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Tifus - Treatment

Nombres alternativos

Tifus murino; Tifus epidémico; Tifus endémico; Enfermedad de Brill-Zinsser; Tifus exantemático

Tratamiento:

El tratamiento incluye antibióticos como:

  • Doxiciclina
  • Tetraciclina
  • Cloramfenicol (menos común)

La tetraciclina tomada por vía oral puede manchar de forma permanente los dientes que aún se están formando y, por lo general, no se prescribe para niños hasta después de que todos sus dientes permanentes hayan salido.

Los pacientes con tifus epidémico puede necesitar líquidos intravenosos y oxígeno.

Expectativas (pronóstico):

Sin tratamiento, la muerte puede sobrevenir en 10 a 60% de los pacientes con tifus epidémico y los pacientes mayores de 60 años son quienes presentan el mayor riesgo. Los pacientes que reciben tratamiento de manera rápida deben recuperarse por completo.

Menos del 2% de los pacientes con tifus murino que no reciben tratamiento puede morir. El tratamiento antibiótico oportuno curará a casi todos los pacientes.

Cuándo contactar a un profesional médico:

Consulte con el médico si presenta síntomas de tifus, ya que este grave trastorno puede requerir atención de emergencia.

  • Reviewed last on: 3/18/2011
  • A.D.A.M. Editorial Team: David Zieve, MD, MHA, and David R. Eltz. Previously reviewed by 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 (9/15/2010).

Referencias

Bechah Y, Capo C, Mege JL, Raoult D. Epidemic typhus. Lancet Infect Dis. 2008;8:417-426.

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