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Coccidioidomicosis pulmonar crónica - Treatment

Tratamiento:

Los medicamentos antimicóticos se utilizan para tratar la enfermedad. El hecho de tratar cualquier problema del sistema inmunitario (como el SIDA) y limitar el uso de medicamentos inmunodepresores (como esteroides o quimioterapia) puede ayudar al cuerpo a combatir la infección de coccidioidomicosis. Algunas veces, se necesita cirugía para extirpar la parte infectada del pulmón.

Pronóstico:

El pronóstico por lo general es bueno con tratamiento, aunque la enfermedad puede regresar. Es posible que algunos pacientes, como los que tienen problemas con el sistema inmunitario (por SIDA o drogas que inhiben este sistema), necesiten seguir tomando medicamentos antimicóticos para evitar una recaída.

Posibles complicaciones:

Derrame pleural
Recaída de la infección
Coccidioidomicosis diseminada
Meningitis por coccidioidomicosis
Artritis
Erupción cutánea
Empiema
Neumonía
Fístula broncopleural
Cicatrización pulmonar (fibrosis)
Cavidades pulmonares

Cuándo contactar a un profesional médico:

Solicite una cita con el médico si:

Los síntomas de coccidioidomicosis empeoran o no mejoran con el tratamiento
Usted tiene nuevos síntomas

Coccidioidomicosis - radiografía de tórax

Tuberculosis avanzada, radiografía de tórax

Hongo

Reviewed last on: 8/28/2009
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, MD, PhD, Assistant Professor in Medicine, Harvard Medical School, Assistant in Medicine, Division of Infectious Disease, Department of Medicine, Massachusetts General Hospital. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

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

Galgiani JN. Coccidioidomycosis. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 354.

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