MORBILLI

(MEASLES)

MINI POSTER
F A D I A H G A Z Z AN I R A H MA N ( C 1 1 1 1 0 8 0 9 ) D Z U L F I KA R W A S P A D A (110 208 040)

Patient Identity...

Name Gender Age Marital status Religion Address Occupation Addmission date Medical record no

: Mr. YL : male : 52 years old : married : christian : jl. Singa : government officer (PNS) : October 10, 2013 : 379352

History Taking
Main Complaint : red rash on all parts of the body (face, arms, legs, chest, back, stomach)
Brief Anamnesis : Occur since 2 days ago before hospitalized Itchy (-), pain (-) Drugs allergy (-), food allergy (-) History of complaint with the same symptoms (-) Medication for the symptoms (-) Family with the same symptoms (-) Previous Medical History : The patient suffer from chronic heart failure (CHF) NYHA II and consume Lasix and Alprazolam

Current Status
Consciousness Hygiene

General Condition
Nutrition

Vital sign

: compos mentis : moderate : moderate : normal : 130/90 mmHg : 80x/minutes : 28x/minutes : 380C

BP Pulse RR Temperature

Physical Examination
Anemic (-), icterus (-), cyanoses (-) Cor Thorax Abdomen

Extremities

Lymph nodes

: chronic heart failure NYHA II : symmetrical : ronchi (-), wheezing (-) : normal, peristaltic (+) : edema (-) : enlargement (-)

Facial Region

Thoracoabdominal region

Posterior trunk region

Arms Region

Legs Region

Dermatovenerology Status
Region Efflorescence : generalized : erythematous macule

Resume
A man 52 years old entered the hospital with main complaint red rash on all parts of the body (face, arms, legs, chest, back, stomach) that occured since 2 days ago before hospitalized. The rash are not itch and the patient doesnt feel pain. The patient has no allergic to food neither drugs. He never felt the same complaint before and no family suffer the same complaint. Previous medical history : The patient suffer from chronic heart failure (CHF) NYHA II and consume Lasix and Alprazolam

Diagnosis

MORBILLI

Treatment & Management

menthol + oxid zincii + talk venetum (powder) used in the morning and afternoon

Discussion
Morbilli, also known as rubeola or measles, is one of

the most contagious infectious diseases that caused by measles virus. Morbilli is marked by prodromal fever, cough, coryza, conjunctivitis, and pathognomonic enanthem (ie, Koplik spots), followed by an erythematous maculopapular rash on the third to seventh day. Infection confers life-long immunity.

Etiology
The cause of morbilli is the measles virus, a singlestranded, negative-sense enveloped RNA virus of the genus Morbillivirus within the family Paramyxoviridae. Humans are the natural hosts of the virus; no animal reservoirs are known to exist. This highly contagious virus is spread by coughing and sneezing via close personal contact or direct contact with secretions.

Recommended Examination
Serologic testing for IgG and IgM antibodies

Viral culture

Reverse-transcriptase polymerase chain reaction (RT-

PCR) evaluation Complete blood count (CBC) Liver function test

Treatment & Management

Adequate food intake Skin hygiene Antiviral agent Ribavirin Symptomatic Antipyretic, e.g. Paracetamol Antitussive, e.g. Codeine Dekongestant, e.g. Efedrin Prophylaxis Measles virus vaccine Antibiotic (treat and prevent secondary infection)

Prognosis

Bonam (good)