tag:blogger.com,1999:blog-1149596751410456152024-03-14T03:18:53.130-07:00BACTERIOLOGIAmaiiahttp://www.blogger.com/profile/18141447435977845589noreply@blogger.comBlogger13125tag:blogger.com,1999:blog-114959675141045615.post-82133012643493323802011-06-02T20:27:00.001-07:002011-06-02T20:47:25.612-07:00<p class="MsoNormal" style="text-align: justify;margin-top: 0in; margin-right: 0in; margin-left: -4.5pt; margin-bottom: 0.0001pt; text-indent: -4.5pt; line-height: normal; "><b><span lang="ES-MX" style="font-family:"Times New Roman","serif";mso-ascii-theme-font:major-bidi; mso-hansi-theme-font:major-bidi;mso-bidi-theme-font:major-bidi;mso-ansi-language: ES-MX">IDENTIFICACION DEL GENERO CLOSTRIDIUM<o:p></o:p></span></b></p> <p class="MsoNormal" style="text-align: justify;margin-top: 0in; margin-right: 0in; margin-left: -4.5pt; margin-bottom: 0.0001pt; text-indent: -4.5pt; line-height: normal; "><b><span lang="ES-MX" style="font-family:"Times New Roman","serif";mso-ascii-theme-font:major-bidi; mso-hansi-theme-font:major-bidi;mso-bidi-theme-font:major-bidi;mso-ansi-language: ES-MX">Cultivo. </span></b><span lang="ES-MX" style="font-family:"Times New Roman","serif"; mso-ascii-theme-font:major-bidi;mso-hansi-theme-font:major-bidi;mso-bidi-theme-font: major-bidi;mso-ansi-language:ES-MX">La mayoría crecen sólo en condiciones de anaerobiosis. El uso de medios<o:p></o:p></span></p> <p class="MsoNormal" style="text-align: justify;margin-top: 0in; margin-right: 0in; margin-left: -4.5pt; margin-bottom: 0.0001pt; text-indent: -4.5pt; line-height: normal; "><span lang="ES-MX" style="font-family:"Times New Roman","serif";mso-ascii-theme-font:major-bidi; mso-hansi-theme-font:major-bidi;mso-bidi-theme-font:major-bidi;mso-ansi-language: ES-MX">enriquecidos proporciona condiciones óptimas para el crecimiento. Entre los suplementos </span><span class="Apple-style-span" style="font-family: 'Times New Roman', serif; ">más comúnmente empleados están: el extracto de levadura, sangre, hemina, vitamina K y </span><span class="Apple-style-span" style="font-family: 'Times New Roman', serif; ">algunos aminoácidos.</span></p> <p class="MsoNormal" style="text-align: justify;margin-top: 0in; margin-right: 0in; margin-left: -4.5pt; margin-bottom: 0.0001pt; text-indent: -4.5pt; line-height: normal; "><span lang="ES-MX" style="font-family:"Times New Roman","serif";mso-ascii-theme-font:major-bidi; mso-hansi-theme-font:major-bidi;mso-bidi-theme-font:major-bidi;mso-ansi-language: ES-MX">Los mejores medios para la recuperación de microorganismos anaerobios son aquellos<o:p></o:p></span></p> <p class="MsoNormal" style="text-align: justify;margin-top: 0in; margin-right: 0in; margin-left: -4.5pt; margin-bottom: 0.0001pt; text-indent: -4.5pt; line-height: normal; "><span lang="ES-MX" style="font-family:"Times New Roman","serif";mso-ascii-theme-font:major-bidi; mso-hansi-theme-font:major-bidi;mso-bidi-theme-font:major-bidi;mso-ansi-language: ES-MX">que nunca han sido expuestos al oxígeno, es decir, medios recién preparados (frescos) o prerreducidos, esterilizados anaeróbicamente, eliminando el oxígeno y reduciendo de modo </span><span class="Apple-style-span" style="font-family: 'Times New Roman', serif; ">parcial los ingredientes mediante ebullición o añadiendo agentes reductores. La preparación </span><span class="Apple-style-span" style="font-family: 'Times New Roman', serif; ">de medios anaerobios es impracticable por la mayoría de los laboratorios, sin embargo, </span><span class="Apple-style-span" style="font-family: 'Times New Roman', serif; ">existen sistemas anaeróbicos comercialmente disponibles.</span></p> <p class="MsoNormal" style="text-align: justify;margin-top: 0in; margin-right: 0in; margin-left: -4.5pt; margin-bottom: 0.0001pt; text-indent: -4.5pt; line-height: normal; "><span lang="ES-MX" style="font-family:"Times New Roman","serif";mso-ascii-theme-font:major-bidi; mso-hansi-theme-font:major-bidi;mso-bidi-theme-font:major-bidi;mso-ansi-language: ES-MX">Las muestras recomendadas para cultivo anaerobio deben ser inoculadas en placas con </span><span class="Apple-style-span" style="font-family: 'Times New Roman', serif; ">medio agar-sangre no selectivo (Columbia, Brucella, BHI, TSB), medio anaerobio selectivo </span><span class="Apple-style-span" style="font-family: 'Times New Roman', serif; ">agar-sangre-feniletil-alcohol, agar-sangre-vancomicina-kanamicina) y medio líquido de enriquecimiento </span><span lang="ES-MX" style="font-family:"Times New Roman","serif";mso-ascii-theme-font:major-bidi; mso-hansi-theme-font:major-bidi;mso-bidi-theme-font:major-bidi;mso-ansi-language: ES-MX">(tioglicolato y glucosa-carne molida). Los medios líquidos deben ser calentados </span><span class="Apple-style-span" style="font-family: 'Times New Roman', serif; ">durante 10 minutos antes de ser inoculados. </span></p><p class="MsoNormal" style="text-align: justify;margin-top: 0in; margin-right: 0in; margin-left: -4.5pt; margin-bottom: 0.0001pt; text-indent: -4.5pt; line-height: normal; "><span lang="ES-MX" style="font-family:"Times New Roman","serif";mso-ascii-theme-font:major-bidi; mso-hansi-theme-font:major-bidi;mso-bidi-theme-font:major-bidi;mso-ansi-language: ES-MX"></span><span class="Apple-style-span" style="font-family: 'Times New Roman', serif; ">Tanto el medio selectivo como el no selectivo deben ser empleados en el aislamiento </span><span lang="ES-MX" style="font-family:"Times New Roman","serif";mso-ascii-theme-font:major-bidi; mso-hansi-theme-font:major-bidi;mso-bidi-theme-font:major-bidi;mso-ansi-language: ES-MX">primario. El medio de enriquecimiento servirá para el control del cultivo primario en placas, </span><span class="Apple-style-span" style="font-family: 'Times New Roman', serif; ">para recuperar microorganismos que hayan crecido en bajo número y para el aislamiento de </span><span class="Apple-style-span" style="font-family: 'Times New Roman', serif; ">organismos de crecimiento lento. La selección de los diversos medios varía con la procedencia y </span><span class="Apple-style-span" style="font-family: 'Times New Roman', serif; ">la naturaleza de la muestra.