{"id":10694,"date":"2013-06-10T10:35:46","date_gmt":"2013-06-10T08:35:46","guid":{"rendered":"http:\/\/www.revista-portalesmedicos.com\/revista-medica\/?p=10694"},"modified":"2013-06-10T10:35:46","modified_gmt":"2013-06-10T08:35:46","slug":"mucormicosis-rinosinusal","status":"publish","type":"post","link":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/mucormicosis-rinosinusal\/","title":{"rendered":"Mucormicosis Rinosinusal"},"content":{"rendered":"

Mucormicosis Rinosinusal<\/b><\/h3>\n

Se trata de un hombre de 41 a\u00f1os con historia de leucemia monoc\u00edtica, comenzando con terapia de remisi\u00f3n. El octavo d\u00eda presento una enterocolitis neutrop\u00e9nica que requiri\u00f3 nutrici\u00f3n parenteral durante m\u00e1s de 4 meses.<\/p>\n

<\/p>\n

Mucormicosis Rinosinusal<\/b><\/p>\n

Mar\u00eda Vah\u00ed S\u00e1nchez de Medina (\u00b9). Luc\u00eda Serrano Rodr\u00edguez (\u00b2). Luis castilla Fernandez (\u00b3)<\/p>\n

1. FEA Hematolog\u00eda HUV Valme<\/p>\n

2. M\u00e9dico de Familia de AGS Osuna.<\/p>\n

3. FEA de Medicina Interna de AGS Osuna.<\/p>\n

Se trata de un hombre de 41 a\u00f1os con historia de leucemia monoc\u00edtica, comenzando con terapia de remisi\u00f3n. El octavo d\u00eda presento una enterocolitis neutrop\u00e9nica que requiri\u00f3 nutrici\u00f3n parenteral durante m\u00e1s de 4 meses.<\/p>\n

\"mucormicosis-rinosinusal\"<\/a>
Mucormicosis rinosinusal<\/figcaption><\/figure>\n

El decimo-quinto d\u00eda tuvo una neutropenia severa y en el contexto de una neutropenia febril, apareci\u00f3 una peque\u00f1a lesi\u00f3n necr\u00f3tica en ala nasal izquierda de unos 11 mm, pero con un gran componente inflamatorio.<\/p>\n

\"mucormicosis-rinosinusal\"<\/a>
Mucormicosis rinosinusal<\/figcaption><\/figure>\n

Se procedi\u00f3 a tomar biopsia de la mucosa nasal y la prueba con Calcofluor r\u00e1pido permiti\u00f3 identificar Zygomycetes hyphae. El paciente fue derivado a cirug\u00eda maxilofacial d\u00f3nde se realiz\u00f3 desbridamiento maxilar y antrostom\u00eda del ala nasal izquierda. Fue tratado con anfotericina B a altas dosis durante 1 mes y posteriormente recibi\u00f3 posaconazol. La evoluci\u00f3n ha sido muy favorable con una correcta epitelizaci\u00f3n. La reconstrucci\u00f3n nasal deber\u00e1 realizarse en un segundo tiempo y tras un periodo no menor a 3 meses.<\/p>\n","protected":false},"excerpt":{"rendered":"

Mucormicosis Rinosinusal Se trata de un hombre de 41 a\u00f1os con historia de leucemia monoc\u00edtica, comenzando con terapia de remisi\u00f3n. El octavo d\u00eda presento una enterocolitis neutrop\u00e9nica que requiri\u00f3 nutrici\u00f3n parenteral durante m\u00e1s de 4 meses.<\/p>\n","protected":false},"author":2,"featured_media":10695,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[109,133],"tags":[692,2132,2131,2130,2134,2133],"class_list":["post-10694","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-hematologia-hemoterapia","category-medicina-interna","tag-caso-clinico","tag-enterocolitis-neutropenica","tag-leucemia-monocitica","tag-mucormicosis","tag-posaconazol","tag-zygomycetes-hyphae","no-featured-image-padding"],"acf":[],"yoast_head":"\nMucormicosis Rinosinusal<\/title>\n<meta name=\"description\" content=\"Mucormicosis Rinosinusal Se trata de un hombre de 41 a\u00f1os con historia de leucemia monoc\u00edtica, comenzando con terapia de remisi\u00f3n. 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