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Coccidioidomicosis pulmonar aguda - Symptom

Síntomas:

Cerca de un 60% de las infecciones mejoran sin siquiera haber causado síntomas. En el 40% restante de las infecciones, los síntomas van de leves (similares a los del resfriado o seudogripales) a graves (neumonía).

En menos del 1% de las infecciones, el hongo se disemina desde los pulmones a través del torrente sanguíneo y compromete la piel, los huesos, las articulaciones, los ganglios linfáticos, el sistema nervioso central u otros órganos.

Si ocurren, los síntomas pueden abarcar:

Dolor torácico (varía de leve o severo)
Escalofríos
Tos
Fiebre
Dolor de cabeza
Rigidez articular
Inflamación de los ganglios linfáticos
Dolores musculares
Rigidez muscular
Sudores fríos
Erupciones que pueden ser dolorosas y rojas, en la parte inferior de las piernas (eritema nodoso)
Esputo o flema
Pérdida de peso

Ver también:

Signos y exámenes:

Biopsia de ganglio linfático o de pulmón (usualmente hecha con broncoscopia)
Examen de sangre para anticuerpos contra el hongo
Broncoscopia con lavado
Conteo sanguíneo completo (CSC)
Frotis del esputo (examen de hidróxido de potasio (KOH) o prueba de Papanicolaou)

Hongo

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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