{"id":25736,"date":"2023-08-31T09:20:00","date_gmt":"2023-08-31T07:20:00","guid":{"rendered":"https:\/\/www.icscyl.com\/mileon\/?p=25736"},"modified":"2023-08-30T06:29:18","modified_gmt":"2023-08-30T04:29:18","slug":"sesion-clinica-25-2023-otitis-externa-maligna-por-aspergillus-spa","status":"publish","type":"post","link":"https:\/\/www.icscyl.com\/mileon\/sesiones-clinicas\/2023-08-31\/sesion-clinica-25-2023-otitis-externa-maligna-por-aspergillus-spa\/","title":{"rendered":"Sesi\u00f3n cl\u00ednica 25\/2023: Otitis externa maligna por Aspergillus spa"},"content":{"rendered":"<div class=\"wp-block-image\">\n<figure class=\"alignright size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.icscyl.com\/mileon\/wp-content\/uploads\/2023\/08\/labyrinth-2037286_640.jpg\" alt=\"\" class=\"wp-image-25738\" width=\"191\" height=\"100\" srcset=\"https:\/\/www.icscyl.com\/mileon\/wp-content\/uploads\/2023\/08\/labyrinth-2037286_640.jpg 640w, https:\/\/www.icscyl.com\/mileon\/wp-content\/uploads\/2023\/08\/labyrinth-2037286_640-300x157.jpg 300w, https:\/\/www.icscyl.com\/mileon\/wp-content\/uploads\/2023\/08\/labyrinth-2037286_640-624x326.jpg 624w\" sizes=\"auto, (max-width: 191px) 100vw, 191px\" \/><\/figure>\n<\/div>\n\n\n<p>El 19 de Julio la sesi\u00f3n cl\u00ednica trataba sobre un paciente ingresado en ORL por otitis infecciosa con mala evoluci\u00f3n por el que se realizaba consulta al equipo de Infecciosas de nuestro servicio. La Dra. Sevilla (R1 de Medicina Interna) realiz\u00f3 el diagn\u00f3stico diferencial y plante\u00f3 las pruebas a solicitar para intentar filiar la causa del proceso. A continuaci\u00f3n el Dr. Guerra resolvi\u00f3 el caso, planteando la disyuntiva sobre si el el problema era un diagn\u00f3stico incorrecto o bien un tratamiento inadecuado. Las pruebas iniciales apuntaban a una infecci\u00f3n por Candida, pero la evoluci\u00f3n fue desfavorable y en nuevas muestras creci\u00f3 Aspergillus spa, recibiendo traatmiento con Isavuconazol y posteriormente Voriconazol durante 20 meses con resoluci\u00f3n del cuadro. Su presentaci\u00f3n conjunta est\u00e1 disponible a continuaci\u00f3n.<\/p>\n\n\n\n<div class=\"wp-block-file\"><a id=\"wp-block-file--media-78794374-1f8f-4f58-a2de-999453217339\" href=\"https:\/\/www.icscyl.com\/mileon\/wp-content\/uploads\/2023\/08\/Dres-Sevilla-Guerra-sesclin-Jul23.pdf\">Dres-Sevilla-Guerra-sesclin-Jul23<\/a><a href=\"https:\/\/www.icscyl.com\/mileon\/wp-content\/uploads\/2023\/08\/Dres-Sevilla-Guerra-sesclin-Jul23.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-78794374-1f8f-4f58-a2de-999453217339\">Descarga<\/a><\/div>\n","protected":false},"excerpt":{"rendered":"<p>El 19 de Julio la sesi\u00f3n cl\u00ednica trataba sobre un paciente ingresado en ORL por otitis infecciosa con mala evoluci\u00f3n por el que se realizaba consulta al equipo de Infecciosas de nuestro servicio. La Dra. Sevilla (R1 de Medicina Interna) realiz\u00f3 el diagn\u00f3stico diferencial y plante\u00f3 las pruebas a solicitar para intentar filiar la causa [&hellip;]<\/p>\n","protected":false},"author":4,"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":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[723],"tags":[861,1133],"class_list":["post-25736","post","type-post","status-publish","format-standard","hentry","category-sesiones-clinicas","tag-guerra","tag-sevilla"],"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\/25736","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\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/comments?post=25736"}],"version-history":[{"count":0,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/posts\/25736\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/media?parent=25736"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/categories?post=25736"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/tags?post=25736"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}