{"id":6499,"date":"2013-08-14T16:48:17","date_gmt":"2013-08-14T15:48:17","guid":{"rendered":"http:\/\/mileon.wordpress.com\/?p=6499"},"modified":"2013-08-14T16:48:17","modified_gmt":"2013-08-14T15:48:17","slug":"solucion-caso-clinico-14-agosto-2013-espondilodiscitis-por-e-faecalis","status":"publish","type":"post","link":"https:\/\/www.icscyl.com\/mileon\/sesiones-clinicas\/2013-08-14\/solucion-caso-clinico-14-agosto-2013-espondilodiscitis-por-e-faecalis\/","title":{"rendered":"Soluci\u00f3n sesi\u00f3n cl\u00ednica 14 agosto 2013: espondilodiscitis por E. faecalis."},"content":{"rendered":"<p style=\"text-align:justify;\"><a href=\"https:\/\/mileon.files.wordpress.com\/2013\/08\/image1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignright size-full wp-image-6500\" alt=\"image\" src=\"https:\/\/mileon.files.wordpress.com\/2013\/08\/image1.jpg\" width=\"207\" height=\"229\" \/><\/a>El diagn\u00f3stico diferencial lo hizo la Dra. Cristina Ferrero Sanz (R2 MI). Recordamos brevemente el caso que trata de un var\u00f3n de 63 a\u00f1os con antecedentes de cardiopat\u00eda isqu\u00e9mica, timoma y hernia discal que presenta dolor lumbar cr\u00f3nico. En la anal\u00edtica hay leucocitosis, PCR alta y alteraciones en radiolog\u00eda de columna y TAC tor\u00e1cico.<br \/>\nSu presentaci\u00f3n se puede ver en el siguiente <strong><span style=\"color:#0000ff;\"><a href=\"https:\/\/docs.google.com\/file\/d\/0BxXYCqMXR4ZabzRfQXoxaDRLTlU\/edit?usp=sharing\"><span style=\"color:#0000ff;\">enlace.<\/span><\/a><\/span><\/strong><br \/>\nEl Dr. Luis Quiroga Prado (adjunto MI) aport\u00f3 la soluci\u00f3n. Los resultados y comentarios sobre el proceso se pueden descargar <strong><span style=\"color:#0000ff;\"><a href=\"https:\/\/docs.google.com\/file\/d\/0BxXYCqMXR4ZaS2tpc0NqWFNleW8\/edit?usp=sharing\"><span style=\"color:#0000ff;\">aqu\u00ed<\/span><\/a><\/span><\/strong>. Se realiz\u00f3 ecocardiograf\u00eda transesof\u00e1gica que no mostr\u00f3 signos de endocarditis y fue tratado con vancomicina y ciprofloxacino de forma secuencial dada la alergia a penicilina, durante 22 semanas. La evoluci\u00f3n fue favorable. Se habl\u00f3 en la sesi\u00f3n del posible mecanismo que desencaden\u00f3 la infecci\u00f3n.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>El diagn\u00f3stico diferencial lo hizo la Dra. Cristina Ferrero Sanz (R2 MI). Recordamos brevemente el caso que trata de un var\u00f3n de 63 a\u00f1os con antecedentes de cardiopat\u00eda isqu\u00e9mica, timoma y hernia discal que presenta dolor lumbar cr\u00f3nico. En la anal\u00edtica hay leucocitosis, PCR alta y alteraciones en radiolog\u00eda de columna y TAC tor\u00e1cico. Su [&hellip;]<\/p>\n","protected":false},"author":6,"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":[847,983],"class_list":["post-6499","post","type-post","status-publish","format-standard","hentry","category-sesiones-clinicas","tag-ferrero","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\/6499","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\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/comments?post=6499"}],"version-history":[{"count":0,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/posts\/6499\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/media?parent=6499"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/categories?post=6499"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/tags?post=6499"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}