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Histoplasmosis pulmonar crónica - Treatment

Nombres alternativos

Histoplasmosis cavitaria crónica

Tratamiento:

El médico recetará medicamentos antimicóticos para controlar la infección dentro del pulmón. Estos medicamentos se deben tomar durante 1 a 2 años.

Expectativas (pronóstico):

La infección desaparece generalmente con medicamentos antimicóticos, pero la cicatrización dentro del pulmón a menudo permanece. La histoplasmosis es tan poco común que, si una persona la desarrolla, el médico debe hacer controles para averiguar si otra enfermedad está debilitando el sistema inmunitario.

A menudo, aquellos que han padecido histoplasmosis pulmonar crónica deben acudir a un control con el médico, quien verificará si hay signos de recaída.

En raras ocasiones, la infección de histoplasmosis pulmonar puede diseminarse a otros órganos a través de la sangre, lo cual se denomina histoplasmosis diseminada. Las personas con sistemas inmunitarios deficientes y los niños muy pequeños tienen más probabilidad de desarrollar esta afección. Si esto sucede, el pronóstico es menos favorable.

Complicaciones:

  • Artritis
  • Histoplasmosis diseminada
  • Cicatrización pulmonar (fibrosis)
  • Pericarditis
  • Insuficiencia respiratoria

Los pacientes que inhalan una gran cantidad de hongos pueden desarrollar un tipo de infección pulmonar severa, repentina y potencialmente mortal.

Situaciones que requieren asistencia médica:

Solicite una cita con el médico si desarrolla síntomas de histoplasmosis pulmonar crónica.

Igualmente consulte con el médico si sus síntomas continúan a pesar del tratamiento o si usted tiene dificultad respiratoria o síntomas de histoplasmosis diseminada.

  • Reviewed last on: 12/1/2009
  • David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; 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

Kauffman CA. Histoplasmosis. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 353.

What LJ, Freifeld AG, Kleiman MB, Baddley JW, McKinsey DS, Loyd JE, Kauffman CA. Clinical practice guidelines for the management of patients with histoplasmosis: 2007 update by the Infectious Diseases Society of America. Clin Infect Dis, 2007;45(7):807-825.

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