Coinfección brucelosis-leptospirosis, Urabá, Colombia. Reporte de caso
作者： Laura Jaramillo , Margarita Arboleda , Verónica García , Piedad Agudelo-Flórez
DOI: 10.1016/J.INFECT.2014.02.002
关键词:
摘要: Resumen Se presenta un caso clinico de una confeccion leptospirosis-brucelosis, en la region del Uraba antioqueno, paciente masculino 45 anos edad con factores riesgo ocupacionales, quien consulto inicialmente por sindrome febril prolongado y sintomas generales poco especificos ademas manifestaciones hemorragicas, lo que sumado a estar area endemica, hizo sospechar el diagnostico leptospirosis, cual se ordeno tratamiento, pruebas laboratorio especificas. Luego dias, consulta nuevamente orquiepididimitis unilateral, documentandose brucelosis recibiendo tratamiento triconjugado (doxiciclina, rifampicina gentamicina) resolucion los sintomas. Este coinfeccion obliga tener presente posibilidad infecciones simultaneas pacientes sindromes febriles procedentes areas endemicas para zoonosis, particularmente mas comprometidos clinicamente.
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