{"id":26730,"date":"2025-07-08T09:42:00","date_gmt":"2025-07-08T07:42:00","guid":{"rendered":"https:\/\/www.icscyl.com\/mileon\/?p=26730"},"modified":"2025-07-06T16:44:41","modified_gmt":"2025-07-06T14:44:41","slug":"sesion-clinica-14-2025-neumonia-por-legionella-y-rabdomiolisis-asociada","status":"publish","type":"post","link":"https:\/\/www.icscyl.com\/mileon\/sesiones-clinicas\/2025-07-08\/sesion-clinica-14-2025-neumonia-por-legionella-y-rabdomiolisis-asociada\/","title":{"rendered":"Sesi\u00f3n cl\u00ednica 14\/2025: Neumon\u00eda por Legionella y rabdomiolisis asociada"},"content":{"rendered":"<div class=\"wp-block-image\">\n<figure class=\"alignright size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"640\" height=\"323\" src=\"https:\/\/www.icscyl.com\/mileon\/wp-content\/uploads\/2023\/01\/puzzle-g0a1bfbd3e_640.jpg\" alt=\"\" class=\"wp-image-25379\" style=\"width:193px;height:auto\" srcset=\"https:\/\/www.icscyl.com\/mileon\/wp-content\/uploads\/2023\/01\/puzzle-g0a1bfbd3e_640.jpg 640w, https:\/\/www.icscyl.com\/mileon\/wp-content\/uploads\/2023\/01\/puzzle-g0a1bfbd3e_640-300x151.jpg 300w, https:\/\/www.icscyl.com\/mileon\/wp-content\/uploads\/2023\/01\/puzzle-g0a1bfbd3e_640-624x315.jpg 624w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><\/figure>\n<\/div>\n\n\n<p>La neumon\u00eda por Legionella pneumophila es bien conocida por su presentaci\u00f3n at\u00edpica y su capacidad para generar cuadros cl\u00ednicos graves. En la sesi\u00f3n cl\u00ednica del pasado 11 de junio de 2025, la Dra. Paloma G\u00e1ndara Lema (R3 de Medicina Interna) realiz\u00f3 el diagn\u00f3stico diferencial de un paciente con cuadro de mialgias, disnea y s\u00edndrome confusi\u00f3nal y datos anal\u00edticos de rabdomiolisis severa e insuficiencia renal aguda grave, junto con condensaci\u00f3n en base pulmonar derecha. La soluci\u00f3n la aport\u00f3 el Dr. Quiroga, que coment\u00f3 en la discusi\u00f3n del caso el papel de la predisposici\u00f3n gen\u00e9tica, dado que la herman del paciente presentaba una rara combinaci\u00f3n de enfermedades autoinmunes y miopat\u00eda hereditaria, lo que plantea la posibilidad de un sustrato gen\u00e9tico subyacente. El enlace para la descarga de la presentaci\u00f3n se encuentra a continuaci\u00f3n.<\/p>\n\n\n\n<div class=\"wp-block-file\"><a id=\"wp-block-file--media-e40f9bbc-c2b4-4c9c-bb5e-47b0e8dc8f6c\" href=\"https:\/\/www.icscyl.com\/mileon\/wp-content\/uploads\/2025\/07\/Dres-Gandara-y-Quiroga-sesclin-Jun25.pdf\">Dres Gandara y Quiroga sesclin Jun25<\/a><a href=\"https:\/\/www.icscyl.com\/mileon\/wp-content\/uploads\/2025\/07\/Dres-Gandara-y-Quiroga-sesclin-Jun25.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-e40f9bbc-c2b4-4c9c-bb5e-47b0e8dc8f6c\">Descarga<\/a><\/div>\n","protected":false},"excerpt":{"rendered":"<p>La neumon\u00eda por Legionella pneumophila es bien conocida por su presentaci\u00f3n at\u00edpica y su capacidad para generar cuadros cl\u00ednicos graves. En la sesi\u00f3n cl\u00ednica del pasado 11 de junio de 2025, la Dra. Paloma G\u00e1ndara Lema (R3 de Medicina Interna) realiz\u00f3 el diagn\u00f3stico diferencial de un paciente con cuadro de mialgias, disnea y s\u00edndrome confusi\u00f3nal [&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":[1134,983],"class_list":["post-26730","post","type-post","status-publish","format-standard","hentry","category-sesiones-clinicas","tag-gandara","tag-quiroga"],"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\/26730","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=26730"}],"version-history":[{"count":1,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/posts\/26730\/revisions"}],"predecessor-version":[{"id":26732,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/posts\/26730\/revisions\/26732"}],"wp:attachment":[{"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/media?parent=26730"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/categories?post=26730"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/tags?post=26730"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}