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Fiebre recurrente - Treatment

Nombres alternativos

Fiebre recurrente transmitida por garrapatas; Fiebre recurrente transmitida por piojos

Tratamiento:

El tratamiento incluye antibióticos, con mayor frecuencia tetraciclina, doxiciclina o penicilina.

Expectativas (pronóstico):

La tasa de mortalidad de pacientes con LBRF no tratados varía de un 10 a 70% y para pacientes con TBRF, es de 4 a 10%. Si se realiza un tratamiento a tiempo, la tasa de mortalidad se reduce. Las personas que han desarrollado coma, miocarditis, problemas hepáticos y neumonía tienen un riesgo más alto de muerte.

Complicaciones:

Coma
Parálisis facial
Disfunción hepática
Meningitis
Miocarditis que puede llevar a la presencia de arritmias
Neumonía
Convulsiones
Shock relacionado con la toma de antibióticos (reacción de Jarisch-Herxheimer, en la cual la muerte rápida de grandes cantidades del microorganismo Borrelia induce el shock)
Debilidad
Sangrado generalizado

Situaciones que requieren asistencia médica:

Notifíquele al médico si usted acaba de regresar de un viaje y presenta fiebre, pues existen muchas infecciones posibles que necesitan investigarse a tiempo.

Reviewed last on: 12/10/2010
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

Petri WA. Relapsing fever and other Borrelia infections. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007: chap 343.

Rhee KY, Johnson WD Jr. Borrelia species (relapsing fever). In: Mandell GL, Bennett JE, Dolan R, eds. Mandell, Douglas, and Bennett’s Principles and Practice of Infectious Diseases. 7th ed. Orlando, FL: Saunders Elsevier; 2009:chap 241.

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