Microbiología - Bartonella.pptx

8/11/2019 Microbiologa - Bartonella.pptx

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1858-1885
http://www.google.com.pe/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&docid=T374Wh-YeU7Q8M&tbnid=ZMdMzdVrpdVZtM:&ved=&url=http://www.diarioinca.com/2009/09/biografia-de-daniel-alcides-carrion.html&ei=tPU1VNmuDcKHsQTs9YDgCQ&bvm=bv.76943099,d.cWc&psig=AFQjCNGCK2w1NfW1mMf12klebCT2Pn5QBg&ust=1412908852587140


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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=1412918487953927


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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=1412917049038681


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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/746


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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


11/26

-Cocobacilo

Gram (-)-IntracelularFacultativo

-No crece 37C-Enf. de Carrin

-Vector:Lutzomyia

B. bacilliformis


12/26


13/26


14/26


15/26

FASE ANMICA: FIEBRE DE LA OROYA

FIEBRE

ANEMIA

ICTERICIA

HEMORRGIA


16/26


17/26

DIAGNSTICO: FROTS SANGRE PERIFRICA

FORMAS BACILARES FORMAS COCOIDES


18/26

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=1365820780963309


19/26

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


21/26ENF. ARAAZO DE GATO por B. henselae


22/26


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Patogenia


24/26

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

Microbiología - Bartonella.pptx

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