Micosis pulmonar
Transcript of Micosis pulmonar
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Patología del Aparato RespiratorioProfesor: Dr. Gregorio Mora OrozcoAlumno: Viridiana García PatiñoSección 5 3° año
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DEFINICION
AspergillusLas mas frecuentes 57%Cryptococcus 21%Histoplasmosis 10%
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PATOGENIA
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MECANISMO ALÉRGICO
Rinitis, asma bronquial oneumonitis por hipersensibilidad (alveolitis alérgica)
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MECANISMO POR INFECCIÓN
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DEFINICIÓN
Enfermedad producida por hongos del género Aspergillus
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y Epidemiología
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MANIFESTACIONES CLÍNICAS.
La aspergilosis se puede dividir en cinco formas:
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Dx. diferencial con tuberculosis
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DATOS RADIOLOGICOS
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COMPLICACIONES
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TIPO TX
A.Invasiva Anfotericina B, itraconazol
Aspergiloma Tx quirúrgico
A.Alérgica Corticoesteroides, itraconazol
A.Superficial Nistatina, ketoconazol
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.Coccidioidimicosis( )fiebre del valle
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DEFINICIÓN
Es una enfermedad producida por el hongo dimórfico Coccidioides immitis. Se caracteriza por lesiones granulomatosas en pulmón con posterior diseminación a tejido óseo y en ocasiones a piel.
Etiología: las esporas de C. immitis y C. posadassi
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EPIDEMIOLOGIA
Enfermedad micótica mas frecuente en el norte de México predominando en el estado de Sonora.
Cerca de un 60% de las infecciones no causan síntomas y sólo se reconocen posteriormente por una prueba cutánea con coccidioidina positiva.
En el 40% restante, los síntomas varían de leves a severos.
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MANIFESTACIONES CLÍNICAS.
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Dx. diferencial: TB, osteomielitis, sífilis, cáncer.
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Derrame pleural
Recaída de la infección
Diseminación de la infección a todo el organismo
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TRATAMIENTO.
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Histoplasmosis( enfermedad de
)Darling
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DEFINICIÓN
Es la infección micótica causada por Histoplasma
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EPIDEMIOLOGIA
Enfermedad cosmopolita que afecta a hombres, mujeres de todas las edades.
Inhalación de conidias de H. capulatum.
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MANIFESTACIONES CLÍNICAS
Primaria pulmonar: leve: malestar Gral.,
hallazgos radiológicos, serología débilmente positiva.
moderada: fiebre, imágenes radiológicas importantes, cuadro respiratorio leve
grave: fiebre, cuadro respiratorio severo, imágenes radiológicas impresionantes.
Residual: fase primaria: lesiones
cavitarias, granulomatosas, sintomatología respiratoria grave.
De reinfección: lesiones fibrocaseosas crónicas, tos con expectoración, malestar gral.
Diseminada: aparato digestivo, hígado, bazo, corazón.
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TB Sarcoidiosis Actinomicosis Neumonia Coccidioidimicosis, Leshmaniosis Toxoplasmosis.
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TRATAMIENTO.
Itraconazol: 400mg/día en 2 dosis VO de 12 a 24 meses