Histoplasmosis Flashcards

Hongos endémicos

1
Q

Endémica en…

A

México en sierra madre occidental

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2
Q

2 variedades

A

Capsulatum (américa) y duboisii (África)

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3
Q

Ricos en

A

Nitrógeno
-Excremento de ave y murcielagos, cuevas, sitios de construcción

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4
Q

Contagioso?

A

Si, mucho

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5
Q

Fx riesgo

A

Inmunocomprometidos, VIH y niños

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6
Q

Las levaduras se convierten en

A

Macrófagos y neutrófilos

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7
Q

Tasa de ataque

A

100%

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8
Q

Sx px asintomáticos (90%)

A

Cuadro pseudogripal con fiebre

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9
Q

Cuadro pseudogripal con fiebre

A

Linfadenopatía hiliar, remisión espontánea

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10
Q

Progresa a…

A

Histoplasmosis pulmonar

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11
Q

Principal dx diferencial

A

Tuberculosis

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12
Q

Histoplasmosis pulmonar

A

Cavidades apicales y fibrosis

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13
Q

Histoplasmosis pulmonar diseminada

A

-Ulceras orales y hepatoesplenomegalia
-Afección MO y citopenias
-Glándulas adrenales, válvula cardiaca y SNC

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14
Q

Microscopía directa

A

Levaduras intracelulares

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15
Q

Cultivo

A

25° y 37°, con riesgo de bioseguridad

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16
Q

Duración tx

A

1-2 años