Post on 02-Jun-2018
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1858-1885
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VerrugaPeruana
Fiebre de la Oroya
Ferrocarril Central (1875)
Enf. de Carrin
http://www.google.com.pe/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&docid=U6zap_zF_gyKwM&tbnid=1pKlFkr3-3fDBM:&ved=0CAcQjRw&url=http://www.oocities.org/alloni1/Peru1.html&ei=UBw2VK69IZLIggTmwILoDg&psig=AFQjCNFjSn9u92hXodK25KR2mGhE1A9FKQ&ust=1412918487953927http://www.google.com.pe/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&docid=U6zap_zF_gyKwM&tbnid=1pKlFkr3-3fDBM:&ved=0CAcQjRw&url=http://eldiadelpueblo.org/Portal/index.php?option=com_content&task=view&id=133&Itemid=1&ei=Kxw2VJPEEIvDggTjyoLgBQ&psig=AFQjCNFjSn9u92hXodK25KR2mGhE1A9FKQ&ust=1412918487953927http://www.google.com.pe/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&docid=U6zap_zF_gyKwM&tbnid=1pKlFkr3-3fDBM:&ved=0CAcQjRw&url=http://www.oocities.org/alloni1/Peru1.html&ei=UBw2VK69IZLIggTmwILoDg&psig=AFQjCNFjSn9u92hXodK25KR2mGhE1A9FKQ&ust=1412918487953927http://www.google.com.pe/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&docid=U6zap_zF_gyKwM&tbnid=1pKlFkr3-3fDBM:&ved=0CAcQjRw&url=http://eldiadelpueblo.org/Portal/index.php?option=com_content&task=view&id=133&Itemid=1&ei=Kxw2VJPEEIvDggTjyoLgBQ&psig=AFQjCNFjSn9u92hXodK25KR2mGhE1A9FKQ&ust=1412918487953927http://www.google.com.pe/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&docid=U6zap_zF_gyKwM&tbnid=1pKlFkr3-3fDBM:&ved=0CAcQjRw&url=http://www.oocities.org/alloni1/Peru1.html&ei=UBw2VK69IZLIggTmwILoDg&psig=AFQjCNFjSn9u92hXodK25KR2mGhE1A9FKQ&ust=14129184879539278/11/2019 Microbiologa - Bartonella.pptx
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Bartonella
Dr. Miguel Villegas Chiroque
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Caso clnico-Nio de 11 aos.
-Referido de Bagua
-Ingresa por EMG porictericia y fiebre
-Al examen palidez, ictericia,hepato-esplenomegalia ypetequias difusas.
-Dx: Sd IctricoSd Ictrico-Hemorrgico
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Etiologa de la Ictericia Febril
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ALFAPROTEOBACTERIAS
- Bartonellas
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Enf. producidas por Bartonellas
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Bartonella sp
-Cocobacilos Gram(-)-Tamao: 0,6-2
-Aerbicos
-Flagelado (2-16)
-Cultivo difcil
http://www.google.com.pe/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&docid=eLtJx6EIxHVVAM&tbnid=pfxqiUKtoMYsHM:&ved=0CAcQjRw&url=http://www.monografias.com/trabajos28/bartonellosis/bartonellosis.shtml&ei=uRY2VOjFNITpggT6uIKoCQ&bvm=bv.76943099,d.aWw&psig=AFQjCNGtPnLqDwC9Q19QxR5eEIjingnrvw&ust=1412917049038681http://www.google.com.pe/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&docid=eLtJx6EIxHVVAM&tbnid=pfxqiUKtoMYsHM:&ved=0CAcQjRw&url=http://www.monografias.com/trabajos28/bartonellosis/bartonellosis.shtml&ei=uRY2VOjFNITpggT6uIKoCQ&bvm=bv.76943099,d.aWw&psig=AFQjCNGtPnLqDwC9Q19QxR5eEIjingnrvw&ust=1412917049038681http://www.google.com.pe/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&docid=eLtJx6EIxHVVAM&tbnid=pfxqiUKtoMYsHM:&ved=0CAcQjRw&url=http://www.monografias.com/trabajos28/bartonellosis/bartonellosis.shtml&ei=uRY2VOjFNITpggT6uIKoCQ&bvm=bv.76943099,d.aWw&psig=AFQjCNGtPnLqDwC9Q19QxR5eEIjingnrvw&ust=1412917049038681http://www.google.com.pe/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&docid=eLtJx6EIxHVVAM&tbnid=pfxqiUKtoMYsHM:&ved=0CAcQjRw&url=http://www.monografias.com/trabajos28/bartonellosis/bartonellosis.shtml&ei=uRY2VOjFNITpggT6uIKoCQ&bvm=bv.76943099,d.aWw&psig=AFQjCNGtPnLqDwC9Q19QxR5eEIjingnrvw&ust=1412917049038681http://www.google.com.pe/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&docid=eLtJx6EIxHVVAM&tbnid=pfxqiUKtoMYsHM:&ved=0CAcQjRw&url=http://www.monografias.com/trabajos28/bartonellosis/bartonellosis.shtml&ei=uRY2VOjFNITpggT6uIKoCQ&bvm=bv.76943099,d.aWw&psig=AFQjCNGtPnLqDwC9Q19QxR5eEIjingnrvw&ust=1412917049038681http