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Lesión cutánea de coccidioidomicosis - Treatment

Tratamiento:

Esta infección se trata con medicamentos antimicóticos. Se utilizan medicamentos orales o intravenosos, dependiendo de la forma y etapa de la enfermedad. Los fármacos antimicóticos empleados comprenden anfotericina B, itraconazol, ketoconazol o fluconazol. Las personas con enfermedad diseminada y un sistema inmunitario debilitado pueden necesitar un tratamiento prolongado.

Expectativas (pronóstico):

El pronóstico depende de la etapa y magnitud de la infección, así como del sistema inmunitario de la persona. La tasa más alta de mortalidad se observa en personas inmunodeprimidas con enfermedad diseminada.

Complicaciones:

  • Infecciones cutáneas adicionales causadas por bacterias
  • Complicaciones relacionadas con los medicamentos (como efectos secundarios severos)
  • Absceso cutáneo

Situaciones que requieren asistencia médica:

Existen muchos tipos de lesiones cutáneas y puede ser difícil diferenciarlas. Coméntele al médico si presenta lesiones cutáneas y sospecha de esta afección, ya que será necesario practicarle exámenes.

  • 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

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

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