Correlación citomorfológica de histoplasmosis en médula ósea vs. el cultivo microbiológico en pacientes con VIH-SIDA, estudio a realizar en el Hospital de Infectología Rodríguez Maridueña de Guayaquil; período enero 2013 a enero 2017
Fecha
2018
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
Resumen
La histoplasmosis es una micosis causada por el hongo Histoplasma capsulatum, y representa una importante causa de morbimortalidad para la población Sida del Hospital de Infectología “Dr. José Daniel Rodríguez Maridueña”. Objetivos: Comparar los resultados del examen cito-morfológico versus el cultivo de la médula ósea en los pacientes con diagnóstico de histoplasmosis en el Hospital de Infectología “Dr. José Daniel Rodríguez Maridueña” atendidos durante el periodo de Enero del 2013 a Enero del 2017. Pacientes y Métodos: Se realizó un estudio retrospectivo de los pacientes con diagnóstico de histoplasmosis mediante estudios cito-morfológico y cultivo de médula ósea, en el Hospital de Infectología durante el periodo de estudio ya indicado. Resultados: De un total de 392 pacientes que se efectuaron aspirados de médula ósea con estudios cito-morfológico y cultivos, se obtuvieron 43 resultados positivos en los cultivos y 34 resultados positivos en los estudios cito-morfológicos. Conclusión: El cultivo de médula ósea demostró mayor sensibilidad frente al estudio cito-morfológico, siendo la especificidad similar en ambos métodos.
Histoplasmosis is a fungal infection caused by the fungus Histoplasma capsulatum, and represents a major cause of morbidity and mortality for the population AIDS Infectious Diseases Hospital "Dr. José Daniel Rodríguez Maridueña ". Objectives: To compare the test results cyto-morphological versus the culture of bone marrow in patients with a diagnosis of histoplasmosis in the Hospital for Infectious Diseases "Dr. José Daniel Rodríguez Maridueña "assisted in the period January 2013 to January 2017. Patients and Methods: A retrospective study of patients diagnosed with histoplasmosis was performed by cyto-morphological studies and bone marrow culture in the Hospital of Infectious Diseases during the study period as indicated. Results: Out of 392 patients with bone marrow aspirates studies were conducted cyto- morphological and crops, 43 positive results were obtained in cultures and 34 positive results in the cyto-morphological studies. Conclusion: The bone marrow culture showed higher sensitivity to the cyto-morphological study, specificity being similar in both methods
Histoplasmosis is a fungal infection caused by the fungus Histoplasma capsulatum, and represents a major cause of morbidity and mortality for the population AIDS Infectious Diseases Hospital "Dr. José Daniel Rodríguez Maridueña ". Objectives: To compare the test results cyto-morphological versus the culture of bone marrow in patients with a diagnosis of histoplasmosis in the Hospital for Infectious Diseases "Dr. José Daniel Rodríguez Maridueña "assisted in the period January 2013 to January 2017. Patients and Methods: A retrospective study of patients diagnosed with histoplasmosis was performed by cyto-morphological studies and bone marrow culture in the Hospital of Infectious Diseases during the study period as indicated. Results: Out of 392 patients with bone marrow aspirates studies were conducted cyto- morphological and crops, 43 positive results were obtained in cultures and 34 positive results in the cyto-morphological studies. Conclusion: The bone marrow culture showed higher sensitivity to the cyto-morphological study, specificity being similar in both methods
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Histoplasmosis, Medios de cultivo, Médula ósea, Virus de inmunodeficiencia humana, Síndrome de inmunodeficiencia adquirida, Estudios retrospectivos, Hospital de Infectología Dr. José Daniel Rodríguez Maridueña, Cantón Guayaquil, Ecuador