{"id":1860,"date":"2008-01-19T09:23:16","date_gmt":"2008-01-19T13:23:16","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=1860"},"modified":"2008-01-19T09:23:16","modified_gmt":"2008-01-19T13:23:16","slug":"caso-para-diagnostico-1","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/1860","title":{"rendered":"Caso para diagn\u00f3stico 1"},"content":{"rendered":"<p><strong>Bolet\u00edn N&ordm; 36 | Enero, 09-2008<\/strong><br \/> <strong>Caso cl\u00ednico presentado por:&nbsp;<\/strong><br \/> <strong>Dr Gary Sterba<br \/> Reumat\u00f3logo Pediatra<br \/> Hospital de Cl\u00ednica Caracas<\/strong><\/p>\n<p>Breve resumen de la historia cl\u00ednica <\/p>\n<p>Se presenta el caso de un paciente de 19 meses de edad quien inicia su enfermedad con el diagn\u00f3stico de oto mastoiditis bacteriana y recibe tratamiento con una cefalosporina desarrollando fiebre elevada, un eritema generalizado y edema generalizado y se ingresa a la unidad de cuidados intensivos.<\/p>\n<p><!--more--> <\/p>\n<p><strong>2) Examen f\u00edsico&nbsp; <\/strong> <\/p>\n<p>En malas condiciones generales, presenta un eritema generalizado. Hepato-esplenomegalia <\/p>\n<p><strong>3) Fotos cl\u00ednicas e histopatol\u00f3gicas<\/strong><\/p>\n<table border=\"0\" cellspacing=\"2\" cellpadding=\"2\" width=\"400\">\n<tr>\n<td><a href=\"http:\/\/dermatologiapediatrica.net\/portal\/images\/stories\/casos\/36\/foto1.jpg\"><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/dermatologiapediatrica.net\/portal\/images\/stories\/casos\/36\/thumbnails\/thumb_foto1.jpg\" alt=\"foto1\" title=\"foto1\" width=\"200\" height=\"99\" align=\"left\" \/><\/a><\/td>\n<td><a href=\"http:\/\/dermatologiapediatrica.net\/portal\/images\/stories\/casos\/36\/foto2.jpg\"><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/dermatologiapediatrica.net\/portal\/images\/stories\/casos\/36\/thumbnails\/thumb_foto2.jpg\" alt=\"foto2\" title=\"foto2\" width=\"200\" height=\"100\" align=\"left\" \/><\/a><\/td>\n<\/tr>\n<tr>\n<td><a href=\"http:\/\/dermatologiapediatrica.net\/portal\/images\/stories\/casos\/36\/foto3.jpg\"><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/dermatologiapediatrica.net\/portal\/images\/stories\/casos\/36\/thumbnails\/thumb_foto3.jpg\" alt=\"foto3\" title=\"foto3\" width=\"200\" height=\"109\" align=\"left\" \/><\/a><\/td>\n<td><a href=\"http:\/\/dermatologiapediatrica.net\/portal\/images\/stories\/casos\/36\/foto4.jpg\"><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/dermatologiapediatrica.net\/portal\/images\/stories\/casos\/36\/thumbnails\/thumb_foto4.jpg\" alt=\"foto4\" title=\"foto4\" width=\"200\" height=\"107\" align=\"left\" \/><\/a><\/td>\n<\/tr>\n<tr>\n<td><a href=\"http:\/\/dermatologiapediatrica.net\/portal\/images\/stories\/casos\/36\/foto5.jpg\"><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/dermatologiapediatrica.net\/portal\/images\/stories\/casos\/36\/thumbnails\/thumb_foto5.jpg\" alt=\"foto5\" title=\"foto5\" width=\"200\" height=\"150\" align=\"left\" \/><\/a><\/td>\n<td><a href=\"http:\/\/dermatologiapediatrica.net\/portal\/images\/stories\/casos\/36\/foto6.jpg\"><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/dermatologiapediatrica.net\/portal\/images\/stories\/casos\/36\/thumbnails\/thumb_foto6.jpg\" alt=\"foto6\" title=\"foto6\" width=\"200\" height=\"150\" align=\"left\" \/><\/a><\/td>\n<\/tr>\n<tr>\n<td><a href=\"http:\/\/dermatologiapediatrica.net\/portal\/images\/stories\/casos\/36\/foto7.jpg\"><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/dermatologiapediatrica.net\/portal\/images\/stories\/casos\/36\/thumbnails\/thumb_foto7.jpg\" alt=\"foto7\" title=\"foto7\" width=\"200\" height=\"150\" align=\"left\" \/><\/a><\/td>\n<td>&nbsp;<\/td>\n<\/tr>\n<\/table>\n<p><strong>&nbsp;4) Ex\u00e1menes complementarios <\/strong> <\/p>\n<ul>\n<li>Serolog\u00eda positiva para EB virus<\/li>\n<\/ul>\n<ul>\n<li>ingreso a terapia intensiva<\/li>\n<\/ul>\n<p> HB 8.8 gr\/dl Leucocitos&nbsp;&nbsp; 9.800&nbsp;&nbsp; Plaquetas 100.000. VSG 10 , PT y PTT prolongado.&nbsp; fibrinogeno 242 g \/ dl.&nbsp; ALT 78mg\/ dl., AST 80mg\/dl. <\/p>\n<ul>\n<li>Y al egreso de terapia intensiva<\/li>\n<\/ul>\n<p> &nbsp;HB 11.8 gr\/dl , Leucocitos&nbsp;&nbsp;&nbsp; 23.800&nbsp; Plaquetas 180.000. VSG 80&nbsp; PT y PTT prolongado, fibrin\u00f3geno 542 g \/ dl. ALT 76mg\/ dl. AST 80mg\/dl. <\/p>\n<p><strong><a href=\"http:\/\/dermatologiapediatrica.net\/portal\/component\/option,com_contact\/task,view\/contact_id,1\/Itemid,50\/\"> cu\u00e1l ser\u00eda su diagn\u00f3stico, conducta y tratamiento?<\/a> .<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Bolet\u00edn N&ordm; 36 | Enero, 09-2008 Caso cl\u00ednico presentado por:&nbsp; Dr Gary Sterba Reumat\u00f3logo Pediatra Hospital de Cl\u00ednica Caracas Breve resumen de la historia cl\u00ednica Se presenta el caso de un paciente de 19 meses de edad quien inicia su enfermedad con el diagn\u00f3stico de oto mastoiditis bacteriana y recibe tratamiento con una cefalosporina desarrollando &hellip;<\/p>\n","protected":false},"author":11,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[20],"tags":[],"class_list":["post-1860","post","type-post","status-publish","format-standard","","category-dermatologia-pediatrica"],"_links":{"self":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/1860","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/users\/11"}],"replies":[{"embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/comments?post=1860"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/1860\/revisions"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=1860"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=1860"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=1860"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}