://www.google.com.pe/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&docid=eLtJx6EIxHVVAM&tbnid=pfxqiUKtoMYsHM:&ved=0CAcQjRw&url=http://www.monografias.com/trabajos28/bartonellosis/bartonellosis.shtml&ei=uRY2VOjFNITpggT6uIKoCQ&bvm=bv.76943099,d.aWw&psig=AFQjCNGtPnLqDwC9Q19QxR5eEIjingnrvw&ust=1412917049038681http://www.google.com.pe/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&docid=eLtJx6EIxHVVAM&tbnid=pfxqiUKtoMYsHM:&ved=0CAcQjRw&url=http://www.monografias.com/trabajos28/bartonellosis/bartonellosis.shtml&ei=uRY2VOjFNITpggT6uIKoCQ&bvm=bv.76943099,d.aWw&psig=AFQjCNGtPnLqDwC9Q19QxR5eEIjingnrvw&ust=1412917049038681http://www.google.com.pe/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&docid=eLtJx6EIxHVVAM&tbnid=pfxqiUKtoMYsHM:&ved=0CAcQjRw&url=http://www.monografias.com/trabajos28/bartonellosis/bartonellosis.shtml&ei=uRY2VOjFNITpggT6uIKoCQ&bvm=bv.76943099,d.aWw&psig=AFQjCNGtPnLqDwC9Q19QxR5eEIjingnrvw&ust=1412917049038681http://www.google.com.pe/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&docid=eLtJx6EIxHVVAM&tbnid=pfxqiUKtoMYsHM:&ved=0CAcQjRw&url=http://www.monografias.com/trabajos28/bartonellosis/bartonellosis.shtml&ei=uRY2VOjFNITpggT6uIKoCQ&bvm=bv.76943099,d.aWw&psig=AFQjCNGtPnLqDwC9Q19QxR5eEIjingnrvw&ust=14129170490386818/11/2019 Microbiologa - Bartonella.pptx
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ENF. DE CARRIN por B. bacilliformis
AGUDA CRNICA
FIEBRE
http://www.google.com.pe/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&docid=__yg3ehXInGUBM&tbnid=UDnhXvSUF9tTKM:&ved=&url=http://www.amancchihuahua.org/index.php?IDDT=142&OPT2=141&NIVEL1=;&ei=HCc2VNmMKpC3yATcz4KgBw&psig=AFQjCNHPbQVfxJKd22j0CKVtZuDbDR_7zQ&ust=1412921500964457http://www.google.com.pe/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&docid=__yg3ehXInGUBM&tbnid=UDnhXvSUF9tTKM:&ved=&url=http://www.amancchihuahua.org/index.php?IDDT=142&OPT2=141&NIVEL1=;&ei=HCc2VNmMKpC3yATcz4KgBw&psig=AFQjCNHPbQVfxJKd22j0CKVtZuDbDR_7zQ&ust=1412921500964457http://piel-l.org/libreria/item/7468/11/2019 Microbiologa - Bartonella.pptx
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AMAZONAS
CAJAMARCA
ANCASH
LIMA
AMAZONAS
PIURA
CAJAMARCA
SAN MARTIN
HUANUCOANCASH
LIMA
AYACUCHO
AMAZONAS
PIURA
CAJAMARCA
SAN MARTIN
LA LIBERTAD
ANCASHHUANUCO
LIMA
JUNIN
CUSCO
LORETO
AMAZONAS
PIURA
CAJAMARCA
ANCASH
HUANUCO
LIM
A
CUSCO
1995 1997 1999 2001
Enfermedad de Carrin en el Per
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-Cocobacilo
Gram (-)-IntracelularFacultativo
-No crece 37C-Enf. de Carrin
-Vector:Lutzomyia
B. bacilliformis
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FASE ANMICA: FIEBRE DE LA OROYA
FIEBRE
ANEMIA
ICTERICIA
HEMORRGIA
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DIAGNSTICO: FROTS SANGRE PERIFRICA
FORMAS BACILARES FORMAS COCOIDES
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FASE ERUPTIVA: VERRUGA PERUANA
http://piel-l.org/libreria/item/746http://www.google.com.pe/url?sa=i&rct=j&q=bartonelosis&source=images&cd=&cad=rja&docid=_fc4E_-fcPRLjM&tbnid=od9O15mHMStGpM:&ved=&url=http://www.rpp.com.pe/2011-08-02-la-bartonelosis-o-verruga-peruana-noticia_390190.html&ei=7HNnUfvoLKLk4APx5ICwBw&bvm=bv.45175338,d.dmg&psig=AFQjCNGmERL02VvNANYgsD4NAZwXFH0EqA&ust=13658207809633098/11/2019 Microbiologa - Bartonella.pptx
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Mtodo Fase aguda Fase eruptiva Intercalar
Histopatologa - ++ -
I F I + ++ +
Cultivo de biopsia - ++ -
Frotis ++ + +
Hemocultivo ++ ++ +
Western blot + ++ +
ELISA + ++ +
P C R ++ ++ ++
MTODOS DE DIAGNSTICO
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HEMOCULTIVO
Agar Columbia Medio Bifsico
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Patogenia
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FIEBRE DE LAS TRINCHERAS por B. quintana
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ANGIOMATOSIS BACILAR
-Agentes:-B. henselae-B. quintana
-Factores de Riesgo:InmunosupresinVIH/sida
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G R A C I A S