Laporan Kasus: Seorang Penderita dengan Kecurigaan Rabies
DOI:
https://doi.org/10.55606/klinik.v1i3.628Keywords:
Rabies; difficulty swallowing, ; hydrophobia; aerophobiaAbstract
Rabies is a zoonotic disease that can attack the central nervous system and can be fatal because it can cause death. Rabies is caused by an RNA virus of the genus Lyssavirus in the family Rhabdoviridae and can be transmitted to humans through contact with infected animals, particularly bites and scratches. Most cases (98%) were caused by dog bites and the rest by other animals such as monkeys and cats. This disease has a very poor prognosis, but can be prevented by vaccination. Rabies virus is a neurotrophic virus that can infect humans and cause fatal encephalitis. The purpose of this paper is to provide information on rabies cases, prevention, early symptoms to watch out for, and emergency management. A 45-year-old man has clinical encephalitis with suspected viral EC with suspected rabies dd/non-specific viral dd bacterial. Patients complain of not being able to swallow and afraid of water, restlessness, hypersalivation, patients are sensitive to sound, shortness of breath, difficulty swallowing, fear of wind, patients want to bite and hydrophobia, aerophobia and hypersalivation. Therapy in cases of rabies is to provide supportive care and isolation treatment. The prognosis for rabies patients is generally poor, because mortality can reach 100% after the rabies virus reaches the central nervous system, death from respiratory/cardiac arrest most often occurs within 2-3 days after the onset of rabies symptoms. After being bitten by an animal suspected of being rabid, cleaning the wound, administering VAR and SAR is an effective preventive measure against the transmission of the rabies virus.
References
[2] I. Sulistyoningrum, N. Didik Nurimanah, and E. Sukmawati, “Pengaruh Senam Dismenore Terhadap Derajat Nyeri Haid Pada Mahasiswi STIKES Paguwarmas Maos Cilacap,” 2018. Accessed: Jun. 09, 2022. [Online]. Available: https://www.jurnal.stikesmus.ac.id/index.php/JKebIn/article/view/209.
[3] R. Singh et al., “Rabies – Epidemiology, pathogenesis, public health concerns and advances in diagnosis and control: A comprehensive review,” Veterinary Quarterly, vol. 37, no. 1. 2017, doi: 10.1080/01652176.2017.1343516.
[4] Sukmawati E, wahyunita yulia sari, and indah sulistyoningrum, Farmakologi Kebidanan. Trans Info Media (TIM), 2018.
[5] I. Lojkić, I. Šimić, T. Bedeković, and N. Krešić, “Current status of rabies and its eradication in eastern and southeastern europe,” Pathogens, vol. 10, no. 6, 2021, doi: 10.3390/pathogens10060742.
[6] G. Wambura et al., “Rabies vaccine and immunoglobulin supply and logistics: Challenges and opportunities for rabies elimination in Kenya,” Vaccine, vol. 37, 2019, doi: 10.1016/j.vaccine.2019.05.035.
[7] C. M. Gigante et al., “Portable rabies virus sequencing in canine rabies endemic countries using the oxford nanopore minion,” Viruses, vol. 12, no. 11, 2020, doi: 10.3390/v12111255.
[8] F. Miao et al., “Neglected challenges in the control of animal rabies in China,” One Health, vol. 12. 2021, doi: 10.1016/j.onehlt.2021.100212.
[9] BPS-Statistics Indonesia, “Statistik Indonesia 2021 (Statistical Yearbook of Indonesia 2021),” Badan Pus. Stat., vol. 1101001, 2021.
[10] X. Ma et al., “Rabies surveillance in the United States during 2019,” J. Am. Vet. Med. Assoc., vol. 258, no. 11, 2021, doi: 10.2460/JAVMA.258.11.1205.
[11] M. Omodo et al., “Rabies in Uganda: Rabies knowledge, attitude and practice and molecular characterization of circulating virus strains,” BMC Infect. Dis., vol. 20, no. 1, 2020, doi: 10.1186/s12879-020-4934-y.
[12] Sugiyono, “Metode Penelitian Pendidikan : Pendekatan Kuantitatif, Kualitatif, dan R&D,” Bandung; : Alfabeta;, 2016, 2016.
[13] I. N. Dibia, B. Sumiarto, H. Susetya, A. A. G. Putra, and H. Scott-Orr, “Analisis faktor risiko kasus rabies pada anjing di Bali,” Bul. Vet., vol. 16, no. 3, 2015.
[14] N. M. Manro and N. Yovani, “Menuju Indonesia Bebas Rabies 2020: Problem Institusi dalam Implementasi Kebijakan Kesehatan Publik di Bali,” J. Kebijak. Kesehat. Indones. JKKI, vol. 7, no. 4, 2018.
[15] K. A. Sindawati, I. K. Puja, and I. N. S. Dharmawan, “Peran Manajemen Populasi Anjing dalam Pemberantasan Rabies: Studi Kasus di Desa Pejeng, Kecamatan Tampaksiring, Kabupaten Gianyar, Provinsi Bali,” Bul. Vet. Udayana, 2021, doi: 10.24843/bulvet.2021.v13.i02.p03.
[16] S. A. Novianti, I. W. Batan, and I. W. Suardana, “Pemetaan dan Analisis Kejadian Rabies di Kabupaten Buleleng Tahun 2010-2016,” Indones. Med. Veterinus, 2018, doi: 10.19087/imv.2018.7.2.150.
[17] R. Rochayati, E. Sukmawati, Y. Sya’baniah K, N. Didik, N. Imanah, and D. A. Rantauni, “ASUHAN KEBIDANAN KOMPREHENSIF PADA NY.N USIA 29 TAHUN G2P1A0 DIWILAYAH KERJA PUSKESMAS MAOS,” vol. 3, 2022, [Online]. Available: http://ejurnal.stie-trianandra.ac.id/index.php/klinikHalamanUTAMAJurnal:http://ejurnal.stie-trianandra.ac.id/index.php.
[18] R. Intan Fitriyani, E. Sukmawati, D. Arief Rantauni, P. DIII Kebidanan, and Stik. Serulingmas Cilacap, “CASE STUDY: MIDWIFE CARE ON Mrs. E TRIMESTER III PREGNANCY, LABOR, NIFAS, NEONATUS AND FAMILY PLANNING,” vol. 3, 2022, [Online]. Available: http://ejurnal.stie-trianandra.ac.id/index.php/klinikHalamanUTAMAJurnal:http://ejurnal.stie-trianandra.ac.id/index.php.