</span></p> <p class="MsoNormal" style="text-align: justify;margin-top: 0in; margin-right: 0in; margin-left: -4.5pt; margin-bottom: 0.0001pt; text-indent: -4.5pt; line-height: normal; "><b><span lang="ES-MX" style="font-family:"Times New Roman","serif";mso-ascii-theme-font:major-bidi; mso-hansi-theme-font:major-bidi;mso-bidi-theme-font:major-bidi;mso-ansi-language: ES-MX">Procedimientos de inoculación<o:p></o:p></span></b></p> <p class="MsoNormal" style="text-align: justify;margin-top: 0in; margin-right: 0in; margin-left: -4.5pt; margin-bottom: 0.0001pt; text-indent: -4.5pt; line-height: normal; "><i><span lang="ES-MX" style="font-family:"Times New Roman","serif";mso-ascii-theme-font:major-bidi; mso-hansi-theme-font:major-bidi;mso-bidi-theme-font:major-bidi;mso-ansi-language: ES-MX">Muestras líquidas: </span></i><span lang="ES-MX" style="font-family:"Times New Roman","serif"; mso-ascii-theme-font:major-bidi;mso-hansi-theme-font:major-bidi;mso-bidi-theme-font: major-bidi;mso-ansi-language:ES-MX">deberá emplearse una pipeta capilar (o directamente de la jeringuilla </span><span class="Apple-style-span" style="font-family: 'Times New Roman', serif; ">donde se colectó la muestra) para inocular el medio líquido o semisólido. Se evitará la agitación, </span><span class="Apple-style-span" style="font-family: 'Times New Roman', serif; ">ya que puede airearse de nuevo el medio. Se colocarán una o dos gotas del inóculo en </span><span class="Apple-style-span" style="font-family: 'Times New Roman', serif; ">cada medio en placa, estriándolo con un asa bacteriológica que no sea de níquel y cromo </span><span class="Apple-style-span" style="font-family: 'Times New Roman', serif; ">(nicrom), ya que este oxida el inóculo. Deberá realizarse, además, un frotis para coloración de </span><span class="Apple-style-span" style="font-family: 'Times New Roman', serif; ">Gram antes de descartar la pipeta o la jeringuilla.</span></p> <p class="MsoNormal" style="text-align: justify;margin-top: 0in; margin-right: 0in; margin-left: -4.5pt; margin-bottom: 0.0001pt; text-indent: -4.5pt; line-height: normal; "><i><span lang="ES-MX" style="font-family:"Times New Roman","serif";mso-ascii-theme-font:major-bidi; mso-hansi-theme-font:major-bidi;mso-bidi-theme-font:major-bidi;mso-ansi-language: ES-MX">Tejido y otros especímenes: </span></i><span lang="ES-MX" style="font-family:"Times New Roman","serif";mso-ascii-theme-font:major-bidi; mso-hansi-theme-font:major-bidi;mso-bidi-theme-font:major-bidi;mso-ansi-language: ES-MX">la muestra se homogeneizará en 1 mL de caldo tioglicolato </span><span class="Apple-style-span" style="font-family: 'Times New Roman', serif; ">u otro medio apropiad utilizando un mortero. Este procedimiento debe realizarse en una </span><span class="Apple-style-span" style="font-family: 'Times New Roman', serif; ">cámara de anaerobiosis para minimizar la exposición al oxígeno, de lo contrario, se procederá </span><span class="Apple-style-span" style="font-family: 'Times New Roman', serif; ">lo más rápidamente posible. Una vez obtenida la homogeneización, se procederá de igual </span><span class="Apple-style-span" style="font-family: 'Times New Roman', serif; ">forma que con muestras líquidas.</span></p> <p class="MsoNormal" style="text-align: justify;margin-top: 0in; margin-right: 0in; margin-left: -4.5pt; margin-bottom: 0.0001pt; text-indent: -4.5pt; line-height: normal; "><i><span lang="ES-MX" style="font-family:"Times New Roman","serif";mso-ascii-theme-font:major-bidi; mso-hansi-theme-font:major-bidi;mso-bidi-theme-font:major-bidi;mso-ansi-language: ES-MX">Hisopados</span></i><span lang="ES-MX" style="font-family:"Times New Roman","serif"; mso-ascii-theme-font:major-bidi;mso-hansi-theme-font:major-bidi;mso-bidi-theme-font: major-bidi;mso-ansi-language:ES-MX">: si se reciben dos hisopos, uno deberá emplearse para inocular el medio </span><span class="Apple-style-span" style="font-family: 'Times New Roman', serif; ">líquido, rotándolo suavemente para evitar agitación y el otro se utilizará en un frotis para </span><span lang="ES-MX" style="font-family:"Times New Roman","serif";mso-ascii-theme-font:major-bidi; mso-hansi-theme-font:major-bidi;mso-bidi-theme-font:major-bidi;mso-ansi-language: ES-MX">coloración de Gram. Si se dispone sólo de un hisopo, se preparará una suspensión en 0,5 o </span><span class="Apple-style-span" style="font-family: 'Times New Roman', serif; ">1,0 mL de tioglicolato u otro medio adecuado, para luego proceder de igual forma que con las </span><span class="Apple-style-span" style="font-family: 'Times New Roman', serif; ">muestras líquidas.</span></p> <p class="MsoNormal" style="text-align: justify;margin-top: 0in; margin-right: 0in; margin-left: -4.5pt; margin-bottom: 0.0001pt; text-indent: -4.5pt; line-height: normal; "><b><span lang="ES-MX" style="font-family:"Times New Roman","serif";mso-ascii-theme-font:major-bidi; mso-hansi-theme-font:major-bidi;mso-bidi-theme-font:major-bidi;mso-ansi-language: ES-MX">Forma de las colonias</span></b><span lang="ES-MX" style="font-family: "Times New Roman","serif";mso-ascii-theme-font:major-bidi;mso-hansi-theme-font: major-bidi;mso-bidi-theme-font:major-bidi;mso-ansi-language:ES-MX">. Algunos microorganismos producen colonias grandes, elevadas, </span><span class="Apple-style-span" style="font-family: 'Times New Roman', serif; ">con bordes enteros en medios sólidos (<i>C. perfringens</i>); otros producen colonias más </span><span class="Apple-style-span" style="font-family: 'Times New Roman', serif; ">pequeñas, cuyos bordes se extienden en forma de red de finos filamentos (<i>C. tetani</i>). Muchos </span><span class="Apple-style-span" style="font-family: 'Times New Roman', serif; ">clostridios producen una zona de hemólisis en agar-sangre y de manera típica, <i>C. </i></span><i><span lang="ES-MX" style="font-family:"Times New Roman","serif";mso-ascii-theme-font:major-bidi; mso-hansi-theme-font:major-bidi;mso-bidi-theme-font:major-bidi;mso-ansi-language: ES-MX">perfringens </span></i><span lang="ES-MX" style="font-family:"Times New Roman","serif"; mso-ascii-theme-font:major-bidi;mso-hansi-theme-font:major-bidi;mso-bidi-theme-font: major-bidi;mso-ansi-language:ES-MX">crea una doble </span><span style="font-family:"Times New Roman","serif";mso-ascii-theme-font:major-bidi; mso-hansi-theme-font:major-bidi;mso-bidi-theme-font:major-bidi">β</span><span lang="ES-MX" style="font-family:"Times New Roman","serif";mso-ascii-theme-font: major-bidi;mso-hansi-theme-font:major-bidi;mso-bidi-theme-font:major-bidi; mso-ansi-language:ES-MX">-hemólisis alrededor de sus colonias.