HACEK Flashcards

1
Q

¿Qué es?

HACEK

A
  • Bacterias exigentes (suplementos nutritivos, microaerofilia CO2, larga incubación 1-3días)
  • Heterogéneos y pleiomorfos
  • Flora bacteriana de orofaringe
  • Muchas infecciones, antecedente de manipulación dental
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2
Q

¿Qué es?
Haemophilus/Aggregatibacter Aphropilus
Actinobacillus/Aggregatibacter Actinomycetemcomitans

A
  • Familia Pasteurellacea

- Cocobacilos Gram - pequeños

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3
Q

Diagnóstico
Haemophilus/Aggregatibacter Aphropilus
Actinobacillus/Aggregatibacter Actinomycetemcomitans

A
  • Sospecha clínica

- Hemocultivos más tiempo

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4
Q

Epidemiología
Haemophilus/Aggregatibacter Aphropilus
Actinobacillus/Aggregatibacter Actinomycetemcomitans

A
  • HUMANOS (placa dental)

- Transmisión interpersonales, 50% familiares de paciente lo tienen

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5
Q

Factores de Virulencia
Haemophilus/Aggregatibacter Aphropilus
Actinobacillus/Aggregatibacter Actinomycetemcomitans

A
  • Leucotoxina, destruye células blancas
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6
Q

Manifestaciones Clinicas
Haemophilus/Aggregatibacter Aphropilus
Actinobacillus/Aggregatibacter Actinomycetemcomitans

A
  • Meningitis
  • Parotiditis
  • Neumonía Necrosante polibacteriana
  • Osteomielitis
  • Infecciones urinarias
    En pacientes neoplásicos/neutropénicoss
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7
Q

¿Qué es?

Cardiobacterium

A
  • Cocobacilos Gram -
  • Oxidasa +
  • Catalasa +
  • Retienen violeta de genciana
  • Forma rosetas
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8
Q

Factores de virulencia

Cardiobacterium

A

BAJA VIRULENCIA

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9
Q

Manifestaciones Clínicas

Cardiobacterium

A
  • Endocarditis

- Lesiones Valvulares

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10
Q

¿Qué es?

Eikenella Corrodens

A
  • Familia Neisseriaceae
  • Anaerobios facultativos
  • Oxidasa +
  • 50% corroen agar
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11
Q

Manifestaciones Clínicas

Eikenella Corrodens

A
  • Endocarditis (el menos causante)
  • Infecciones de herida (al morder, graves)
  • Neumonías
  • Abscesos
  • Osteomielitis
  • Infecciones Ginecológicas
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12
Q

¿Qué es?

Kingella

A
  • Familia Neisseriaceae
  • Cocobacilo
  • Gram -
  • Oxidasa +
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13
Q

Epidemiología

Kingella

A
  • Niños 6 meses-4años
  • Transmisión persona-persona (guarderías)
  • Infecciones víricas predisponen
  • Patógeno emergente
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14
Q

Manifestaciones Clínicas

Kingella

A
  • Menores de dos años = Infección Osteoarticular

* Mayores = Endocarditis

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