Aspergilosis

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Aspergilosis - Medicina interna 2 Facultad de medicina - UNSA

Transcript of Aspergilosis

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ASPERGILOSIS

TUTORA: DRA. VENTURA MEJIA

ALUMNA: PAMELA CINTHIA ALARCON VILLANUEVA

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1. DEFINICION:

CONJUNTO DE ENFERMEDADES PRODUCIDAS POR HONGOS

DEL GÉNERO ASPEGILLUS

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2. ETIOLOGIA:

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35 ESPECIES (37º

1!2 CONIDIAS

ASP.

FILTRACION DE AIRPARTICULADO DEALTA EFICIENCIA

(HEPA)INOCULO" 2 !# D

3. EPIDEMIO

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$. FACTORES DE RIESGO:NEUTROPENIA GRAVE USO DE GLUCOCORTICOIDES

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$. CLASIFICACI%N:

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5. PATOGENIA

2!5&'

*+,*+-'*+/0+-,*0+- 400 ++60* 4-'*8,*

0+,0 9- 0* PM

T

AT*6'* @ ?0*.

 =>!+,

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+?*>,0 ,0?909- =-6*'090

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. CLINICA:

T0;-**+;

A=-8>* P>'*+0I+?0?0

A=-8>* S-'I+?0?0N-,*

0+-

A=-8>* I+?0?0 (AI)

12 9 -+ +-*=-+,*

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A.P.CAVITARIACRONICA

A.P.NECROSANTE

CRONICA

A.PFI<ROSANTE

CRONICA

ASPERGILOOMA

COMPLICADO

A=-8>* CB+,0 P>'*+0 (A,=)

SN PRENSENTES POR 1!3 MESESINMUNOCOMPETENTES INMUNOSUPRESION LEVE

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2 9- >* =0,-+- 0>8,* -+ -> 5!

1 9- =0,-+- ,*+ 6* ;/,0.

A=-8>* P>'*+0 A>-8,0(0=0)

RINITISA.<P.

ALERGICA (A<PA)

SINUSITISALERGIC

A

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ESTADIO 2

ESTADIO1

ESTADIO 3

ESTADIO$

ESTADIO 5

FI<ROSIS

<RONUIECTASIAS

AC ELEVADARECAIDA

REMISIONAGUDO

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7. DIAGN%STICO:

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EAMEN DIRECTO CONOH AL 1 O CON

AKUL DE LACTOFENO "

CALCOFLÚOR H60 0+,40 0,090 ,*+

0'6,0,*+- 9,*B',0 -+ +8>* 9-$5 9- 0=*@'090'-+- 25 0 $5 &'

9- 0+,4*

CULTIVOS

2º!37ºCS0*09 G>,*0 C0=-

,,>*4-@'90 

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<AL

MUESTRAS SERIADASESPUTO

-+-+ 00 -+>909=-* -> 0>0'-+* 9-A=-8>> - +9,09*

9- +6-,,B+.

A=-8>> 6'80 (5!#) A=-8>> 6>0? (1)A=-8>> +8- (3!7 ) A=-8>> +9>0+ A=-8>>-- (1). L0 9-+6,0,B+ 9- -0 *0 -=-,- --0>0 0 0? 9- -9* '0,* ',*'*6*>B8,*.

DETECCION

DE AC

<ALDETECCIO

N DE AGPCR

 D E T E C C I %

 N

 GA LA C T O MA

 NA 

-+ -* 9- Q 1

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.TRATAMIENTO:

DESOICOLATO :1! 15 MGLIPIDICA: 3!5 MG"G

2! $ MG"GNO MENOSDE 12 M.

2OO MG"12HEV: MG"G 12H.S-890 9- $'8"8 12H.

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