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Infección por nocardia - Symptom

Nombres alternativos

Nocardiosis

Síntomas:

Los síntomas varían y dependen de los órganos comprometidos:

Pulmones (nocardiosis pulmonar):
- dolor torácico al respirar (puede aparecer de una manera repentina o lenta)
- tos con sangre
- fiebres
- sudores fríos
- pérdida de peso
Cerebro (nocardiosis cerebral):
- fiebre
- dolor de cabeza
- convulsiones
Piel:
- puede resultar crónicamente infectada (micetoma) y presentar conductos que supuran
- úlceras o nódulos con una infección que algunas veces se disemina a lo largo de los ganglios linfáticos

Algunas personas con infección por nocardia no presentan síntomas.

Signos y exámenes:

La infección por nocardia debe sospecharse en personas con síntomas pulmonares, cerebrales o cutáneos si también presentan una afección o afecciones que debiliten el sistema inmunitario.

La nocardiosis se diagnostica usando exámenes con los que se identifican las bacterias. Dependiendo de la parte del cuerpo infectada, los exámenes pueden implicar la toma de una muestra de tejido por medio de:

Biopsia del cerebro
Broncoscopia
Biopsia de pulmón
Biopsia de piel
Cultivo de esputo

Anticuerpos

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

Sorrell TC, Mitchell DH, Iredell JR. Nocardia species. In: Mandell GL, Bennett JE, Dolin R, eds. Principles and Practice of Infectious Diseases. 6th ed. Philadelphia, Pa: Churchill Livingstone Elsevier; 2005: chap 252.

Southwick FS. Nocardiosis. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007: chap 351.

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