8b1A C8l1lCA lA8A

LlAClCS1lCC ?
MAlL!C LL
8lClL11SlCSlS
ll18CLbCClCl
SlClCS LL ALA8MA
1.- LxAl1LMA,
l88l1AulLlLAL.
2.- MAS LL blA CClSbL1A
Sll ML!C8lA AL
18A1AMlLl1C.
3.- ll1CLL8AlClA AL
MLLlCAMLl1C CCl
vCMl1C CClS1Al1L
? lL8SlS1Ll1L.
lAC1C8LS LL 8lLSCC:
Ll LCS 0L1lMCS vLll1L LlAS
MC8LLLb8A LL CA88AlA1A,
CCl1AC1C CCl MASCC1AS,
CA88AlA1AS , ?/C vlSl1AS A
LbCA8LS lllLS1ALCS.
(CA1CS, lL88CS, 8CLLC8LS) (llC!C LLL
CbL8lC, lbLCAS).
CASC SCSlLClCSC LL 8lClL11SlA:
llLu8L lC8 MAS LL 48 l8S,
MALLS1A8 CLlL8AL, CLlALLA Sll
C18A LllL8MLLAL bL LC
LxlLlbL.
LLllllClClLS
CASC l8CuAuLL:
bl CASC SCSlLClCSC CCl lAC1C8
LL 8lLSCC
-LCLC8 AuLCMllAL, CLllClAClA,
LxAl1LMA, lL1LblAS, vCMl1C,
AL1L8AClClLS lLb8CLCClCAS, C
lC1L8lClA.
-CCl MALA 8LSlbLS1A A
18A1AMlLl1C lA8A C18CS
LlAClCS1lCCS .
CCl1llbAClCl CASC l8CuAuLL
-ulCML18lA lLMA1lCA CCl
MClCCl1CSlS, uAlLLMlA,
lLb18CllLlA, LlllClLllA ?/C
lLAbL1ClLllA. AL1L8AClCl LL
LAS l8bLuAS LL lblClCl lLlA1lCA.
-Ll MLlC8LS LL S AlCS, Ll
SbS1l1bClCl LL LA CLlALLA, lbLLL
Cb8SA8 CCl LLAl1C, l88l1AulLlLAL
C LLCAlMlLl1C.
CASC CClll8MALC:
CbAL8C CLlllCC MAS ALCblA LL
LAS l8bLuAS LL LAuC8A1C8lC:
lC8-8|c|etts|a (-) y/o
lll-lgC y/o lgM8|c|etts|a
MA?C8 A 1:64.
LxlCSlClCl LL 8lLSCC
1lLMlC LL
MC8LLLb8A
lACL
MAS LL
20 LlAS
LxlLlCA8
SlClCS
LL ALA8MA ?
l8CCLLlMlLl1C
lA8A LLlMllA8
CA88AlA1AS,
llC!CS
?/C lbLCAS
lAul1A Ll
.ClA LL
AL1A
llClLLlClA
LL
8lClL11SlA
(Mex|ca||)
lC
lACL MLlCS
LL 20 LlAS
LvALbAClCl
ll1LC8AL
LLL CASC
(MC8LLLb8A LL CA88AlA1A)
ASll1CMA1lCC
Sl
lllClA8 LCxlClCLllA
l8CllLAC1lCC l.1
l.S, lC1lllCAClCl
A llvLL SblL8lC8
CASC SCSlLClCSC
1lLlL lAC1C8LS
LL 8lLSCC`
ML!C8A LCS
Sll1CMAS`
Sl
lC
l8bLuAS lA8A C18CS
LlAClCS1lCCS ? Sb
18A1AMlLl1C
Sll1CMA1lCC l.2
SLCblMlLl1C LL CASC
Ll 24 l8S.
CASC
l8CuAuLL
LC8LSC A LCMlClLlC
lllC8MA8 LL SlClCS LL
ALA8MA LxlLlbL ?
Ll18LCbL lCLLL1C
CCl MLLlLAS
l8LvLl1lvAS, l.6
CCl1ll0A...
CCl1llbAClCl CASC SCSlLClCSC
ML!C8A LCS
Sll1CMAS`
Sl
lC
CClSlLL8L
CCl1llbA8
18A1AMlLl1C
Cl1A8 Ll 48 l8S.
MALA LvCLbClCl,
8LvALC8AClCl
CLlllCA LL C18CS
LlAClCS1lCCS
LllL8LlClALLS
CASC l8CuAuLL
18A1AMlLl1C lA8A
8lClL11SlCSlS l.2.1,
LlvlC A
SLCblLC llvLL
CCl ulCML18lA
lLMA1lCA
CCMlLL1A
lA8A LvALbAClCl
LC8LSC A
LCMlClLlC
lllC8MA8 LL
SlClCS LL
ALA8MA
LxlLlbL ?
Ll18LCbL
lCLLL1C CCl
MLLlLAS
l8LvLl1lvAS
l.6
l.S
lC1lllCAClCl SblL8lC8
a su auto|oao suoe|o
C
A
S
C
l
8
C
u
A
u
L
L
lC
18A1AMlLl1C lA8A C18C LlAClCS1lCC ?/C
LCxlClLllA ? SLCblMlLl1C LL CASC Ll 24 l8S.
? 48 l8S.
1CMA LL MbLS18AS SAlCbllLAS lA8A
LS1ALlllCA8 SLvL8lLAL l.3
1CMA LL MbLS18AS SAlCbllLAS
CClll8MA1C8lAS l.4
lllClA8 18A1AMlLl1C CCl LCxlClCLllA l.2.1
lC1lllCAClCl SblL8lC8 l.S
CASC l8CuAuLL
ML!C8A LCS
Sll1CMAS`
Sl
CCl1ll0A...
