{"id":8554,"date":"2015-07-10T11:23:23","date_gmt":"2015-07-10T10:23:23","guid":{"rendered":"https:\/\/mileon.wordpress.com\/?p=8554"},"modified":"2015-07-10T11:23:23","modified_gmt":"2015-07-10T10:23:23","slug":"sesion-clinica-192015-tuberculosis-diseminada","status":"publish","type":"post","link":"https:\/\/www.icscyl.com\/mileon\/sesiones-clinicas\/2015-07-10\/sesion-clinica-192015-tuberculosis-diseminada\/","title":{"rendered":"Sesi\u00f3n cl\u00ednica 19\/2015: tuberculosis diseminada."},"content":{"rendered":"<p style=\"text-align:justify;\"><img loading=\"lazy\" decoding=\"async\" class=\"alignright  wp-image-8555\" src=\"https:\/\/mileon.files.wordpress.com\/2015\/07\/imagen2.jpg?w=300\" alt=\"imagen\" width=\"181\" height=\"129\" \/>Mujer de 42 a\u00f1os de edad con infecci\u00f3n VIH (no sigue tratamiento) e hipotiroidismo, que presenta fiebre, tos con expectoraci\u00f3n purulenta e hipertrofia amigdalar unilateral junto peque\u00f1as adenopat\u00edas perif\u00e9ricas. Adem\u00e1s reactantes de fase aguda elevados.<br \/>\nEl diagnostico diferencial lo hizo la Dra. Mari Cruz P\u00e9rez Panizo (R5 MI) y se puede ver en este\u00a0<a href=\"https:\/\/drive.google.com\/file\/d\/0BxXYCqMXR4ZabnV0Slgxb183M2c\/view?usp=sharing\">enlace.<\/a><br \/>\nLa soluci\u00f3n la dio el Dr. Jose Antonio Carro Alonso (adjunto MI). Los estudios radiol\u00f3gicos se pueden ver <a href=\"https:\/\/drive.google.com\/file\/d\/0BxXYCqMXR4ZabEFiT2RkM0hjRjA\/view?usp=sharing\">aqu\u00ed.<\/a>\u00a0El mantoux fue positivo. La baciloscopia y cultivo de esputo fueron positivos para M. tuberculosis. La biopsia amigdalar mostr\u00f3 granulomas necrotizantes (no se cultiv\u00f3). En TAC abdominal se vio lesi\u00f3n l\u00edtica \u00f3sea en pelvis y absceso adyacente (su cultivo tambi\u00e9n fue positivo). tras instaurar tratamiento con 4 f\u00e1rmacos la evoluci\u00f3n fue favorable aunque lenta por persistencia de la fiebre.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Mujer de 42 a\u00f1os de edad con infecci\u00f3n VIH (no sigue tratamiento) e hipotiroidismo, que presenta fiebre, tos con expectoraci\u00f3n purulenta e hipertrofia amigdalar unilateral junto peque\u00f1as adenopat\u00edas perif\u00e9ricas. Adem\u00e1s reactantes de fase aguda elevados. El diagnostico diferencial lo hizo la Dra. Mari Cruz P\u00e9rez Panizo (R5 MI) y se puede ver en este\u00a0enlace. La [&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":[],"class_list":["post-8554","post","type-post","status-publish","format-standard","hentry","category-sesiones-clinicas"],"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\/8554","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=8554"}],"version-history":[{"count":0,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/posts\/8554\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/media?parent=8554"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/categories?post=8554"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/tags?post=8554"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}