</span></p> <p class="MsoNormal" style="text-align: justify;margin-top: 0in; margin-right: 0in; margin-left: -4.5pt; margin-bottom: 0.0001pt; text-indent: -4.5pt; line-height: normal; "><span lang="ES-MX" style="font-family:"Times New Roman","serif";mso-ascii-theme-font:major-bidi; mso-hansi-theme-font:major-bidi;mso-bidi-theme-font:major-bidi;mso-ansi-language: ES-MX">Se recomienda, generalmente, que los cultivos en condiciones anaeróbicas deben </span><span class="Apple-style-span" style="font-family: 'Times New Roman', serif; ">incubarse durante 48 horas, para evitar las exposiciones bactericidas al oxígeno durante las </span><span class="Apple-style-span" style="font-family: 'Times New Roman', serif; ">observaciones a las 24 horas. Es asimismo recomendable hacer coloración de Gram a cada </span><span class="Apple-style-span" style="font-family: 'Times New Roman', serif; ">tipo de colonia aislada, para observar la presencia de esporas.</span></p> <p class="MsoNormal" style="text-align: justify;margin-top: 0in; margin-right: 0in; margin-left: -4.5pt; margin-bottom: 0.0001pt; text-indent: -4.5pt; line-height: normal; "><b><span lang="ES-MX" style="font-family:"Times New Roman","serif";mso-ascii-theme-font:major-bidi; mso-hansi-theme-font:major-bidi;mso-bidi-theme-font:major-bidi;mso-ansi-language: ES-MX">Características del crecimiento. </span></b><span lang="ES-MX" style="font-family:"Times New Roman","serif";mso-ascii-theme-font:major-bidi; mso-hansi-theme-font:major-bidi;mso-bidi-theme-font:major-bidi;mso-ansi-language: ES-MX">Teniendo en cuenta que los clostridios tienen características </span><span lang="ES-MX" style="font-family:"Times New Roman","serif";mso-ascii-theme-font:major-bidi; mso-hansi-theme-font:major-bidi;mso-bidi-theme-font:major-bidi;mso-ansi-language: ES-MX">culturales similares, a la vez que pueden confundirse con especies facultativas del </span><span class="Apple-style-span" style="font-family: 'Times New Roman', serif; ">género <i>Bacillus </i>spp., debe realizarse el test de aerotolerancia (relación con el oxígeno), que </span><span class="Apple-style-span" style="font-family: 'Times New Roman', serif; ">consiste en subcultivar cada colonia en medio agar-sangre (incubado anaeróbicamente), en </span><span class="Apple-style-span" style="font-family: 'Times New Roman', serif; ">medio agar-chocolate (incubado en 5 % de CO2) y del mismo hisopo, depositar una porción </span><span class="Apple-style-span" style="font-family: 'Times New Roman', serif; ">del material en una lámina portaobjeto para coloración de Gram. La prueba de catalasa </span><span class="Apple-style-span" style="font-family: 'Times New Roman', serif; ">puede servir para la diferenciación con los miembros facultativos del género <i>Bacillus </i></span><span class="Apple-style-span" style="font-family: 'Times New Roman', serif; ">spp<i>. </i>La placa de agar-sangre para anaerobiosis puede ser estriada para colocarle discos </span><span lang="ES-MX" style="font-family:"Times New Roman","serif";mso-ascii-theme-font:major-bidi; mso-hansi-theme-font:major-bidi;mso-bidi-theme-font:major-bidi;mso-ansi-language: ES-MX">de kanamicina, colistina y vancomicina como parte de la identificación presuntiva de </span><span class="Apple-style-span" style="font-family: 'Times New Roman', serif; ">especies de clostridios.</span></p> <p class="MsoNormal" style="text-align: justify;margin-top: 0in; margin-right: 0in; margin-left: -4.5pt; margin-bottom: 0.0001pt; text-indent: -4.5pt; line-height: normal; "><span lang="ES-MX" style="font-family:"Times New Roman","serif";mso-ascii-theme-font:major-bidi; mso-hansi-theme-font:major-bidi;mso-bidi-theme-font:major-bidi;mso-ansi-language: ES-MX">La identificación de <i>C. tetani </i>y <i>C. botulinum </i>no se lleva a cabo en laboratorios de </span><span lang="ES-MX" style="font-family:"Times New Roman","serif";mso-ascii-theme-font:major-bidi; mso-hansi-theme-font:major-bidi;mso-bidi-theme-font:major-bidi;mso-ansi-language: ES-MX">diagnóstico. El diagnóstico habitual del tétanos es clínico, mientras que el botulismo se </span><span class="Apple-style-span" style="font-family: 'Times New Roman', serif; ">diagnostica en laboratorios de referencia.</span></p> <p class="MsoNormal" style="text-align: justify;margin-left: -4.5pt; text-indent: -4.5pt; "><span lang="ES-MX" style="font-family:"Times New Roman","serif";mso-ascii-theme-font: major-bidi;mso-hansi-theme-font:major-bidi;mso-bidi-theme-font:major-bidi; mso-ansi-language:ES-MX"><o:p> </o:p></span></p> <p class="MsoNormal" style="text-align: justify;margin-left: -4.5pt; text-indent: -4.5pt; "><span lang="ES-MX" style="font-family:"Times New Roman","serif";mso-ascii-theme-font: major-bidi;mso-hansi-theme-font:major-bidi;mso-bidi-theme-font:major-bidi; mso-ansi-language:ES-MX"><o:p> </o:p></span></p> <p class="MsoNormal" style="text-align: justify;margin-top: 0in; margin-right: 0in; margin-left: -4.5pt; margin-bottom: 0.0001pt; text-indent: -4.5pt; line-height: normal; "><span lang="ES-MX" style="font-family:"Times New Roman","serif";mso-ascii-theme-font:major-bidi; mso-hansi-theme-font:major-bidi;mso-bidi-theme-font:major-bidi;mso-ansi-language: ES-MX">PROCEDIMIENTOS ESPECIALES PARA AISLAMIENTO<o:p></o:p></span></p> <p class="MsoNormal" style="text-align: justify;margin-top: 0in; margin-right: 0in; margin-left: -4.5pt; margin-bottom: 0.0001pt; text-indent: -4.5pt; line-height: normal; "><span lang="ES-MX" style="font-family:"Times New Roman","serif";mso-ascii-theme-font:major-bidi; mso-hansi-theme-font:major-bidi;mso-bidi-theme-font:major-bidi;mso-ansi-language: ES-MX">DE CLOSTRIDIOS<o:p></o:p></span></p> <p class="MsoNormal" style="text-align: justify;margin-top: 0in; margin-right: 0in; margin-left: -4.5pt; margin-bottom: 0.0001pt; text-indent: -4.5pt; line-height: normal; "><b><span lang="ES-MX" style="font-family:"Times New Roman","serif";mso-ascii-theme-font:major-bidi; mso-hansi-theme-font:major-bidi;mso-bidi-theme-font:major-bidi;mso-ansi-language: ES-MX">Sistemas anaeróbicos<o:p></o:p></span></b></p> <p class="MsoNormal" style="text-align: justify;margin-top: 0in; margin-right: 0in; margin-left: -4.5pt; margin-bottom: 0.0001pt; text-indent: -4.5pt; line-height: normal; "><span lang="ES-MX" style="font-family:"Times New Roman","serif";mso-ascii-theme-font:major-bidi; mso-hansi-theme-font:major-bidi;mso-bidi-theme-font:major-bidi;mso-ansi-language: ES-MX">Dado que la incubación de los anaerobios debe llevarse a cabo en ausencia de aire, se </span><span class="Apple-style-span" style="font-family: 'Times New Roman', serif; ">han diseñado diversos métodos para lograrlo. Se dispone en la actualidad de jarras, cámaras,</span><span class="Apple-style-span" style="font-family: 'Times New Roman', serif; "> bolsas anaeróbicas, así como del método del tubo revestido con medio sólido prerreducido </span><span class="Apple-style-span" style="font-family: 'Times New Roman', serif; ">(<i>roll tube method</i>).</span></p> <p class="MsoNormal" style="text-align: justify;margin-top: 0in; margin-right: 0in; margin-left: -4.5pt; margin-bottom: 0.0001pt; text-indent: -4.5pt; line-height: normal; "><span lang="ES-MX" style="font-family:"Times New Roman","serif";mso-ascii-theme-font:major-bidi; mso-hansi-theme-font:major-bidi;mso-bidi-theme-font:major-bidi;mso-ansi-language: ES-MX">Las primeras jarras anaeróbicas lograban estas condiciones gracias al empleo de </span><span class="Apple-style-span" style="font-family: 'Times New Roman', serif; ">catalizadores (para acelerar la unión del H2 con el O2 con producción de agua) activados </span><span class="Apple-style-span" style="font-family: 'Times New Roman', serif; ">mediante corriente eléctrica. Las jarras anaeróbicas producidas hoy, como el sistema GasPack </span><span class="Apple-style-span" style="font-family: 'Times New Roman', serif; ">Jar (Becton Dickinson) o el Oxoid Jar (Oxoid), son mucho más prácticas, pues utilizan s</span><span class="Apple-style-span" style="font-family: 'Times New Roman', serif; ">istemas de catalizadores "fríos" que no requieren calor ni corriente eléctrica, tales como los </span><i><span lang="ES-MX" style="font-family:"Times New Roman","serif";mso-ascii-theme-font:major-bidi; mso-hansi-theme-font:major-bidi;mso-bidi-theme-font:major-bidi;mso-ansi-language: ES-MX">pellets </span></i><span lang="ES-MX" style="font-family:"Times New Roman","serif"; mso-ascii-theme-font:major-bidi;mso-hansi-theme-font:major-bidi;mso-bidi-theme-font: major-bidi;mso-ansi-language:ES-MX">de aluminio recubiertos con paladio (que deben ser reactivados a 160 °C durante 2 horas </span><span class="Apple-style-span" style="font-family: 'Times New Roman', serif; ">después de cada uso, para evitar la humedad y la acumulación de H2S). Las condiciones de </span><span class="Apple-style-span" style="font-family: 'Times New Roman', serif; ">anaerobiosis pueden lograrse con generadores desechables de hidrógeno-dióxido de carbono, </span><span class="Apple-style-span" style="font-family: 'Times New Roman', serif; ">consistentes en tabletas de ácido cítrico-bicarbonato de sodio y de borohidruro de </span><span class="Apple-style-span" style="font-family: 'Times New Roman', serif; ">sodio-cloruro de cobalto. El sistema se activa añadiendo 10 mL de agua con una pipeta a la </span><span class="Apple-style-span" style="font-family: 'Times New Roman', serif; ">bolsa que contiene las tabletas. Se colocan toallas de papel para evitar el exceso de humedad </span><span class="Apple-style-span" style="font-family: 'Times New Roman', serif; ">dentro de la jarra. La reacción responsable de crear las condiciones de anaerobiosis es la </span><span class="Apple-style-span" style="font-family: 'Times New Roman', serif; ">siguiente:</span></p> <p class="MsoNormal" style="text-align: justify;margin-top: 0in; margin-right: 0in; margin-left: -4.5pt; margin-bottom: 0.0001pt; text-indent: -4.5pt; line-height: normal; "><span lang="ES-MX" style="font-family:"Times New Roman","serif";mso-ascii-theme-font:major-bidi; mso-hansi-theme-font:major-bidi;mso-bidi-theme-font:major-bidi;mso-ansi-language: ES-MX">1. C6H8O7 + 3 NaHCO3 Na3 (C6H5O7) + 3 H2O + 3 CO2<o:p></o:p></span></p> <p class="MsoNormal" style="text-align: justify;margin-left: -4.5pt; text-indent: -4.5pt; "><span style="font-family:"Times New Roman","serif";mso-ascii-theme-font:major-bidi; mso-hansi-theme-font:major-bidi;mso-bidi-theme-font:major-bidi">2. NaBH4 + 2 H2O NaBO2 + 4 H2</span><span lang="ES-MX" style="font-family:"Times New Roman","serif"; mso-ascii-theme-font:major-bidi;mso-hansi-theme-font:major-bidi;mso-bidi-theme-font: major-bidi;mso-ansi-language:ES-MX"><o:p></o:p></span></p>maiiahttp://www.blogger.com/profile/18141447435977845589noreply@blogger.com0tag:blogger.com,1999:blog-114959675141045615.post-38711735529083914412011-06-02T07:47:00.000-07:002011-06-02T08:01:29.031-07:00Bacillus... 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mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-fareast-language:EN-US;} </style> <![endif]--> <p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto; line-height:normal"><b style="mso-bidi-font-weight:normal"><i><span style="font-size:12.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black;mso-themecolor:text1;mso-fareast-language:ES"><span style="font-family: verdana;">Bacillus</span>.</span></i></b><b style="mso-bidi-font-weight:normal"><span style="font-size:12.0pt;font-family: "Arial","sans-serif";mso-fareast-font-family:"Times New Roman";color:black; mso-themecolor:text1;mso-fareast-language:ES"></span></b></p> <p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto; line-height:normal"><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:black;mso-themecolor:text1; mso-fareast-language:ES">El </span><span style="font-size:12.0pt;font-family: "Arial","sans-serif";color:black;mso-themecolor:text1"><a href="http://www.monografias.com/trabajos6/geli/geli.shtml"><span style="mso-fareast-font-family:"Times New Roman";color:black;mso-themecolor: text1;mso-fareast-language:ES;text-decoration:none;text-underline:none">género</span></a></span><span style="font-size:12.