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7/21/2019 Aspergilosis
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ASPERGILOSIS
TUTORA: DRA. VENTURA MEJIA
ALUMNA: PAMELA CINTHIA ALARCON VILLANUEVA
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1. DEFINICION:
CONJUNTO DE ENFERMEDADES PRODUCIDAS POR HONGOS
DEL GÉNERO ASPEGILLUS
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2. ETIOLOGIA:
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35 ESPECIES (37º
1!2 CONIDIAS
ASP.
FILTRACION DE AIRPARTICULADO DEALTA EFICIENCIA
(HEPA)INOCULO" 2 !# D
3. EPIDEMIO
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$. FACTORES DE RIESGO:NEUTROPENIA GRAVE USO DE GLUCOCORTICOIDES
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$. CLASIFICACI%N:
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5. PATOGENIA
2!5&'
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0+,0 9- 0* PM
T
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=>!+,
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+?*>,0 ,0?909- =-6*'090
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7/21/2019 Aspergilosis
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. CLINICA:
T0;-**+;
A=-8>* P>'*+0I+?0?0
A=-8>* S-'I+?0?0N-,*
0+-
A=-8>* I+?0?0 (AI)
12 9 -+ +-*=-+,*
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A.P.CAVITARIACRONICA
A.P.NECROSANTE
CRONICA
A.PFI<ROSANTE
CRONICA
ASPERGILOOMA
COMPLICADO
A=-8>* CB+,0 P>'*+0 (A,=)
SN PRENSENTES POR 1!3 MESESINMUNOCOMPETENTES INMUNOSUPRESION LEVE
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2 9- >* =0,-+- 0>8,* -+ -> 5!
1 9- =0,-+- ,*+ 6* ;/,0.
A=-8>* P>'*+0 A>-8,0(0=0)
RINITISA.<P.
ALERGICA (A<PA)
SINUSITISALERGIC
A
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ESTADIO 2
ESTADIO1
ESTADIO 3
ESTADIO$
ESTADIO 5
FI<ROSIS
<RONUIECTASIAS
AC ELEVADARECAIDA
REMISIONAGUDO
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7. DIAGN%STICO:
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EAMEN DIRECTO CONOH AL 1 O CON
AKUL DE LACTOFENO "
CALCOFLÚOR H60 0+,40 0,090 ,*+
0'6,0,*+- 9,*B',0 -+ +8>* 9-$5 9- 0=*@'090'-+- 25 0 $5 &'
9- 0+,4*
CULTIVOS
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<AL
MUESTRAS SERIADASESPUTO
-+-+ 00 -+>909=-* -> 0>0'-+* 9-A=-8>> - +9,09*
9- +6-,,B+.
A=-8>> 6'80 (5!#) A=-8>> 6>0? (1)A=-8>> +8- (3!7 ) A=-8>> +9>0+ A=-8>>-- (1). L0 9-+6,0,B+ 9- -0 *0 -=-,- --0>0 0 0? 9- -9* '0,* ',*'*6*>B8,*.
DETECCION
DE AC
<ALDETECCIO
N DE AGPCR
D E T E C C I %
N
GA LA C T O MA
NA
-+ -* 9- Q 1
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.TRATAMIENTO:
DESOICOLATO :1! 15 MGLIPIDICA: 3!5 MG"G
2! $ MG"GNO MENOSDE 12 M.
2OO MG"12HEV: MG"G 12H.S-890 9- $'8"8 12H.
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