infeksi.ppt
TRANSCRIPT
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Infeksi
Sub Bagian Bedah Saraf FK UNS - RSUD Dr Moewardi
Surakarta
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Abses Intrakranial
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Abses Serebri Sumber infeksi
Hematogen Penyebaran lokal Per kontinuitatum
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Klinis
Tanda dan gejala muncul dalam 2-3 mgg
Terjadi akibat : Toksisitas : pireksia, malaise TIK ↑ : sefalgia, mual-muntah kesadaran Kerusakan fokal : hemiparesis, afasia,
ataksia, nistagmus, epilepsi Sumber infeksi : tanda2 mastoiditis, OMPK,
sinusitis, SBE, infeksi paru dll
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Pemeriksaan
Laboratorium Darah tepi : LED↑, leukositosis, kultur darah positif CSF : protein↑ s/d 1g/dl, leukositosis – PMN atau limfosit
Radiologis Foto Polos Sinus dan Mastoid
Opasitas – indikasi infeksi CT Scan
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Penatalaksanaan
Antibiotika Sesuai hasil kultur Kombinasi :
Penicillin 4 megaunit/ 6 jam Khloramfenikol 1 g/6 jam Metronidazole 500 mg/6 jam
Drainase abses Penanganan Fokus infeksi
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Drainase abses
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Empyema subdural Frekuensi <<, dari sinusitis/mastoiditis >> Klinis ~ abses serebri CT Scan : low density extracerebral collection, mass effect
(+) Managemen : antibiotika + evakuasi pus
Tuberculoma Jarang, bisa multipel Klinis ~ abses serebri, meningitis TBC CT Scan : ~ abses serebri Pemeriksaan lain : LED, Thoraks foto, Mantoux test, PCR
TBC Managemen : OAT, operasi eksplorasi + biopsi