{"id":26566,"date":"2025-03-07T10:06:00","date_gmt":"2025-03-07T09:06:00","guid":{"rendered":"https:\/\/www.icscyl.com\/mileon\/?p=26566"},"modified":"2025-03-27T14:35:52","modified_gmt":"2025-03-27T13:35:52","slug":"sesion-clinica-2-2025-hemolisis-severa-secundaria-a-bacteriemia-por-clostridium-perfringes","status":"publish","type":"post","link":"https:\/\/www.icscyl.com\/mileon\/sesiones-clinicas\/2025-03-07\/sesion-clinica-2-2025-hemolisis-severa-secundaria-a-bacteriemia-por-clostridium-perfringes\/","title":{"rendered":"Sesi\u00f3n cl\u00ednica 2\/2025: hem\u00f3lisis severa secundaria a bacteriemia por Clostridium perfringes"},"content":{"rendered":"<div class=\"wp-block-image\">\n<figure class=\"alignright size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"640\" height=\"640\" src=\"https:\/\/www.icscyl.com\/mileon\/wp-content\/uploads\/2022\/09\/question-mark-gff1911057_640.jpg\" alt=\"\" class=\"wp-image-25294\" style=\"width:136px;height:auto\" srcset=\"https:\/\/www.icscyl.com\/mileon\/wp-content\/uploads\/2022\/09\/question-mark-gff1911057_640.jpg 640w, https:\/\/www.icscyl.com\/mileon\/wp-content\/uploads\/2022\/09\/question-mark-gff1911057_640-300x300.jpg 300w, https:\/\/www.icscyl.com\/mileon\/wp-content\/uploads\/2022\/09\/question-mark-gff1911057_640-150x150.jpg 150w, https:\/\/www.icscyl.com\/mileon\/wp-content\/uploads\/2022\/09\/question-mark-gff1911057_640-624x624.jpg 624w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><\/figure>\n<\/div>\n\n\n<p>Cerramos la semana con otro caso presentado el pasado 19 de Febrero que trataba sobre un paciente con deterioro general y fiebre, que ingresaba en planta por una supuesta infecci\u00f3n urinaria. En la exploraci\u00f3n destacaba ictericia y marcada colestasis disociada junto con elevaci\u00f3n de LDH, presentando adem\u00e1s una evoluci\u00f3n r\u00e1pidamente desfavorable. El diagn\u00f3stico diferencial fue realizado por la Dra. G\u00e1ndara (R2 de Medicina Interna) que repas\u00f3 las posible causas que justificaban la situaci\u00f3n del paciente, centr\u00e1ndose en el diagn\u00f3stico diferencial de la hem\u00f3lisis. A continuaci\u00f3n la Dra. Li\u00f1\u00e1n, coment\u00f3 la evoluci\u00f3n del paciente que fue trasladado a UCI tras sufrir una parada respiratoria en planta, falleciendo a las 4 horas del traslado, as\u00ed como los hallazgos microbiol\u00f3gicos de las pruebas practicadas durante el ingreso.<\/p>\n\n\n\n<div class=\"wp-block-file\"><a id=\"wp-block-file--media-f200af57-60bb-4065-b85a-906e2e7f33d0\" href=\"https:\/\/www.icscyl.com\/mileon\/wp-content\/uploads\/2025\/03\/Dras-Gandara-y-Linan-sesclin-Feb25.pdf\">Dras Gandara y Linan sesclin Feb25<\/a><a href=\"https:\/\/www.icscyl.com\/mileon\/wp-content\/uploads\/2025\/03\/Dras-Gandara-y-Linan-sesclin-Feb25.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-f200af57-60bb-4065-b85a-906e2e7f33d0\">Descarga<\/a><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Cerramos la semana con otro caso presentado el pasado 19 de Febrero que trataba sobre un paciente con deterioro general y fiebre, que ingresaba en planta por una supuesta infecci\u00f3n urinaria. En la exploraci\u00f3n destacaba ictericia y marcada colestasis disociada junto con elevaci\u00f3n de LDH, presentando adem\u00e1s una evoluci\u00f3n r\u00e1pidamente desfavorable. El diagn\u00f3stico diferencial fue [&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":[1134,900],"class_list":["post-26566","post","type-post","status-publish","format-standard","hentry","category-sesiones-clinicas","tag-gandara","tag-linan"],"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\/26566","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=26566"}],"version-history":[{"count":2,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/posts\/26566\/revisions"}],"predecessor-version":[{"id":26580,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/posts\/26566\/revisions\/26580"}],"wp:attachment":[{"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/media?parent=26566"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/categories?post=26566"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/tags?post=26566"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}