Castilla AGA, Vélez AI, Roncancio VGE, García RCI, Thorrens RJG, Cataño CJC, Rodríguez VF, Posada VV

Idioma: Español
Referencias bibliográficas: 49
Paginas: 39-44
Archivo PDF: 200.71 Kb.

RESUMEN

Presentamos el caso de un hombre de 42 años con antecedente de infección por vih, quien estaba en tratamiento para criptococosis e infección por Mycobacterium avium complex diseminadas, no obstante, cursó con deterioro de su estado general asociado a disnea. Se identificó una nueva infección respiratoria complicada compatible con empiema secundario a absceso pulmonar, durante toda la secuencia diagnóstica se encontraron tres diferentes especies de Kocuria spp. Se decidió realizar drenaje quirúrgico del empiema, además de iniciar cubrimiento antibiótico con ampicilina sulbactam. Posteriormente presentó episodio convulsivo, se evidenció absceso cerebral por el mismo microorganismo, se indicó tratamiento con moxifloxacino, además de manejo óptimo para su enfermedad de base e infecciones oportunistas, pero el paciente falleció. Se discuten las características de este microorganismo, los factores de riesgo que podrían precipitar una infección por dicha bacteria y sus diferentes presentaciones clínicas, las dificultades en la identificación en el laboratorio y las alternativas terapéuticas.

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