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black;mso-themecolor:text1;mso-fareast-language:ES"> <i>Bacillus</i> está compuesto por bacilos grampositivos grandes caracterizados por su capacidad para producir endosporas. El género incluye microorganismos aerobios estrictos y anaerobios facultativos. <i>Bacillus anthracis</i> es causante de enfermedad en el ser humano. Muchas otras especies están distribuidas en la naturaleza y se hallan en la mayor parte de las muestras de </span><span style="font-size:12.0pt;font-family:"Arial","sans-serif";color:black; mso-themecolor:text1"><a href="http://www.monografias.com/trabajos33/suelos/suelos.shtml"><span style="mso-fareast-font-family:"Times New Roman";color:black;mso-themecolor: text1;mso-fareast-language:ES;text-decoration:none;text-underline:none">suelos</span></a></span><span style="font-size:12.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black;mso-themecolor:text1;mso-fareast-language:ES">, </span><span style="font-size:12.0pt;font-family:"Arial","sans-serif";color:black; mso-themecolor:text1"><a href="http://www.monografias.com/trabajos14/problemadelagua/problemadelagua.shtml"><span style="mso-fareast-font-family:"Times New Roman";color:black;mso-themecolor: text1;mso-fareast-language:ES;text-decoration:none;text-underline:none">agua</span></a></span><span style="font-size:12.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black;mso-themecolor:text1;mso-fareast-language:ES"> y polvo. Ciertos miembros de dicho género han adquirido importancia como productores de antibióticos.</span></p> <p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto; line-height:normal"><b><i><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:black;mso-themecolor:text1; mso-fareast-language:ES">Bacillus anthracis.</span></i></b><span style="font-size:12.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black;mso-themecolor:text1;mso-fareast-language:ES"></span></p> <p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto; line-height:normal"><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:black;mso-themecolor:text1; mso-fareast-language:ES">Ántrax o carbunco (enfermedad de los animales herbívoros, ovinos y bovinos, equinos, porcinos y caprinos) es causado por el <i>B. anthacis</i>, un bacilo grampositivo aerobio y formador de esporas. Es un bacilo recto que mide de 3 a 5 micras de largo y de 1 a 1.2 micras de ancho, es inmóvil. Están encapsulados durante la proliferación en el animal infectado.</span></p> <p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto; line-height:normal"><b><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:black;mso-themecolor:text1; mso-fareast-language:ES"><span style="mso-spacerun:yes"> </span>Resistencia.</span></b><span style="font-size:12.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black;mso-themecolor:text1;mso-fareast-language:ES"></span></p> <p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto; line-height:normal"><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:black;mso-themecolor:text1; mso-fareast-language:ES">Debido a su capacidad para producir esporas, el bacilo del carbunco es sumamente resistente a los ambientes químicos y físicos adversos. Una </span><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; color:black;mso-themecolor:text1"><a href="http://www.monografias.com/trabajos/termodinamica/termodinamica.shtml"><span style="mso-fareast-font-family:"Times New Roman";color:black;mso-themecolor: text1;mso-fareast-language:ES;text-decoration:none;text-underline:none">temperatura</span></a></span><span style="font-size:12.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black;mso-themecolor:text1;mso-fareast-language:ES"> de 120oC durante 15 min puede inactivar a las esporas. Las esporas permanecen viables durante años en las pasturas contaminadas.</span></p> <p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto; line-height:normal"><b><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:black;mso-themecolor:text1; mso-fareast-language:ES">Determinantes de la patogenicidad.</span></b><span style="font-size:12.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black;mso-themecolor:text1;mso-fareast-language:ES"></span></p> <p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto; line-height:normal"><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:black;mso-themecolor:text1; mso-fareast-language:ES">La patogenia del <i>B. anthracis</i> depende de dos factores de virulencia importantes: una cápsula poli (ácido D-glutámico) y una exotoxina. La cápsula interfiere en la fagocitosis. Los efectos letales se deben a una exotoxina que consiste en tres </span><span style="font-size:12.0pt; font-family:"Arial","sans-serif";color:black;mso-themecolor:text1"><a href="http://www.monografias.com/trabajos10/compo/compo.shtml"><span style="mso-fareast-font-family:"Times New Roman";color:black;mso-themecolor: text1;mso-fareast-language:ES;text-decoration:none;text-underline:none">proteínas</span></a></span><span style="font-size:12.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black;mso-themecolor:text1;mso-fareast-language:ES"> características y serológivamente activas: el </span><span style="font-size: 12.0pt;font-family:"Arial","sans-serif";color:black;mso-themecolor:text1"><a href="http://www.monografias.com/trabajos28/desarrollo-grafico-ant/desarrollo-grafico-ant.shtml"><span style="mso-fareast-font-family:"Times New Roman";color:black;mso-themecolor: text1;mso-fareast-language:ES;text-decoration:none;text-underline:none">ant</span></a></span><span style="font-size:12.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black;mso-themecolor:text1;mso-fareast-language:ES">ígenos protector (PA), el factor de edema (EF) y el factor letal (LF). </span></p> <p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto; line-height:normal"><b><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:black;mso-themecolor:text1; mso-fareast-language:ES">Epidemiología.