Diagnosis Demam Rematik pada Anak: Update
DOI:
https://doi.org/10.55175/cdk.v46i11.409Kata Kunci:
Demam rematik, infeksi streptokokus, kriteria JonesAbstrak
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.
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