Download - Angina Ludwig
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Angina Ludwig/Ludovici
Tarida Putri Rahmadani1310211192
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Peradangan selulitis dari bagian superior ruang suprahioid. (Buku Ajar Penyakit THT BOIES)
Selulitis ruang potensial sublingual & submandibula (suprahioid). (Kapita Selekta Kedokteran Jilid 1)
Selulitis di dasar mulut dan leher akut yang invasif, menyebabkan udem hebat di leher bagian atas yang dapat menyumbat jalan napas (Buku Ajar Ilmu Bedah De Jong)
Definisi
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20-60 tahun/12 hari-84 tahun. Pria > wanita = 3-4 : 1
Epidemiologi
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Bakteri : Streptococcus, Staphylococcus, anaerob.
Biasanya disebabkan infeksi odontogenik.
Etiologi
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Demam. Nyeri tenggorok & leher. Pembengkakan di daerah submandibula. Hiperemi. Nyeri tekan. Keras pada perabaan (seperti kayu). Sesak napas. Trismus. Drooling.
Gejala Klinis
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Anamnesis riwayat sakit gigi. Px Fisik Bull’s neck appearance, perabaan
keras seperti papan. Px Penunjang
◦ Foto polos leher & dada pembengkakan soft tissue, adanya udara, penyempitan saluran napas.
◦ Kultur jaringan.◦ Perwanaan Gram.
Diagnosis
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Bebaskan jalan napas trakeostomi.
Antibiotik i.v dosis tinggi◦ Penisilin 600.000–1.200.000 unit◦ Ampisilin 2-4 x 500-1.000mg◦ Gentamisin 2 x 40-80mg◦ Kloramfenikol 3-4 x 250-500mg◦ Metronidazol 3 x 250-500mg
Penatalaksanaan
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Mortalitas pada era sebelum ada antibiotik 50%.
Mortalitas pada era setelah ada antibiotik 5%.
Prognosis
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Kapita Selekta Kedokteran Jilid 1 Buku Ajar Ilmu Bedah De Jong Buku Ajar Penyakit THT BOIES
Referensi
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Kortikosteroid sistemik◦ Deksametason i.v◦ Prednison 10-20mg/hari untuk 4-6 hari.
Insisi