DAFTAR ISI

KATA PENGANTAR

DAFTAR ISI

BAB I PENDAHULUAN

1.1.Latar Belakang.............................................................................................1

BAB II TINJAUAN PUSTAKA

2.1 Bakteri Streptococcus pyogenes........................................................................3

2.1.1. Morfologi dan Identifikasi..........................................................................3

2.1.2. Sifat Pertumbuhan......................................................................................4

2.1.3. Patogenesis dan Gambaran Klinis...............................................................6

2.1.4. Faktor virulensi streptococcus.....................................................................7

2.1.5. Protein M....................................................................................................8

2.1.6. Interaksi protein M dengan Protein Manusia..............................................10

2.1.7. Vaksin Streptococcus....................................................................................11

2.2. Epidemiologi....................................................................................................12

2.3. Pengaruh Bakteri Streptococcus........................................................................13

2.3.1. Impetigo.......................................................................................................14

2.3.2. Erisipelas..................................................................................................... 15

2.3.3. Meningitis....................................................................................................16

2.3.4. Jantung Rematik...........................................................................................24

2.3.5. Ginjal.............................................................................................................34

DAFTAR PUSTAKA
 DAFTAR GAMBAR

Gambar 1. Moologi Strptokokus.........................................................................................4

Gambar 2. Patgenesa penyebaran strptokkus......................................................................7

Gambar 3. Diagram faktor virulensi....................................................................................7

Gambar 4. Struktur protein M streptokokus........................................................................9

Gambar 5. Lapisan meningen..............................................................................................16

Gambar 6. Cairan serebrospinal..........................................................................................17

Gambar 7. Aliran cairan serebrospinal................................................................................18

Gambar 8. Patofisiologi mlkuler meningitis bakterial.........................................................18

Gambar 9. Kerusakan katup mitral pada PJR......................................................................25

Gambar 10. Gambaran echo anak dengan PJR dan mitral stenosis berat...........................31

Gambar 11. Aliran daah pada glomerulus..........................................................................34

Gambar 12. Patofisiologi.....................................................................................................41

 DAFTAR TABEL

Tabel 1. Manifestasi klinis meningitis ............................................................................ 17

Tabel 2. Skala GCS pediatri ............................................................................................ 21

Tabel 3. Revisi kriteria mayor Jones ............................................................................... 27

Tabel 4. Revisi kriteria minor Jones ............................................................................... 28

Tabel 5. Gejala dan pemeriksaan fisik PJR ................................................................... 29

Tabel 6. Batas nilai normal titer antibiotik streptokokus .............................................. 30

Tabel 7. Kelainan yang perlu diidntifikasi pada kelainan ekokardiogram ....................32

Tabel 8. Gambaran valvulitis rematik pada anak ............................................................ 32

Tabel 9. Kriteria valvulitis pada doppler .........................................................................33