintessential pathogenic triggerof autoimmunity. Clin Rheumatol. 2014;33:893–901

Zühlke L, Beaton A, Engel M, Hugo-Hamman CT, Karthikeyan G, Kazenellenbagen JM, et al. Group A Streptococcus, acute rheumatic fever and rheumatic heart disease: epidemiology and clinical considerations. Curr Treat Options Cardiovasc Med 2017; 19: 1-23

Heart Foundation of New Zealand. New Zealand guidelines for rheumatic fever: diagnosis, management and secondary prevention of acute rheumatic heart disease: 2014 update [Internet]. 2014 [cited 2018 Agust 18]. Available from: www..heartfoundation.org.nz.

Lennon D, Stewart J, Anderson P. Primary prevention of rheumatic fever. Pediatr Infect Dis J 2016; 35(7): 820

Diterbitkan

2019-11-01

Cara Mengutip

Dewi, F., & Pamela. (2019). Diagnosis Demam Rematik pada Anak: Update. Cermin Dunia Kedokteran, 46(11), 687–690. https://doi.org/10.55175/cdk.v46i11.409

Terbitan

Bagian

Articles