</span></b><span style="font-size:12.0pt; font-family:"Arial","sans-serif";mso-fareast-font-family:"Times New Roman"; color:black;mso-themecolor:text1;mso-fareast-language:ES"></span></p> <p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto; line-height:normal"><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:black;mso-themecolor:text1; mso-fareast-language:ES">La incidencia del carbunco en </span><span style="font-size:12.0pt;font-family:"Arial","sans-serif";color:black; mso-themecolor:text1"><a href="http://www.monografias.com/trabajos15/fundamento-ontologico/fundamento-ontologico.shtml"><span style="mso-fareast-font-family:"Times New Roman";color:black;mso-themecolor: text1;mso-fareast-language:ES;text-decoration:none;text-underline:none">el hombre</span></a></span><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:black;mso-themecolor:text1; mso-fareast-language:ES"> es baja. En la actualidad casi todos los casos ocurren en personas no vacunadas que trabajan en las hilanderías y en lugares donde se trabaja con fieltro. </span></p> <p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto; line-height:normal"><b><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:black;mso-themecolor:text1; mso-fareast-language:ES">Patogenia.</span></b><span style="font-size:12.0pt; font-family:"Arial","sans-serif";mso-fareast-font-family:"Times New Roman"; color:black;mso-themecolor:text1;mso-fareast-language:ES"></span></p> <p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto; line-height:normal"><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:black;mso-themecolor:text1; mso-fareast-language:ES">Los seres humanos se infectan de una de tres formas:</span></p> <ol start="1" type="1"><li class="MsoNormal" style="color:black;mso-themecolor:text1;mso-margin-top-alt: auto;mso-margin-bottom-alt:auto;line-height:normal;mso-list:l6 level1 lfo1; tab-stops:list 36.0pt"><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";mso-fareast-language:ES">La vía cutánea. Los microorganismos acceden a través de pequeñas abrasiones o cortes y se multiplican.</span></li><li class="MsoNormal" style="color:black;mso-themecolor:text1;mso-margin-top-alt: auto;mso-margin-bottom-alt:auto;line-height:normal;mso-list:l6 level1 lfo1; tab-stops:list 36.0pt"><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";mso-fareast-language:ES">Inhalación. Los microorganismos son inhalados, se multiplican en los pulmones y son barridos hacia los ganglios linfáticos hiliares de drenaje, donde se rpoduce una necrosis hemorrágica.</span></li><li class="MsoNormal" style="color:black;mso-themecolor:text1;mso-margin-top-alt: auto;mso-margin-bottom-alt:auto;line-height:normal;mso-list:l6 level1 lfo1; tab-stops:list 36.0pt"><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";mso-fareast-language:ES">Ingestión. Rara vez los microorganismos son ingeridos en carne infectada, con ella resultante invasión y ulceración de la mucosa gastrointestinal. </span></li></ol> <p class="MsoNormal" style="margin-bottom:0cm;margin-bottom:.0001pt;line-height: normal"><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:black;mso-themecolor:text1; mso-fareast-language:ES">El ántrax humano tiene tres formas clínicas: cutánea, por inhalación, y gastrointestinal.</span></p> <p class="MsoNormal" style="margin-bottom:0cm;margin-bottom:.0001pt;line-height: normal"><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:black;mso-themecolor:text1; mso-fareast-language:ES"> El <b>ántrax cutáneo</b> resulta de la introducción de la espora a través de la piel; el ántrax de la inhalación es a través del tracto respiratorio, y el ántrax gastrointestinal por ingestión.</span></p> <p class="MsoNormal" style="margin-bottom:0cm;margin-bottom:.0001pt;line-height: normal"><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:black;mso-themecolor:text1; mso-fareast-language:ES"> En el cutáneo primero se produce picor superficial en la zona donde se produce la penetración, seguido por una lesión que se vuelve papular, después vesicular y en 2-6 días desarrolla<span style="mso-spacerun:yes"> </span>un chancro negro deprimido. El chancro normalmente se rodea por un edema<span style="mso-spacerun:yes"> </span>de moderado a severo y muy extenso, a veces con vesículas secundarias pequeñas.</span></p> <p class="MsoNormal" style="margin-bottom:0cm;margin-bottom:.0001pt;line-height: normal"><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:black;mso-themecolor:text1; mso-fareast-language:ES"> Las infecciones no tratadas pueden extenderse a los nodos de la linfa regionales y al torrente sanguíneo con una septicemia aplastante. El ántrax cutáneo no tratado tiene una proporción de muertes entre el 5% y<span style="mso-spacerun:yes"> </span>el 20%, pero con terapia antibiótica eficaz, ocurren pocas muertes.</span></p> <p class="MsoNormal" style="margin-bottom:0cm;margin-bottom:.0001pt;line-height: normal"><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:black;mso-themecolor:text1; mso-fareast-language:ES"> Los síntomas iniciales del <b>ántrax por inhalación</b> son apacibles y no específicos y pueden incluir fiebre, malestar y tos apacible o dolor del pecho; los síntomas agudos de dolor respiratorio, fiebre y shock aparecen en 3-5 días, produciéndose la muerte rápidamente después de esto. </span></p> <p class="MsoNormal" style="margin-bottom:0cm;margin-bottom:.0001pt;line-height: normal"><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:black;mso-themecolor:text1; mso-fareast-language:ES"> El <b>ántrax pulmonar</b> se adquiere inhalando esporas del bacilo que son lo suficientemente pequeñas como para penetrar muy adentro en los pulmones, aparece después de la rápida multiplicación de las esporas en los ganglios linfáticos del mediastino. Se desarrolla una linfadenitis hemorrágica necrosante severa que se extiende por las estructuras mediastínicas adyacentes. Hay trasudado serosanguinolento, edema pulmonar y derrame pleural. Los síntomas iniciales son insidiosos . Al principio, la enfermedad tiene síntomas parecidos a los de una gripe severa: tos, dolor muscular, de cabeza y de pecho; luego la enfermedad se torna más severa, hasta producir un estado de shock en el cual muere el 95% de los afectados. La radiografía de tórax muestra una infiltración difusa en placas; el mediastino se encuentra ensanchado a causa de las adenomegalias hemorrágicas. La enfermedad sólo puede controlarse si se empieza un tratamiento drástico con antibióticos dentro de las primeras 48 horas de iniciarse los síntomas. Sin embargo, debido a que en sus primeras etapas la enfermedad es difícil de diagnosticar, generalmente los afectados pocas veces reciben el tratamiento oportuno.