Gejala Otonom tidak Spesifik pada Penderita Rabies di RSUP Sanglah, Denpasar(Non Specific Autonomic Nervous System Symptoms among Rabies Patients in Sanglah Hospital, Denpasar) | Perpustakaan Badan Kebijakan Pembangunan Kesehatan

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Gejala Otonom tidak Spesifik pada Penderita Rabies di RSUP Sanglah, Denpasar(Non Specific Autonomic Nervous System Symptoms among Rabies Patients in Sanglah Hospital, Denpasar)

Putra Martin Widanta IGN - Personal Name; Susilawathi NM - Personal Name; Raka Sudewi AA - Personal Name;

ABSTRACT

Background: Clinical manifestations of rabies may be preceded by nonspecific prodromal symptoms in 213 cases. This often leads to misdiagnosis resulting in delays in the management of rabies. Objective: To determine the non-specific autonomic nervous system symptoms in rabies patients in Sanglah Hospital. Method: This is descriptive retrospective study from January 2009 - December 2010 in Sanglah Hospital, Denpasar. Data obtained from medical records of rabies patients. Results: During the period, there were 13 cases of rabies with non-specific autonomic nervous system symptoms, 8 cases were furious type (615%) and 5 cases paralytic rabies (385%). Symptoms at prodromal stage are nausea/vomiting (38.5%). urinary symptoms (30.8%), abdominal distention (30.8%), abdominal/epigastric pain (15.4%). chest pain (5.4 %), shortness of breath (53.8%) and diarrhea (7.7%). The autonomic symptoms at acute neurologic stage were urinary disorders (urinary Incontinence and retention) (38.5%) and abdomina distension (30.8%). All patients were treated by other departments between 24 to 48 hours prior to neurological consAation. Those departments were Internal Medicine (69.2%), Pediatrics (15.4%). Cardiology (15.48K. Summary: non-specific autonomic nervous system symptoms of rabies are diverse and complicate the diagnosis. It can occur in a orodromal and acute neurological stage.

Keywords: Rabies, autonomic symptoms. misdiagnosis

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Location name is not set CDK: Cermin Dunia Kedokteran, 41 (10) 2014: 733-73

A0004161

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Series Title: -
Call Number: CDK: Cermin Dunia Kedokteran, 41 (10) 2014: 733-73
Publisher: Jakarta : Kalbe Farma., 2014
Collation: 4p
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ISBN/ISSN: 0125-913x
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