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Pian - Symptom

Nombres alternativos

Frambesia tropical

Síntomas:

Aproximadamente de dos a cuatro semanas después de la infección, la persona desarrolla una úlcera llamada "buba madre" por donde la bacteria penetró en la piel. La úlcera es una masa que luce como una "frambuesa" y por lo general es indolora. Estas úlceras pueden durar meses y pueden aparecer más úlceras poco antes o después de que la buba madre sane.

Otros síntomas abarcan:

  • Daño o dolor óseo
  • Cicatrización de la piel
  • Inflamación de los huesos y los dedos de las manos

En la etapa final, las úlceras en la piel y los huesos pueden llevar a desfiguración e incapacidad severas. Esto ocurre hasta en 1 de cada 5 personas que no reciben tratamiento antibiótico.

Signos y exámenes:

Se examina una muestra de la lesión cutánea bajo un tipo especial de microscopio (examen en campo oscuro). No existe un examen de sangre para el pian. Sin embargo, los exámenes de sangre para la sífilis pueden resultar positivos en el pian, debido a que las dos enfermedades están estrechamente relacionadas.

  • Reviewed last on: 2/23/2010
  • 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

Hook III EW. Nonsyphilitic Treponematoses. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 341.

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