</span></p> <p class="MsoNormal" style="margin-bottom:0cm;margin-bottom:.0001pt;line-height: normal"><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:black;mso-themecolor:text1; mso-fareast-language:ES"> El <b>ántrax intestinal</b> es raro y más difícil reconocer.</span></p> <p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto; line-height:normal"><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:black;mso-themecolor:text1; mso-fareast-language:ES"> La confirmación de laboratorio se hace por aislamiento de <i>B. anthracis </i>de la sangre, lesiones superficiales, o las secreciones respiratorias mediante tinción con azul de metileno<span style="mso-spacerun:yes"> </span>(M'Fadyean), o por cultivo o inoculación en ratones, o conejos. Se puede realizar la identificación rápida del organismo por immunodiagnóstico, ELISA y PCR.<b> </b></span></p> <p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto; line-height:normal"><b><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:black;mso-themecolor:text1; mso-fareast-language:ES">Características de su cultivo.</span></b><span style="font-size:12.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black;mso-themecolor:text1;mso-fareast-language:ES"></span></p> <p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto; line-height:normal"><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:black;mso-themecolor:text1; mso-fareast-language:ES">Proliferan bien en placas con agar sangre. La proliferación máxima se obtiene con un </span><span style="font-size:12.0pt; font-family:"Arial","sans-serif";color:black;mso-themecolor:text1"><a href="http://www.monografias.com/trabajos15/proteinas/proteinas.shtml"><span style="mso-fareast-font-family:"Times New Roman";color:black;mso-themecolor: text1;mso-fareast-language:ES;text-decoration:none;text-underline:none">pH</span></a></span><span style="font-size:12.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black;mso-themecolor:text1;mso-fareast-language:ES"> de 7-7.4 en condiciones aerobias, pero se produce desarrollo en ausencia de </span><span style="font-size:12.0pt;font-family:"Arial","sans-serif";color:black; mso-themecolor:text1"><a href="http://www.monografias.com/trabajos14/falta-oxigeno/falta-oxigeno.shtml"><span style="mso-fareast-font-family:"Times New Roman";color:black;mso-themecolor: text1;mso-fareast-language:ES;text-decoration:none;text-underline:none">oxígeno</span></a></span><span style="font-size:12.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black;mso-themecolor:text1;mso-fareast-language:ES">. </span></p> <p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto; line-height:normal"><b><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:black;mso-themecolor:text1; mso-fareast-language:ES">Identificación de </span></b><span style="font-size: 12.0pt;font-family:"Arial","sans-serif";color:black;mso-themecolor:text1"><a href="http://www.monografias.com/trabajos15/informe-laboratorio/informe-laboratorio.shtml"><b><span style="mso-fareast-font-family:"Times New Roman";color:black;mso-themecolor: text1;mso-fareast-language:ES;text-decoration:none;text-underline:none">laboratorio</span></b></a></span><b><span style="font-size:12.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black;mso-themecolor:text1;mso-fareast-language:ES">.</span></b><span style="font-size:12.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black;mso-themecolor:text1;mso-fareast-language:ES"></span></p> <p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto; line-height:normal"><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:black;mso-themecolor:text1; mso-fareast-language:ES">Ni los aspectos morfológicos ni las características de cultivo habituales permiten diferenciar al <i>B. anthracis</i> de las cepas inmóviles de <i>B. cereus,</i> el microorganismo con el que más fácilmente se confunde. Sin embargo, las cepas virulentas de <i>B. anthracis</i> son los únicos microorganismos que producen colonias rugosas cuando proliferan en ausencia de un mayor nivel de CO2 y colonias mucoides cuando proliferan en un medio con bicarbonato de sodio en una </span><span style="font-size:12.0pt; font-family:"Arial","sans-serif";color:black;mso-themecolor:text1"><a href="http://www.monografias.com/trabajos/atm/atm.shtml"><span style="mso-fareast-font-family:"Times New Roman";color:black;mso-themecolor: text1;mso-fareast-language:ES;text-decoration:none;text-underline:none">atm</span></a></span><span style="font-size:12.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black;mso-themecolor:text1;mso-fareast-language:ES">ósfera con un 5% de CO2. </span></p> <p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto; line-height:normal"><b><i><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:black;mso-themecolor:text1; mso-fareast-language:ES">Bacillus cereus.</span></i></b><span style="font-size: 12.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family:"Times New Roman"; color:black;mso-themecolor:text1;mso-fareast-language:ES"></span></p> <p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto; line-height:normal"><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:black;mso-themecolor:text1; mso-fareast-language:ES">Es una causa de enfermedad transmitida por los </span><span style="font-size:12.0pt;font-family:"Arial","sans-serif";color:black; mso-themecolor:text1"><a href="http://www.monografias.com/trabajos7/alim/alim.shtml"><span style="mso-fareast-font-family:"Times New Roman";color:black;mso-themecolor: text1;mso-fareast-language:ES;text-decoration:none;text-underline:none">alimentos</span></a></span><span style="font-size:12.