{"id":13578,"date":"2019-02-04T23:27:36","date_gmt":"2019-02-04T22:27:36","guid":{"rendered":"https:\/\/mileon.wordpress.com\/?p=13578"},"modified":"2019-02-04T23:27:36","modified_gmt":"2019-02-04T22:27:36","slug":"solucion-al-caso-del-23-de-enero","status":"publish","type":"post","link":"https:\/\/www.icscyl.com\/mileon\/sesiones-clinicas\/2019-02-04\/solucion-al-caso-del-23-de-enero\/","title":{"rendered":"Sesi\u00f3n cl\u00ednica 3\/2019: Infecci\u00f3n diseminada por MAI y s\u00edndrome hemofagoc\u00edtico"},"content":{"rendered":"\n<div class=\"wp-block-image\"><figure class=\"alignright is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/mileon.files.wordpress.com\/2019\/02\/imagen1.png?w=776\" alt=\"\" class=\"wp-image-13579\" width=\"194\" height=\"137\" \/><\/figure><\/div>\n\n\n<p>Recordamos que el caso lo presentaba el Dr. Manuel Mart\u00edn, R3 de nuestro Servicio. Se trataba de una mujer joven, con infecci\u00f3n por VIH no controlada, que ingresaba por una neumon\u00eda comunitaria con derrame metaneum\u00f3nico y que pese a realizar un tratamiento correcto continuaba con mala evoluci\u00f3n. En la presentaci\u00f3n se plantean las posibilidades de un origen neopl\u00e1sico, infeccioso oportunista o de otra etiolog\u00eda. Se discute tambi\u00e9n la posibilidad de un sdre. hemofagoc\u00edtico con diferentes alternativas etiol\u00f3gicas. En la soluci\u00f3n del caso se presentan los diagn\u00f3sticos que fueron apareciendo de forma progresiva: infecci\u00f3n diseminada por MAI, sdre. hemofagoc\u00edtico con actividad NK absolutamente abolida y retinitis por CMV.<\/p>\n\n\n<p>Para ver la presentaci\u00f3n completa <a href=\"https:\/\/mileon2.files.wordpress.com\/2019\/02\/caso_23_mmr.pdf\">pinchar AQU\u00cd<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Recordamos que el caso lo presentaba el Dr. Manuel Mart\u00edn, R3 de nuestro Servicio. Se trataba de una mujer joven, con infecci\u00f3n por VIH no controlada, que ingresaba por una neumon\u00eda comunitaria con derrame metaneum\u00f3nico y que pese a realizar un tratamiento correcto continuaba con mala evoluci\u00f3n. En la presentaci\u00f3n se plantean las posibilidades de [&hellip;]<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[723],"tags":[861],"class_list":["post-13578","post","type-post","status-publish","format-standard","hentry","category-sesiones-clinicas","tag-guerra"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"post_mailing_queue_ids":[],"_links":{"self":[{"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/posts\/13578","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/comments?post=13578"}],"version-history":[{"count":0,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/posts\/13578\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/media?parent=13578"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/categories?post=13578"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/tags?post=13578"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}