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Neumonia Nosocomial 21-12-05 (6ªHora)

Neumonia Nosocomial 21-12-05 (6ªHora)

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Published by api-3703544
Gracias, Gloria!!!
Gracias, Gloria!!!

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Published by: api-3703544 on Oct 14, 2008
Copyright:Attribution Non-commercial

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05/09/2014

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Neumon\u00eda Adquirida en la
Comunidad
\u00bfTiene el paciente una
neumon\u00eda?
\u00bfRequiere el paciente ingreso?
\u00bfQu\u00e9 tratamiento emp\u00edrico?
NAC. Neumon\u00eda necrotizante y absceso
\ue000 dos expresiones morfol\u00f3gicas del mismo proceso
patol\u00f3gico
\ue000 infecci\u00f3n supurativa
\ue000 fases evolutivas con etiolog\u00eda y tratamiento
parecidos
\ue000 aspiraci\u00f3n de contenido orofar\u00edngeo
\ue000 g\u00e9rmenes anaerobios
Absceso: lesi\u00f3n redondeada cavitada, \u00fanica >
de 2 cm.
N Necrotizante: consolidaci\u00f3n con m\u00faltiples y
peque\u00f1as cavidades < 2 cm.
NAC. Caso cl\u00ednico: 214632
Consulta: var\u00f3n 61 a\u00f1os. Dos

semanas antes con tos productiva, dolor pleur\u00edtico y fiebre 38\u00ba. Acudi\u00f3 a urg. Donde se detect\u00f3 infiltrado derecho y recibi\u00f3 tt\u00ba. con Levofloxacino. Mejora inicial. 10 d\u00edas despu\u00e9s fiebre, tos, expectoraci\u00f3n sanguinolenta y dolor tor\u00e1cico: Ingreso.

Antecedentes: No alergias.
No h\u00e1bitos t\u00f3xicos. DMNID.
Intervenido
de

cataratas hace dos a\u00f1os. No ingresos previos

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