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REFERAT

ABSES KULIT

Oleh:
Dywangga Auliannisa
201420401011081

Pembimbing:
dr. Buih Amartiwi, Sp. KK

SMF ILMU PENYAKIT KULIT DAN KELAMIN


FAKULTAS KEDOKTERAN UNIVERSITAS MUHAMMADIYAH MALANG
RUMAH SAKIT SITI KHODIJAH SEPANJANG
2016

KATA PENGANTAR
Puji syukur penulis panjatkan kehadirat Allah SWT, karena atas rahmat-Nya penulis
dapat menyelesaikan referat yang mengambil topik Abses Kulit.
Referat ini disusun dalam rangka menjalani kepaniteraan klinik bagian Kulit dan
Kelamin di RS Siti Khodijah Sepanjang. Tidak lupa penulis ucapkan terima kasih kepada
berbagai pihak yang telah membantu dalam penyusunan responsi kasus ini, terutama kepada
dr. Buih Amartiwi, Sp.KK selaku dokter pendamping yang telah memberikan bimbingan
kepada saya dalam penyusunan dan penyempurnaan referat ini.
Penulis menyadari sepenuhnya bahwa laporan kasus ini masih jauh dari sempurna,
untuk itu kritik dan saran yang bersifat membangun sangat penulis harapkan. Semoga tulisan
ini dapat memberikan manfaat dalam bidang kedokteran khususnya Bagian Kulit dan
Kelamin.
Sepanjang, Agustus 2016

Penyusun

DAFTAR ISI

HALAMAN JUDUL ..................................................................................................................i


......................................................................................................................................................i
KATA PENGANTAR ...............................................................................................................ii
DAFTAR ISI .........................iii
...................................................................................................................................................iii

DAFTAR GAMBAR ................................................................................................................iv


DAFTAR TABEL .......................................................................................................................v
BAB 1 PENDAHULUAN .........................................................................................................1
BAB 2 TINJAUAN PUSTAKA..................................................................................................3
2.1 Definisi .......................................................................................................................3
2.2 Epidemiologi..............................................................................................................3
2.3 Etiologi .......................................................................................................................4
2.4 Patofisiologi ................................................................................................................5
2.5 Manifestasi klinis ......................................................................................................11
2.6 Diagnosis...................................................................................................................13
2.6 Diagnosis Banding.....................................................................................................13
2.8 Penatalaksanaan.........................................................................................................15
2.9 Komplikasi ................................................................................................................20
2.10 Prognosis.................................................................................................................21
BAB 3 KESIMPULAN ............................................................................................................22
DAFTAR PUSTAKA

DAFTAR GAMBAR

Gambar
2.1
Streptococcus
aureus
......................................................................................................................................................
4
Gambar

2.2

Patofisiologi

respon

inflamasi

......................................................................................................................................................
6
Gambar
2.3
Bagan
pembentukan
abses
......................................................................................................................................................
9
Gambar
2.4
Patofisiologi
pembentukan
abses
......................................................................................................................................................
9
Gambar
2.5
Staphylococcus
aureus
pada
abses
kulit
......................................................................................................................................................
10
Gambar 2.6 Pengamatan abses dengan pengecatan HE dan lapisan abses
......................................................................................................................................................
10
Gambar 2.7 Gambaran Abses (lokasi: sudut mata kanan bagian dalam, punggung tangan
kanan,
extensor
lengan
kiri
bawah)
......................................................................................................................................................
12
Gambar 2.8 Gambaran abses akibat Methicillin-resistant Staphylococcus aureus (MRSA)
......................................................................................................................................................
12
Gambar
2.9
Gambaran
abses
pada
tumit
pasien
Diabetes
mellitus
......................................................................................................................................................
12
Gambar 2.10 Gambaran abses pada bagian dorsal jari akibat S. aureus
......................................................................................................................................................
10
Gambar
2.11
Epidermal
inclusion
cyst
......................................................................................................................................................
13

Gambar
2.12
Gambaran
selulitis
pada
kaki
kanan
......................................................................................................................................................
14
Gambar 2.13 Terapi infeksi kulit dan jaringan lunak tipe purulen
......................................................................................................................................................
16
Gambar
2.14
Proses
insisi
dan
drainase
abses
......................................................................................................................................................
17

DAFTAR TABEL

Tabel
2.1
Terminologi
Lesi
Primer
......................................................................................................................................................
3
Tabel 2.2 Bakteri penyebab abses pada berbagai lokasi di tubuh................................................
4
Tabel 2.3
Antibiotik pada pasien infeksi kulit dan jaringan lunak
......................................................................................................................................................
17

Tabel 2.4
Terapi antimikrobial untuk infeksi kulit dan jaringan lunak
......................................................................................................................................................
18