NDLI: Coccidioidomicosis Pulmonar en un Neonato. Reporte de un Caso

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Coccidioidomicosis Pulmonar en un Neonato. Reporte de un Caso

Content Provider	Semantic Scholar
Author	Fajardo-Ochoa, Francisco Olivas-Peñuñuri, María Remedios Castillo-Aldaco, Juan
Copyright Year	2014
Abstract	Introduccion: Coccidioides immitis es un hongo dimorfo que vive en el suelo, comunmente causa una leve y auto limitada enfermedad respiratoria en ninos y adultos dentro de las zonas endemicas del Suroeste de los Estados Unidos y norte de Mexico. La enfermedad se reporta raramente en neonatos e infantes y cuando ocurre a estas edades la enfermedad es devastadora y frecuentemente letal. Caso Clinico: Se reporta el caso de un neonato de 20 dias de vida que presenta un sindrome febril, dificultad respiratoria e irritabilidad. Rapidamente tiene una evolucion torpida, progresion de la dificultad respiratoria, fiebre alta, intermitente y de dificil control. Radiografias de torax con infiltrado difuso cotonoso bilateral que progresan a zonas de consolidacion. Sin respuesta al tratamiento de diversos antimicrobianos y antifimicos. Fallecio por choque septico y la autopsia revelo infeccion pulmonar y ganglionar por Coccidioides spp con diseminacion al higado, bazo, pancreas y medula osea. Conclusion: La coccidioidomicosis pulmonar neonatal es un evento raro. La aspiracion de artrosporas de C. immitis durante el parto es la forma mas probable de adquisicion del agente sin descartarse la adquisicion ambiental por exposicion al polvo. Este diagnostico debe considerarse en neonatos con infiltrado nodular bilateral extenso.
Starting Page	57
Ending Page	62
Page Count	6
File Format	PDF HTM / HTML
Volume Number	31
Alternate Webpage(s)	http://www.medigraphic.com/pdfs/bolclinhosinfson/bis-2014/bis141j.pdf
Language	English
Access Restriction	Open
Content Type	Text
Resource Type	Article

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