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Dr. Re
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March 01, 2024
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RICKETSIA
Dr. Re
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March 01, 2024
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Transcript
RICKETTSIA Curso ENARM
Definición y etiología BACILOS GRAM – TINCION GIMENEZ AEROBIOS INTRACELULARES
OBLIGADOS PATOGENO Rickettsia Rickettssii Especiede mas patgena y virulenta VECTOR Garrapata Rhipicephalus/Ixoide s Mas frecuente en Mexico (Perros) HUESPED Perro / Humano Mamifero amplificador FIEBRE MANCHADA (FMRR)
None
EPIDEMIOLOGIA Y FACTORES DE RIESGO 1.- ZONAS ENDEMICAS CON CALOR
Y HUMEDAD 2.- PERROS 3.- VIVIENDAS PRECARIAS MORATALIDAD 40% AFECTA <10 Y >50 AÑOS
PREVENCION REPELENTES : PIRETROIDES, CITRONELA O DEET ROPA LARGA Y
CLARA RETIRAR GARRAPATA CON PINZAS COLLARES CANINOS IMIDACLOPRID 10% Y FLUMETRINA 4.5%
CLINICA ANTECEDENTE Y EPIDEMIOLOGIA 4 - 7 DIAS PERIODO DE
INCUBACION 2 – 14 DIAS CLINICA FIEBRE >39°C CEFALEA Y MALESTAR GENERAL ERUPCION CUTANEA VASCULITIS 80% 100% 80%
EXANTEMA 48 HRS MACULAS 1-5 mm / ROSA PALIDO /
TOBILLOS, MUÑECAS, ANTEBRAZOS EXANTEMA MACULOPAPULAR GENERALIZADO CENTRIPETO
COMPLICACIONES EXANTEMA PALMOPLANTAR 50% PURPURA Y GANGRENA DETERIORO NEUROLOGICO SEVERO
Y MUERTE *Edema periorbitario
DIAGNOSTICO Y TRATAMIENTO DOXICICLINA 10 DIAS INICIAR PRIMEROS 5 DIAS
CLINICA COMPATIBLE =
PRUEBAS DIAGNOSTICAS PCR TIEMPO REAL SEROLOGIA INMUNOFLUORESCENCIA INDIRECTA POSITIVA SI
= IgG 4x Valor inicial 1-7 dias ELECCION 7 – 10 dias 14 -21dias Weil-Felix IgM No usar
None