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Daniel A. Carrillo

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Page 1: Tb only tx

Daniel A. Carrillo

Page 2: Tb only tx
Page 3: Tb only tx

diseminación hematógena: inmunodeficientes

poco contagiosa.Dx:

cultivos de esputo, Jugo gástrico, baciloscopia en orina médula biopsia hepática (gold standar**)

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CTO 2009, Infectología, pág. 21

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Drogas de primera línea.

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Drogas de segunda línea.

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2 meses: isoniacida, rifampicina piracinamida

4 meses: isoniacida rifampicina

6 meses rifampicina Etambutol: solo en cepa resistente

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2 meses isoniacida, rifampicina piracinamida

7 meses isoniacida rifampicina

9 meses rifampicina

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Dx: síndrome miccional y piuria estéril con orina ácida y hematuriA

•Corticosteroides : predisolona 1mg/kg peso•Dieta hiposodica; restriccion liquidos + reposo•Diureticos: hidroclorotiazida + espirinolactona; furosemida/ torasemida v/o ** ajuste dosis depende f. renal•Control PA: IECA / + ARA ii•Profilaxis: aspirina 81mg/dia /clopidrogrel 40mg/dia

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Daniel A. Carrillo

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TB no tratada: El 33% fallece tras 1 año de dx 65% fallece en los 5 años El 60% de los que sobreviven en

los siguientes 5 años consiguio una remision espontanea + expulsion de bacilos

Harrison Medicina interna 2008 Edición 17

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Muerte por asfixia por aspiración sanguinea

masiva

Cavernas pulmonares

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Breaking Through - TB Alliance...with extensively drug-resistant TB (XDR-TB) or multidrug-resistant TB (MDR-TB) who are treatment-intolerant or non-responsive.1 Pretomanid is only

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