Brucella Flashcards

1
Q

Sinonimos

A

Fiebre Ondulante, Mediterránea o de Malta

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2
Q

Zoonosis

A
Borregos
Camellos
Cabras
Puercos
Ganado
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3
Q

Nos infectamos por:

A

Ingesta de alimentos contaminados.
Contacto con piel, mucosas, secreciones y tejido de animales infectados.
Inhalación de partículas.
Humano-humano.

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4
Q

Agentes etiologicos

A
B. melitensis
    Borregos, cabras y camellos.
B. suis
    Cerdos 
B. abortus 
    Ganado
B. canis
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5
Q

Caracteristicas microbiologicas

A
Bacilos 
Intracelulares 
Cocobacilos gramnegativos
Facultativos
Crecimiento lento
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6
Q

Medio que utilizaremos

A

Ruiz-castañeda

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7
Q

Manifestaciones clinicas

A
Fiebre (vespertina)
Mal estado general
Diaforesis (nocturna)
Artralgias
Visceromegalias
Anorexia
Dolor abdominal
Lumbalgia** (no confundir con mal de pott)
Cefalea
Adenopatías
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8
Q

Hallazgos laboratoriales

A
Elevación de transaminasas
Anemia
Leucopenia
Leucocitosis
Linfocitosis
Trombocitopenia
Pancitopenia
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9
Q

Diagnostico

A

ELISA o SAT (>1:360) o rosa de bengala o 2 ME. Haces rosa de bengala o 2ME + brucellacapt si sale negativo lo repites en dos semanas

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10
Q

Tratamiento

A

Doxiciclina (seis semanas)+ Estreptomicina (14-21 días).
Doxiciclina (seis semanas) + Gentamicina (7-10 días).
Doxiciclina+ Rifampicina (seis semanas).
Rifampicina + TMP/SMX (<36 SDG)

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