MICOSIS PULMONARES Flashcards

1
Q

EN INMUNOCOMPETENTES

A

INFECCION CRONICA
GRANULOMAS
LOCALIZADA
HONGOS PATOGENOS

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2
Q

EN INMUNODEPRIMIDOS

A

INVASIVA
DISEMINADA
HONGOS OPORTUNISTAS

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3
Q

TIPOS DE HISTOPLASMOSIS

A

AGUDA
CRONICA
INVASIVA

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4
Q

HISTOPLASMOSIS AGUDA

A

PRIMOINFECCION EN NIÑOS

DEL VIAJERO: CUEVAS, CASAS ABANDONADAS, HECES DE AVE.

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5
Q

HISTOPLASMOSIS CRONICA

A

CAVITARIA
TRIADA CLASICA (TOS+ HEMOPTISIS + BAJA DE PESO)
DX DF CON TBC / SARCOIDOSIS
TTO ITRACONAZOL

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6
Q

HISTOPLASMOSIS INVASIVA

A
PACIENTES CON VIH
PROGRESIVA DISEMINADA
MULTIPLES ADENOPATIAS
HEPATOESPLENOMEGALIA SEVERA
TTO= ANFOTERICINA
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7
Q

HISTOPLASMOSIS + FREC

A

HISTOPLASMOSIS CRONICA

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8
Q

ASPERGILOSIS

A

ASPERGILOSIS BRONCOPULMONAR ALERGICA
ASPERGILOSIS PULMONAR CRONICA
ASPERGILOSIS INVASIVA

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9
Q

ASPERGILOSIS BRONCOPULMONAR ALERGICA

A

ASMATICO SEVERO
HIPERSENSIBILIDAD TIPO 1
IGE+++
EOSINOFILIA

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10
Q

TTO ASPERGILOSIS BRONCOPULMONAR ALERGICA

A

INICIO: CORTICOIDES
LUEGO: ITRACONAZOL

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11
Q

ASPERGILOSIS PULMONAR CRONICA

A

ASPERGILOMA= IMAGEN REDONDEADA
ANTECEDENTE= TBC CAVITARIA
TOS+ HEMOPTISIS+ BAJA DE PESO+ BK -

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12
Q

ASPERGILOSIS INVASIVA

A

LESIONES NODULARES BILATERALES
SECUELA= EPOC/ EPID + EXCESO DE ATB+ EXCESO DE CORTICOIDES
INMUNOSUPRIMIDOS, TRANSPLANTADOS, CA. HEMATOLOGICO
GALACTOMANANO +

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13
Q

ASPERGILOSIS INVASIVA TTO

A

TTO = ANFOTERICINA, MICAFUNGINA, VORICONAZOL

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14
Q

NEUMONIA X PNEUMOCYSTIS

A

PN. JIROVECHI = OPORTUNISTA
SOLO INMUNOSUPRIMIDOS = VIH CORTICOTERAPIA CRONICA, TRANSPLANTADOS DE M.O
PATRON = INTERSTICIAL SEVERO, BILATERAL + IRA

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15
Q

TTO PNEUMOCYSTIS

A

COTRIMOAZOL (SEVERO :EV)+ CORTICOIDE

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16
Q

VIH

A

CD4 <100 TOXO

CD4 <50 CRIPTOCOCO Y CMV