{"id":25783,"date":"2012-04-13T00:48:33","date_gmt":"2012-04-13T05:18:33","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=25783"},"modified":"2012-04-14T11:50:38","modified_gmt":"2012-04-14T16:20:38","slug":"caso-clinico-edicion-309","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/25783","title":{"rendered":"Paciente con manifestaci\u00f3n de SIDA y meningitis criptococcica"},"content":{"rendered":"<p><em><strong>Dra. Patricia Chang<\/strong><\/em><br \/><span style=\"font-size: x-small;\"><em><strong>Servicio Dermatolog\u00eda<\/strong><\/em><\/span><br \/><span style=\"font-size: x-small;\"><em><strong>Hospital General de Enfermedades IGSS<\/strong><\/em><\/span><\/p>\n<ul>\n<li>Masculino. 28 a\u00f1os de edad<\/li>\n<li>A. familiares neg<\/li>\n<li>A. personales neg<\/li>\n<li>Lesiones cut\u00e1neas no puede precisar por estar inconsciente<\/li>\n<li>Hospitalizado por criptococosis men\u00edngea,que fue su 1\u00aa manifestaci\u00f3n de SIDA<\/li>\n<li>3 dermatosis A-B-C\u00a0<\/li>\n<\/ul>\n<p><!--more--><\/p>\n<p>\u00a0Paciente inicio su manifestaci\u00f3n de SIDA con meningitis criptococcica, en malas condiciones generales y desorientado.<\/p>\n<div id='gallery-1' class='gallery galleryid-25783 gallery-columns-3 gallery-size-thumbnail'><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2012\/04\/Slide08.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2012\/04\/Slide08-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2012\/04\/Slide08-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2012\/04\/Slide08-290x290.jpg 290w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2012\/04\/Slide08-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2012\/04\/Slide07.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2012\/04\/Slide07-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2012\/04\/Slide07-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2012\/04\/Slide07-290x290.jpg 290w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2012\/04\/Slide07-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2012\/04\/Slide06.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2012\/04\/Slide06-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2012\/04\/Slide06-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2012\/04\/Slide06-290x290.jpg 290w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2012\/04\/Slide06-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2012\/04\/Slide05.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2012\/04\/Slide05-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2012\/04\/Slide05-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2012\/04\/Slide05-290x290.jpg 290w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2012\/04\/Slide05-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2012\/04\/Slide04.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2012\/04\/Slide04-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2012\/04\/Slide04-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2012\/04\/Slide04-290x290.jpg 290w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2012\/04\/Slide04-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2012\/04\/Slide03.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2012\/04\/Slide03-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2012\/04\/Slide03-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2012\/04\/Slide03-290x290.jpg 290w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2012\/04\/Slide03-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure>\n\t\t<\/div>\n\n<p>Le iniciaron tx con:<\/p>\n<ul>\n<li>Anfotericina B<\/li>\n<li>Tenofovir 300 mg\/d<\/li>\n<li>LamiduvinA 150 mg c\/ 12 hrs.<\/li>\n<li>Lopinavir\/ritonavir 200 mg\/50 mg<\/li>\n<li>Trimetropin sulfametoxazole 960\/180 c\/24 hrs<\/li>\n<li><strong>Anfotericina B 50 mg IV C\/24hrs<\/strong><\/li>\n<li><strong>Manitol 12.5 gr IV c\/|2 hrs<\/strong><\/li>\n<li><strong>Fenitoina 100 mg IV cada 8 hrs<\/strong><\/li>\n<\/ul>\n<p><strong>TRES DERMATOSIS FAVORECIDAS POR SU INMUNODEPRESION:<\/strong><\/p>\n<ul>\n<li>M\u00faltiples moluscos contagiosos<\/li>\n<li>Condilomas acuminados<\/li>\n<li>Herpes zoster at\u00edpico y en las 2 extremidades inferiores<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p> Paciente inicio su manifestaci\u00f3n de SIDA con meningitis criptococcica, en malas condiciones generales y desorientado.<\/p>\n","protected":false},"author":47,"featured_media":25784,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11,258],"tags":[],"class_list":["post-25783","post","type-post","status-publish","format-standard","has-post-thumbnail","","category-secciones-de-colaboradores","category-los-casos-de-patricia"],"_links":{"self":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/25783","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\/47"}],"replies":[{"embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/comments?post=25783"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/25783\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media\/25784"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=25783"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=25783"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=25783"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}