2015, Number 5
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Med Int Mex 2015; 31 (5)
Acute respiratory distress syndrome secondary to coccidioidomycosis
Vásquez-Revilla HR, Raymundo-Aguilar CA, Revilla-Rodríguez E
Language: Spanish
References: 13
Page: 616-621
PDF size: 706.68 Kb.
ABSTRACT
Pulmonary coccidioidomycosis is a rare cause of ARDS, but has a nearly 100% mortality. It requires strong clinical suspicion. Radiographic features can help distinguish coccidioidomycosis. Definitive diagnosis is based on the identification of the fungus by culture, tissue or fluid
samples. Serologic studies may be useful in identification. Treatment of cocidioidomicosis in Latin America generally consists of fluconazole or itraconazole and/or amphotericin B. Respiratory support with limitation of lung damage by protective ventilation is essential, as the early use of antifungal therapy. It is important knowledge by doctors on the most severe forms of the disease that do allow early diagnosis and provide effective treatment.
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