Shigellosis Flashcards

1
Q

Gastroenteritis periodo de incubación

A

Incubacion de 1-3 dias ( fiebre, escalofrios, mialgia, anorexia)

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2
Q

Diarrea acuosa

A

Invasión al intestinl delgado, espasmos abdominales y tenesmo que aparecen en 0-3 dias

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3
Q

Diarrea sanguinolenta

A

Por invasión colonica, con evacuaciones frecuentes (10-40) de volumen pequeño, espasmos abdominales, fiebre anorexia aparecen en 1-3 dias

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4
Q

Metodo transmision

A

Fecal oral

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5
Q

Diagnostico

A

Coprocutlivo ( uso de medios selectivos agar mc conkey, agar eosina, azul de metileno, xilosa - lisina - deoxilocao )

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6
Q

Tratamiento de eleccio n

A

Ciprofloxacino primera eleccion
TMP SX alternatv , niños azitromicina, ceftiazona

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7
Q

Complicaciones

A

Convulsiones febriles, baeremia, perforacion de mucosa, pritonitits prolapso rctal
Si se instaura 3-7 dias colitis severa e ileitis termina
Complicaciones agudas
MEGACOLON TOXICO, REACCION LEUCEMOIDE, SX HEMOLITICO UREMICO

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