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4. Intensiva + Infecto + Reu > Leishmaniose Visceral > Flashcards

Leishmaniose Visceral Flashcards

1
Q

Qual agente etiologico?

A

Leishmania chagasi

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2
Q

Qual o vetor ?

A

Lutzomya longipalpis

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3
Q

Clínica

  • Baixa patogenecidade
A

Baixa patogenecidade maioria não adoece .

Resposta celular –> leva para o
Baço
Fígado
Medula óssea

Febre arrastada
Hepatoesplenomegalia
Pancitopenia

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4
Q

Leishmania vísceral, diagnóstico:

A

Parasitológico (formas amastigotas)

Aspirado de MO ( S= 70%): preferencial

Punção esplenica ( S= 95%): risco de sangramento

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5
Q

Sorologia: imunofluorescência / rk39

A

.

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6
Q

Reação de Montenegro pra que serve ?

A

Inocula antigenos de leishmania e vê a reação do corpo.

Uma reação negativa sinaliza que o corpo está de recuperando.

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7
Q

Tratamento calazar?

A

Glucantine (antimonial pentavalente)
** Alarga o QT - torsaides points - FV

Alternativa: Anfoterecina B lipossomal - melhor remédio

Gestantes e Graves
Insuficiências
Idade < 1 > 50

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8
Q

Qual achado labaratorial típico de Calazar?

A

Hipergamaglobulinemia

Pancitopenia

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4. Intensiva + Infecto + Reu (41 decks)

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