CCl1llbAClCl CASC l8CuAuLL
ML!C8A LCS
Sll1CMAS`
Sl
LvALbAClCl LL 8LSbL1ALCS LL
LAuC8A1C8lC
AL1L8AClClLS Ll l8bLuAS LL
LAuC8A1C8lC`
lC
LC8LSC A
LCMlClLlC
lllC8MA8 LL
SlClCS LL
ALA8MA
? MLLlLAS
l8LvLl1lvAS
l.6
Sl
8LlL8l8 A SLCblLC llvLL
MALA LvCLbClCl
Sl
lC
8LlL8l8 A lCSll1ALl.AClCl
1CMA8 lLMCCbL1lvC
CCl1ll0A...
ML!C8A LCS
Sll1CMAS`
CCl1llbAClCl CASC l8CuAuLL
lC
1lLlL LA1CS LL SLvL8lLAL (l|aquetooen|a
meno a 100,000, tansam|nasem|a)
lC Sl
MALA LvCLbClCl
8LlL8l8 A
SLCblLC llvLL
Sl
lC
8LlL8l8 A lCSll1ALl.AClCl
1CMA8 lLMCCbL1lvC
LC8LSC A LCMlClLlC
lllC8MA8 LL
SlClCS LL ALA8MA
? MLLlLAS
l8LvLl1lvAS
l.6
llS18bCClClLS
lA8A LL
lLb!CC8AMA LL
8lClL11SlCSlS
l.1 lo||ax|s oost exoos|c|n a
mooeoua oe gaaoata
as|ntomat|cos.
l|os menoes oe 40 |g oe oeso
|no|ca LCxlClCLllA vlA C8AL 2.S mg
oo |g oe oeso oo oos|s caoa 12
|oas ouante S o|as.
Aou|tos o n|os mayoes a 40 |g oe
oeso |no|ca LCxlClClLllA 100 mg vlA
C8AL caoa 12 |oas ouante S o|as.
l.2 1atam|ento oaa s|ntomas en |os casos
sosoec|osos con |ebe s|n oo|o
aboom|na|.
l|os.-
lA8ACL1AMCL vlA C8AL 10 a 1S mg oo |g
oe oeso oo oos|s caoa 6 |oas ouante 24
|s. S|n oasa oe S00 mg oo oos|s.
ML1AMl.CL SCLlCC (Llll8ClA) vlA C8AL
10 mg oo |g oe oeso oo oos|s caoa 6
|oas ouante 24 |s.
Aou|tos.-
lA8ACL1AMCL vlA C8AL S00 mg a 1 gamo
caoa 6 | ouante 24 |s.
ML1AMl.CL SCLlCC (Llll8ClA) vlA C8AL
S00 mg a 1 gamo caoa 6 |oas ouante 24
|s.
Ant|b|t|co teao|a oaa o|agnst|co
sosoec|aoo
(8eoza v|g||anc|a en caso oe oesentase
8as| aoaentemente asoc|aoo a
ant|b|t|co).
l.2.1 1atam|ento ant|b|t|co oaa caso
sosoec|oso o oobab|e.
AMubLA1C8lC: Lox|c|c||na 100 mg vC c/12
|oas oo / a 10 o|as. l|os menoes oe
40|g. oe oeso Lox|c|c||na 2.S mg. oo |||o
oe oeso oo oos|s caoa 12 |oas oo / a 10
o|as.
lCSll1ALl.ALC C8AvL: Ln n|os y aou|tos
ouo||ca |a oos|s |as o|meas /2 |oas y
cont|nua con e| esquema estab|ec|oo oo
/ a 10 o|as o s|n |ebe ouante 3 o|as mas.
l.3 Muestas sangu|neas estao||ca
seve|oao en 2 tubos
s|mu|taneamente
1 tubo con ant|coagu|ante LL1A taoa
moaoa
u|omet|a |emat|ca como|eta con
conteo oe o|aquetas.
1 tubo s|n ant|coagu|ante
Am|notanseasas (1CC, 1Cl, CC1)
LlL (Lactato oes||oogenasa)
Cll (Ceat|n osoqu|nasa)
l.4 Muestas sangu|neas oaa ouebas
con|mato|as
laa oetecc|n oo 8eacc|n oe |a
lo||measa en Caoena (lC8-8|c|etts|a)
en un tubo con ant|coagu|ante LL1A
con taon moaoo.
laa oetecc|n oe lgC y/e lgM
esoec||ca oaa 8|c|etts|a oo
lnmuno|uoescenc|a lno|ecta (lll-
8|c|etts|a-lgC) en un tubo s|n
ant|coagu|ante.
l.S lot||cac|n Suoe|o
l.6 loceo|m|ento oaa e||m|na vectoes
Lnv|a coeo e|ectn|co a
mm.bc1Qgma||.come |nc|u| |a s|gu|ente
|nomac|n: un|oao que eoota, sexo,
nombe oe| oac|ente, eoao, oom|c|||o,
te|eono oe| oac|ente, ec|a oe |a
mooeoua y ec|a oe |a not||cac|n.

L|uno| / lnoma sobe |a |mootanc|a oe
|a um|gac|n y |a e||m|nac|n oe vectoes y
oesoaas|tac|n en an|ma|es. Lntega oe
o||eto exo||cat|vo.