9. SIN EMBARGO NO HAY MEJORIA EN LA NIÑA Y SE LE REALIZAN EXAMENES MICROBIOLOGICOS. ENCONTRANDO DATOS INICIALES DE ENFERMEDAD MICOTICA. PARA POSTERIORMENTE ENCONTRAR DIAGNOSTICO DE Protothecosis .
10. Día 12 de diciembre 2008 SGGR 2 años 7 meses, enviada por medico ORL con Diagnostico de Probable Granuloma tuberculoso en nariz, fosa nasal izquierda y absceso tuberculoso submentoniano. En las ultimas 5 semanas: Amoxacilina clavulanato, rifampicina+TMP SMX, cefuroxime, mupirocina.
32. Dia 9 de febrero 2009: PCR negativa, VSG de 10mm, despues de 5 semanas de itraconazol 100mgs diarios, completará una semana mas, alta el día 16 de febrero del 2009.
33.
34. Lunes 9 de febrero 2009. AL FINALIZAR TRATAMIENTO
35.
36. [Endocarditis due to an alga of the genus Prototheca sp. A saprophyte of water and of tree sap?] [Article in Spanish] Buendía A , Patiño E , Rijlaarsdam M , Loredo ML , Rivera E , Ramírez S , Attie F . Departamento de Cardiología Pediátrica, Instituto Nacional de Cardiología Ignacio Chávez, INCICH, México, D.F. We report a case of a preterm neonate with very low birth weight (775 grs), He stayed 77 days in a neonatal care unit due to respiratory distress syndrome, with respiratory support for 27 days, and complications in gastrointestinal and nervous systems. In a structural normal heart, he developed infective endocarditis that was treated with good bacteriologic results. An echocardiogram showed the persistence of a mass in the right atrium, the mass was a thrombus and it was resected. Histopathological analysis and cultures of the thrombus reported Prototheca sp. that is an algae. The patient received medical treatment with amphothericin B with satisfactory clinical evolution. He is doing well 6 months later. This is the first report of literature of an algae causing endocarditis.
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