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Coccidioidomicosis pulmonar aguda - Overview

Definición:

Es una infección pulmonar causada por la inhalación de las esporas del Coccidioides immitis o Coccidioides posadasii, hongos que se encuentran en los suelos de ciertas partes del sudoeste de los Estados Unidos, México, Centro y Suramérica.

Causas, incidencia y factores de riesgo:

La infección por coccidioides comienza en los pulmones después de que una persona inhala las esporas.

Las personas que pueden presentar una afección más seria abarcan:

  • Personas de ascendencia africana o filipina
  • Personas con sistemas inmunitarios débiles debido a SIDA, diabetes o medicamentos inmunodepresores

Ocasionalmente, la infección puede transformarse en una enfermedad pulmonar prolongada (crónica) o se puede reactivar después de un período latente prolongado.

El hecho de viajar a un área donde se encuentran estos hongos es un factor de riesgo para contraer la infección. Las áreas en los Estados Unidos abarcan Arizona, California (especialmente el Valle de San Joaquín) y el oeste de Texas.

  • Reviewed last on: 9/17/2008
  • David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; and Jatin M. Vyas, PhD, MD, Instructor in Medicine, Harvard Medical School, Assistant in Medicine, Division of Infectious Disease, Massachusetts General Hospital. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Davies SF, Knox KS, Serosi GA. Fungal infections. In: Mason RJ, Murray J, Broaddus VC, Nadel J, eds. Textbook of Respiratory Medicine. 3rd ed. Philadelphia, Pa: Saunders Elsevier; 2005; chap 34.

Galgiani JN. Coccidioides species. In: Mandell GL, Bennett JE, Dolin R, eds. Principles and Practice of Infectious Diseases. 6th ed. Philadelphia, Pa: Elsevier Churchill Livingstone; 2005:chap 264.

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