{"id":26612,"date":"2025-04-14T09:34:00","date_gmt":"2025-04-14T07:34:00","guid":{"rendered":"https:\/\/www.icscyl.com\/mileon\/?p=26612"},"modified":"2025-04-13T21:42:50","modified_gmt":"2025-04-13T19:42:50","slug":"sesion-clinica-3-2025-fiebre-y-masa-pulmonar-secundaria-a-tularemia","status":"publish","type":"post","link":"https:\/\/www.icscyl.com\/mileon\/sesiones-clinicas\/2025-04-14\/sesion-clinica-3-2025-fiebre-y-masa-pulmonar-secundaria-a-tularemia\/","title":{"rendered":"Sesi\u00f3n cl\u00ednica 3\/2025: fiebre y masa pulmonar secundaria a tularemia"},"content":{"rendered":"<div class=\"wp-block-image\">\n<figure class=\"alignright size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"640\" height=\"480\" src=\"https:\/\/www.icscyl.com\/mileon\/wp-content\/uploads\/2023\/03\/brain-gcd213b66a_640.png\" alt=\"\" class=\"wp-image-25515\" style=\"width:158px;height:auto\" srcset=\"https:\/\/www.icscyl.com\/mileon\/wp-content\/uploads\/2023\/03\/brain-gcd213b66a_640.png 640w, https:\/\/www.icscyl.com\/mileon\/wp-content\/uploads\/2023\/03\/brain-gcd213b66a_640-300x225.png 300w, https:\/\/www.icscyl.com\/mileon\/wp-content\/uploads\/2023\/03\/brain-gcd213b66a_640-624x468.png 624w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><\/figure>\n<\/div>\n\n\n<p>El pasado 5 de marzo, los doctores Jes\u00fas Ernesto Rodr\u00edguez Garc\u00eda (R1 de Medicina Interna) y Luis Antonio Marcos Mart\u00ednez (adjunto de Medicina Interna) presentaron una interesante sesi\u00f3n cl\u00ednica centrada en un caso de fiebre persistente con masa pulmonar en un paciente de medio rural leon\u00e9s, que finalmente fue diagnosticado de tularemia. El paciente consult\u00f3 por fiebre de m\u00e1s de 10 d\u00edas de evoluci\u00f3n, sudoraci\u00f3n nocturna y astenia; en la anal\u00edtica presentaba marcadores inflamatorios elevados y en la radiograf\u00eda de t\u00f3rax una masa pulmonar sugestiva inicialmente de neoplasia. Sin embargo, las serolog\u00edas revelaron positividad para tularemia y Coxiella, y la biopsia descart\u00f3 malignidad. El tratamiento con ciprofloxacino fue efectivo, con resoluci\u00f3n cl\u00ednica y radiol\u00f3gica completa<br>La tularemia es una zoonosis poco frecuente en nuestra pr\u00e1ctica cl\u00ednica, pero end\u00e9mica en Castilla y Le\u00f3n, transmitida por contacto con animales, agua o suelo contaminado. Su forma pulmonar puede simular un proceso tumoral como en este caso.<\/p>\n\n\n\n<p>Su presentaci\u00f3n se encuentra disponible a continuaci\u00f3n.<\/p>\n\n\n\n<div class=\"wp-block-file\"><a id=\"wp-block-file--media-8c5d4e52-e7ed-456b-9622-9c22b88650ab\" href=\"https:\/\/www.icscyl.com\/mileon\/wp-content\/uploads\/2025\/04\/Dres-Rodriguez-y-Marcos-sesclin-Mar25.pdf\">Dres Rodriguez y Marcos sesclin Mar25<\/a><a href=\"https:\/\/www.icscyl.com\/mileon\/wp-content\/uploads\/2025\/04\/Dres-Rodriguez-y-Marcos-sesclin-Mar25.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-8c5d4e52-e7ed-456b-9622-9c22b88650ab\">Descarga<\/a><\/div>\n","protected":false},"excerpt":{"rendered":"<p>El pasado 5 de marzo, los doctores Jes\u00fas Ernesto Rodr\u00edguez Garc\u00eda (R1 de Medicina Interna) y Luis Antonio Marcos Mart\u00ednez (adjunto de Medicina Interna) presentaron una interesante sesi\u00f3n cl\u00ednica centrada en un caso de fiebre persistente con masa pulmonar en un paciente de medio rural leon\u00e9s, que finalmente fue diagnosticado de tularemia. El paciente consult\u00f3 [&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":[1088,1174],"class_list":["post-26612","post","type-post","status-publish","format-standard","hentry","category-sesiones-clinicas","tag-marcos","tag-rodriguez-garcia"],"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\/26612","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=26612"}],"version-history":[{"count":1,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/posts\/26612\/revisions"}],"predecessor-version":[{"id":26614,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/posts\/26612\/revisions\/26614"}],"wp:attachment":[{"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/media?parent=26612"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/categories?post=26612"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/tags?post=26612"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}