Case Report: Immune Thrombocytopenic Purpura
Case Report: Immune Thrombocytopenic Purpura
Case Report: Immune Thrombocytopenic Purpura
IMMUNE THROMBOCYTOPENIC
PURPURA
BY
DR FELIN APRILAINELD NDU UFI
SUPERVISOR :
DR. LAILATUL FITRIYAH, SP.PD
INTRODUCE
Known as Autoantibody
idiopathic destroyed
thrombocytopenic trombosite
purpura premature
TYPE
Pathophysiology
DIAGNOSE
TREATMENT
Case
IDENTITAS
• NAME : MRS MB
• SEX : FEMALE
• BIRTH : KUAFEU, AUGUST 18TH 2000
• AGE : 31 YO
• ADDRESS : BOKING
• DO : FARMER
• INPATIENT : SUNDAY, SEPTEMBER 6TH 2020. 6 PM
HISTORY
SEPTEMBER 6TH 2020
FEVER
HISTORY
2 DAYS BEFORE, After that, her She was treated Before she gonna
PATIENT WAS appetite was for 1 day in sent to home by
3X DIARRHEA, down and she Boking’s hospital. she was
WITHOUR became weak hospital fever. There was
BLOOD AND and fatique. no fever before.
HARD OR SOFT
STOOL.
the hemotology
test, the platelets
was
• PAST MEDICAL TREATMENT ( -)
• PAST ILLNESS (-)
• ALLERGY (-)
• FAMILY’S DISEASE (-)
PEMERIKSAAN FISIK
(IGD)
• IVFD RingerLaktat 20 tpm
• Inj : Ceftriaxon 2x1 gr IV (ST)
07-09-2020
• HB: 11,4 G/DL
• HT: 34,6 %
• WBC :14,8 10³/UL
• TROMBOSIT : 3 10³/UL
• HITUNG JENIS :
• LIMFOSIT : 5,8 % L
• MID : 8,7 % L
• GRANULOSIT : 85,5 H
• NS : -
• IGG DENGUE : (-)
• IGM DENGUE : (-)
08/09/2020
• SGOT : 29 U/L • HB: 13,4 G/DL
• GRANULOSIT : 86 H
CASE
DISCUSSION
• Syok sepsis dinilai secara klinis berdasarkan
kebutuhan vasopressor untuk menjaga MAP
Backer D, Dorman T. Surviving sepsis guidelines: a continuous move toward better care of patients with sepsis. JAMA. 2017;
317(8): 807-8.
• Steroid diindikasikan pada pasien
syok sepsis jika pemberian cairan
Teori dan vasopressor gagal mencapai
hemodinamik stabil.
Backer D, Dorman T. Surviving sepsis guidelines: a continuous move toward better care of patients with sepsis. JAMA. 2017;
317(8): 807-8.
• Kendali sumber infeksi & kultur.
• Pemberian antibiotik dalam 1 jam pertama
Backer D, Dorman T. Surviving sepsis guidelines: a continuous move toward better care of patients with sepsis. JAMA. 2017;
317(8): 807-8.
• Hasil akhir dari respon tubuh terhadap
infeksi adalah terjadinya kerusakan
Teori endotelial menyeluruh, trombosis
mikrovaskular, iskemia organ,
disfungsi multiorgan, dan kematian.
Bernard GR, Vincent JL, Laterre PF, LaRosa S, Dhainaut JP, Rodriguez AL, et al. Efficacy and safety of recombinant human
activated protein c for severe sepsis. N Eng J Med. 2001; 344 (10): 699-709.
KESIMPULAN