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Blastomicosis - Treatment

Nombres alternativos

Enfermedad de Gilchrist; blastomicosis norteamericana

Tratamiento:

Es posible que no se necesiten medicamentos para una infección por blastomicosis que permanece en los pulmones, a menos que se torne grave. Cuando la enfermedad se ha diseminado por fuera de los pulmones o presenta un estado grave, se pueden prescribir los siguientes medicamentos (antimicóticos):

Fluconazol
Itraconazol
Ketoconazol

La anfotericina B se puede usar para las infecciones graves.

Asista a controles regulares con el médico para garantizar que la enfermedad no aparezca de nuevo.

Expectativas (pronóstico):

Los pacientes con ulceraciones (lesiones) cutáneas menores e infecciones pulmonares relativamente leves en general se recuperan por completo. Si la infección no se trata, puede tornarse bastante grave como para causar la muerte.

Complicaciones:

Grandes úlceras con pus (abscesos)
Reaparición de la infección (recaída o recurrencia de la enfermedad)
Efectos secundarios de medicamentos como la anfotericina B

Situaciones que requieren asistencia médica:

Consulte con el médico si tiene síntomas de blastomicosis.

Hongo

Reviewed last on: 9/15/2010
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. Blastomycosis. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 355.

Alta tras la amputación de una pierna

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