{"id":5249,"date":"2008-12-05T23:16:29","date_gmt":"2008-12-06T03:16:29","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=5249"},"modified":"2008-12-05T23:24:46","modified_gmt":"2008-12-06T03:24:46","slug":"consulte-a-un-colega-n3-vulvitis-herpetica-primoinfeccion","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/5249","title":{"rendered":"Consulte a un Colega N\u00ba3: Vulvitis Herpetica (primoinfecci\u00f3n)"},"content":{"rendered":"<p><em><strong>&nbsp;Dr. Elvia V\u00e1squez, Patxi Aristoi , (Gineco-obstetras) <br \/>\nCl\u00ednica Sanatrix y Hospital de Cl\u00ednicas Caracas<\/strong><\/em><\/p>\n<p>Paciente femenina de 30 a\u00f1os quien consulta por presentar vulvitis con leucorrea en reques\u00f3n por lo cual se indica terapia antimicotica para candida albicans, d\u00edas despu\u00e9s en lugar de mejorar refiere intenso dolor, disuria y aparici\u00f3n de m\u00faltiples ves\u00edculas diseminadas con&nbsp; centro necrotico,&#8230;<\/p>\n<p><!--more--><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/12\/5-12-2008-013.jpg\"><img loading=\"lazy\" decoding=\"async\" height=\"225\" width=\"300\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/12\/5-12-2008-013-300x225.jpg\" alt=\"\" title=\"5-12-2008-013\" class=\"alignnone size-medium wp-image-5250\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/12\/5-12-2008-013-300x225.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/12\/5-12-2008-013.jpg 640w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p>se realiza test de tzanck apreciando m\u00faltiples c\u00e9lulas gigantes m\u00faltinucleadas, resto de ex\u00e1menes paracl\u00ednicos incluyendo serologia para lues y HIV negativa. No antecedente de herpes genital previo. Se hospitaliza para instaurar tratamiento con aciclovir IV a raz\u00f3n de 5 mg Kg-p cada 8 horas por seis dosis y luego se pasa a v\u00eda oral Valaciclovir 1 gr cada 8 horas por 8 d\u00edas mas. Localmente pincelaciones con Violeta genciana. Respuesta al tratamiento satisfactoria<\/p>\n<p>Preguntas: Este tratamiento servir\u00e1 para \u00bf;evitar el Herpes genital recidivante?<\/p>\n<p>\u00bf;Qu\u00e9 puede hacerse para evitar \u00e9ste?<\/p>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp;Dr. Elvia V\u00e1squez, Patxi Aristoi , (Gineco-obstetras) Cl\u00ednica Sanatrix y Hospital de Cl\u00ednicas Caracas Paciente femenina de 30 a\u00f1os quien consulta por presentar vulvitis con leucorrea en reques\u00f3n por lo cual se indica terapia antimicotica para candida albicans, d\u00edas despu\u00e9s en lugar de mejorar refiere intenso dolor, disuria y aparici\u00f3n de m\u00faltiples ves\u00edculas diseminadas con&nbsp; &hellip;<\/p>\n","protected":false},"author":16,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[25],"tags":[261],"class_list":["post-5249","post","type-post","status-publish","format-standard","","category-consulte-a-un-colega","tag-vulvitis-herpetica"],"_links":{"self":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/5249","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\/16"}],"replies":[{"embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/comments?post=5249"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/5249\/revisions"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=5249"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=5249"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=5249"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}