{"id":6120,"date":"2009-01-30T09:17:11","date_gmt":"2009-01-30T13:17:11","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=6120"},"modified":"2009-01-31T13:45:30","modified_gmt":"2009-01-31T17:45:30","slug":"6120","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/6120","title":{"rendered":"223 Consulte a un Colega N\u00ba3."},"content":{"rendered":"<p>Presentado por Rolando Hern\u00e1ndez P\u00e9rez (m\u00e9dico dermat\u00f3logo), Carmen J. Bastidas Montilla (m\u00e9dico dermat\u00f3logo). Servicio de Dermatolog\u00eda, Hospital General \u201cDr. Luis Razetti\u201d, Barinas. Venezuela<\/p>\n<p>Paciente de 52 a\u00f1os de edad, procedente de Mantecal, Edo. Apure, oficios del hogar, con buen estado de salud hasta ahora, quien ingresa al servicio de Emergencia del Hospital General \u201cDr. Luis Razetti\u201d de Barinas por  debilidad en la hemicara derecha, (par\u00e1lisis facial perif\u00e9rica), disminuci\u00f3n apreciable de la audici\u00f3n derecha, nauseas, v\u00e9rtigo, y una erupci\u00f3n v\u00e9sico-ampollar con base eritematosa y muy dolorosa lineal (en forma de arco) desde el conducto auditivo externo (con compromiso de la membrana timp\u00e1nica), conducto auditivo derecho, mejilla, labio y mucosa de carrillo y mitad derecha de lengua, con 7 d\u00edas de evoluci\u00f3n;<\/p>\n<p><!--more--><\/p>\n<p>prurito intenso en pabell\u00f3n auricular y conducto auditivo externo homolateral; adem\u00e1s fiebre, confusi\u00f3n mental y dificultad para la marcha con desviaci\u00f3n de la misma.<\/p>\n<p>(Favor ver foto cl\u00ednicaDSCO1188.jpg-DSCO1189.jpg-DSCO1186-DSCO1187.jpg)<\/p>\n<figure id=\"attachment_6123\" aria-describedby=\"caption-attachment-6123\" style=\"width: 300px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/01\/dsc01188.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-6123\" title=\"dsc01188\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/01\/dsc01188-300x168.jpg\" alt=\"dsc01188\" width=\"300\" height=\"168\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/01\/dsc01188-300x168.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/01\/dsc01188.jpg 1024w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><figcaption id=\"caption-attachment-6123\" class=\"wp-caption-text\">dsc01188<\/figcaption><\/figure>\n<figure id=\"attachment_6121\" aria-describedby=\"caption-attachment-6121\" style=\"width: 300px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/01\/dsc01186.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-6121\" title=\"dsc01186\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/01\/dsc01186-300x168.jpg\" alt=\"dsc01186\" width=\"300\" height=\"168\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/01\/dsc01186-300x168.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/01\/dsc01186.jpg 1024w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><figcaption id=\"caption-attachment-6121\" class=\"wp-caption-text\">dsc01186<\/figcaption><\/figure>\n<figure id=\"attachment_6122\" aria-describedby=\"caption-attachment-6122\" style=\"width: 169px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/01\/dsc01187.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-6122\" title=\"dsc01187\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/01\/dsc01187-169x300.jpg\" alt=\"dsc01187\" width=\"169\" height=\"300\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/01\/dsc01187-169x300.jpg 169w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/01\/dsc01187.jpg 338w\" sizes=\"auto, (max-width: 169px) 100vw, 169px\" \/><\/a><figcaption id=\"caption-attachment-6122\" class=\"wp-caption-text\">dsc01187<\/figcaption><\/figure>\n<figure id=\"attachment_6125\" aria-describedby=\"caption-attachment-6125\" style=\"width: 300px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/01\/dsc01189.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-6125\" title=\"dsc01189\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/01\/dsc01189-300x168.jpg\" alt=\"dsc01189\" width=\"300\" height=\"168\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/01\/dsc01189-300x168.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/01\/dsc01189.jpg 1024w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><figcaption id=\"caption-attachment-6125\" class=\"wp-caption-text\">dsc01189<\/figcaption><\/figure>\n<p>Laboratorio convencional y RX de T\u00f3rax dentro de la normalidad.<\/p>\n<p>Citolog\u00eda de contenido de ampolla y coloraci\u00f3n giemsa (citodiagn\u00f3stico de Tzanck ) presencia de numerosas c\u00e9lulas gigantes multinucleadas con inclusi\u00f3n viral y formaci\u00f3n de sincicios(Favor ver foto N\u00baDSCOO216.jpg)<\/p>\n<figure id=\"attachment_6126\" aria-describedby=\"caption-attachment-6126\" style=\"width: 300px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/01\/dsc002161.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-6126\" title=\"dsc002161\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/01\/dsc002161-300x168.jpg\" alt=\"dsc00216\" width=\"300\" height=\"168\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/01\/dsc002161-300x168.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/01\/dsc002161.jpg 1024w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><figcaption id=\"caption-attachment-6126\" class=\"wp-caption-text\">dsc00216<\/figcaption><\/figure>\n<p>Evaluaci\u00f3n por neurolog\u00eda: par\u00e1lisis facial perif\u00e9rica y S\u00edndrome cerebeloso de posible etiolog\u00eda viral.<\/p>\n<p>Comentarios: nosotros creemos que se trata de un S\u00edndrome de Ransay Hunt, herpes zoster otico que comprometi\u00f3 el nervio facial.<\/p>\n<p>Fue tratada con Valaciclovir Valtrex) 1000 mg cada 8 horas; Meticorten 50 mg\/VO\/8 AM; compresas de domeboro 1:20 BID; Buena evoluci\u00f3n dermatol\u00f3gica.<\/p>\n<p>\u00bfSugieren otro diagnostico?<br \/>\n \u00bf Est\u00e1n de acuerdo con el manejo farmacol\u00f3gico?.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Presentado por Rolando Hern\u00e1ndez P\u00e9rez (m\u00e9dico dermat\u00f3logo), Carmen J. Bastidas Montilla (m\u00e9dico dermat\u00f3logo). Servicio de Dermatolog\u00eda, Hospital General \u201cDr. Luis Razetti\u201d, Barinas. Venezuela Paciente de 52 a\u00f1os de edad, procedente de Mantecal, Edo. Apure, oficios del hogar, con buen estado de salud hasta ahora, quien ingresa al servicio de Emergencia del Hospital General \u201cDr. Luis &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":[],"class_list":["post-6120","post","type-post","status-publish","format-standard","","category-consulte-a-un-colega"],"_links":{"self":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/6120","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=6120"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/6120\/revisions"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=6120"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=6120"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=6120"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}