Criptococosis meníngea en un paciente inmunocompetente.

Cryptococcus is a fungus found mainly in the soil, usually affects immunocompromised patients but has been reported cases of immunocompetent patients, the respiratory route being the main way in and then spreading through the blood having tropism to the Nervous System Central. The clinical presentat...

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Published in:Medicina Interna de México Vol. 29; no. 2; pp. 210 - 213
Main Authors: Alonso-Martínez, Daniel, Ramiro-Guerrero, Erick, Espino-López, Eduardo
Format: Article
Published: Colegio de Medicina Interna de Mexico mar/abr2013
Subjects:
Online Access:View this record in EBSCOhost
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        au:
          Alonso-Martínez, Daniel
          Ramiro-Guerrero, Erick
          Espino-López, Eduardo
        affil:
          Residente de la especialidad de Medicina Interna, Hospital Naval de Alta Especialidad, México, DF
          Adscrito al servicio de Neurología, Hospital Naval de Alta Especialidad, México, DF
          Jefe del servicio de Medicina Interna, Hospital Naval de Alta Especialidad, México, DF
      su:
        Central nervous system diseases
        Therapeutics
        Diagnosis of central nervous system diseases
        Cryptococcus
        Soil fungi
        Immunocompromised patients
        Symptoms
        Prognosis
      sug:
        subj:
          Central nervous system diseases
          Therapeutics
          Diagnosis of central nervous system diseases
          Cryptococcus
          Soil fungi
          Immunocompromised patients
          Symptoms
          Prognosis
      keyword:
        Cryptococcal Meningitis
        Immunocompetent patient
        criptococosis meníngea
        Cryptococcal Meningitis
        Immunocompetent patient
        paciente inmunocompetente
      ab:
        Cryptococcus is a fungus found mainly in the soil, usually affects immunocompromised patients but has been reported cases of immunocompetent patients, the respiratory route being the main way in and then spreading through the blood having tropism to the Nervous System Central. The clinical presentation in immunocompetent patients who are very different from those who have some immunological disorder, which may be of specific symptoms. The definitive diagnosis is in cerebrospinal fluid or Sabouraud culture. The treatment in the immunocompetent patient group and the prognosis depends on the clinical status at diagnosis.
        El criptococo es un hongo que suele localizarse en el suelo, por lo general afecta a pacientes inmunocomprometidos; sin embargo, también hay reportes de pacientes inmunocompetentes. La vía respiratoria es la principal puerta de entrada y, posteriormente, se disemina a otros sitios por vía hematógena, con tropismo hacia el sistema nervioso central. En los pacientes inmunocompententes la presentación clínica difiere de la que se observa en quienes tienen alguna alteración inmunológica, porque pueden tener síntomas inespecíficos. El diagnóstico definitivo se establece con base en los resultados del análisis del líquido céfalo raquídeo o del cultivo de Sabouraud. El tratamiento y el pronóstico de los pacientes inmunocompetentes depende del estado clínico al diagnóstico.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: Spanish
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