| Revista: | The brazilian journal of infectious diseases |
| Base de datos: | PERIÓDICA |
| Número de sistema: | 000290856 |
| ISSN: | 1413-8670 |
| Autores: | Huarcaya, Erick1 Maguiña, Ciro Torres, Rita2 Rupay, Joan Fuentes, Luis3 |
| Instituciones: | 1Universidad Peruana Cayetano Heredia, Instituto de Medicina Tropical Alexander von Humboldt, Lima. Perú 2University of Illinois at Chicago, Chicago, Illinois. Estados Unidos de América 3Ministerio de Salud, Lima. Perú |
| Año: | 2004 |
| Periodo: | Oct |
| Volumen: | 8 |
| Número: | 5 |
| Paginación: | 331-339 |
| País: | Brasil |
| Idioma: | Inglés |
| Tipo de documento: | Artículo |
| Enfoque: | Caso clínico |
| Resumen en inglés | Bartonellosis, or Carrion's Disease, is an endemic and reemerging disease in Peru and Ecuador. Carrion's Disease constitutes a health problem in Peru because its epidemiology has been changing, and it is affecting new areas between the highland and the jungle. During the latest outbreaks, and previously in endemic areas, the pediatric population has been the most commonly affected. In the pediatric population, the acute phase symptoms are fever, anorexia, malaise, nausea and/or vomiting. The main signs are pallor, hepatomegaly, lymphadenopathies, cardiac murmur, and jaundice. Arthralgias and weight loss have also commonly been described. The morbidity and mortality of the acute phase is variable, and it is due mainly to superimposed infections or associated respiratory, cardiovascular, neurological or gastrointestinal complications. The eruptive phase, also known as Peruvian Wart, is characterized by eruptive nodes (which commonly bleed) and arthralgias. The mortality of the eruptive phase is currently extremely low. The diagnosis is still based on blood culture and direct observation of the bacilli in a blood smear. In the chronic phase, the diagnosis is based on biopsy or serologic assays. There are nationally standardized treatments for the acute phase, which consist of ciprofloxacin, and alternatively chloramphenicol plus penicillin G. However, most of the treatments are based on evidence from reported cases. During the eruptive phase the recommended treatment is rifampin, and alternatively, azithromycin or erythromycin |
| Disciplinas: | Medicina |
| Palabras clave: | Diagnóstico, Microbiología, Pediatría, Bartonelosis, Carrion's disease |
| Keyword: | Medicine, Diagnosis, Microbiology, Pediatrics, Bartonellosis, Carrion disease |
| Texto completo: | Texto completo (Ver HTML) |