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black;mso-themecolor:text1;mso-fareast-language:ES"> que se reconoce con poca frecuencia. Tiene una </span><span style="font-size: 12.0pt;font-family:"Arial","sans-serif";color:black;mso-themecolor:text1"><a href="http://www.monografias.com/trabajos12/proce/proce.shtml#lem"><span style="mso-fareast-font-family:"Times New Roman";color:black;mso-themecolor: text1;mso-fareast-language:ES;text-decoration:none;text-underline:none">morfología</span></a></span><span style="font-size:12.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black;mso-themecolor:text1;mso-fareast-language:ES"> celular similar a la del <i>B. anthracis</i> pero a diferencia de éste en general es móvil y no es susceptible a la penicilina o al gama-fago. </span></p> <p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto; line-height:normal"><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:black;mso-themecolor:text1; mso-fareast-language:ES">La intoxicación alimentaria por <i>B. cereus</i> puede causar dos síncromes clínicos:</span></p> <ol start="1" type="1"><li class="MsoNormal" style="color:black;mso-themecolor:text1;mso-margin-top-alt: auto;mso-margin-bottom-alt:auto;line-height:normal;mso-list:l1 level1 lfo2; tab-stops:list 36.0pt"><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";mso-fareast-language:ES">tiene un periodo de incubación breve de cuatro horas. Se caracteriza por náuseas y vó</span><span style="font-size:12.0pt;font-family:"Arial","sans-serif""><a href="http://www.monografias.com/trabajos15/mitos-cosmogonicos/mitos-cosmogonicos.shtml"><span style="mso-fareast-font-family:"Times New Roman";color:black;mso-themecolor: text1;mso-fareast-language:ES;text-decoration:none;text-underline:none">mitos</span></a></span><span style="font-size:12.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";mso-fareast-language:ES"> severos y con frecuencia se confunde con la intoxicación alimentaria estafilocócica.</span></li><li class="MsoNormal" style="color:black;mso-themecolor:text1;mso-margin-top-alt: auto;mso-margin-bottom-alt:auto;line-height:normal;mso-list:l1 level1 lfo2; tab-stops:list 36.0pt"><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";mso-fareast-language:ES">tiene un periodo de incubación más prolongado (17 hrs) y se caractería por cólicos abdominales y </span><span style="font-size:12.0pt;font-family: "Arial","sans-serif""><a href="http://www.monografias.com/trabajos32/diarreas/diarreas.shtml"><span style="mso-fareast-font-family:"Times New Roman";color:black;mso-themecolor: text1;mso-fareast-language:ES;text-decoration:none;text-underline:none">diarrea</span></a></span><span style="font-size:12.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";mso-fareast-language:ES">. </span></li><li class="MsoNormal" style="color:black;mso-themecolor:text1;mso-margin-top-alt: auto;mso-margin-bottom-alt:auto;line-height:normal;mso-list:l1 level1 lfo2; tab-stops:list 36.0pt"><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";mso-fareast-language:ES">Habitualmente se confunde con la intoxicación alimentaria por clostridios.</span></li></ol> <p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto; line-height:normal"><b><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:black;mso-themecolor:text1; mso-fareast-language:ES">CARACTERISTICAS</span></b><span style="font-size:12.0pt; font-family:"Arial","sans-serif";mso-fareast-font-family:"Times New Roman"; color:black;mso-themecolor:text1;mso-fareast-language:ES"></span></p> <ul type="disc"><li class="MsoNormal" style="color:black;mso-themecolor:text1;mso-margin-top-alt: auto;mso-margin-bottom-alt:auto;line-height:normal;mso-list:l0 level1 lfo5; tab-stops:list 36.0pt"><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";mso-fareast-language:ES">Son bacterias Gram positivas, familia bacillaceae</span></li><li class="MsoNormal" style="color:black;mso-themecolor:text1;mso-margin-top-alt: auto;mso-margin-bottom-alt:auto;line-height:normal;mso-list:l0 level1 lfo5; tab-stops:list 36.0pt"><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";mso-fareast-language:ES">Aerobio y anaerobio facultativo</span></li><li class="MsoNormal" style="color:black;mso-themecolor:text1;mso-margin-top-alt: auto;mso-margin-bottom-alt:auto;line-height:normal;mso-list:l0 level1 lfo5; tab-stops:list 36.0pt"><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";mso-fareast-language:ES">Esporulado: las esporas son centrales, forma elipsoide y al formarse en el interior de la célula dan lugar al hinchamiento de esta.</span></li><li class="MsoNormal" style="color:black;mso-themecolor:text1;mso-margin-top-alt: auto;mso-margin-bottom-alt:auto;line-height:normal;mso-list:l0 level1 lfo5; tab-stops:list 36.0pt"><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";mso-fareast-language:ES">Crecen entre los 10 - 48º, la temperatura óptima es entre 28 - 35º.</span></li><li class="MsoNormal" style="color:black;mso-themecolor:text1;mso-margin-top-alt: auto;mso-margin-bottom-alt:auto;line-height:normal;mso-list:l0 level1 lfo5; tab-stops:list 36.0pt"><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";mso-fareast-language:ES">Generalmente son móviles con flagelos perítricos.</span></li><li class="MsoNormal" style="color:black;mso-themecolor:text1;mso-margin-top-alt: auto;mso-margin-bottom-alt:auto;line-height:normal;mso-list:l0 level1 lfo5; tab-stops:list 36.0pt"><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";mso-fareast-language:ES">Poseen antígenos somáticos y flagelares y de esporas.</span></li><li class="MsoNormal" style="color:black;mso-themecolor:text1;mso-margin-top-alt: auto;mso-margin-bottom-alt:auto;line-height:normal;mso-list:l0 level1 lfo5; tab-stops:list 36.0pt"><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";mso-fareast-language:ES">Las reacciones serológicas no se usan en su identificación, ya que dan reacciones cruzadas con otros géneros.</span></li><li class="MsoNormal" style="color:black;mso-themecolor:text1;mso-margin-top-alt: auto;mso-margin-bottom-alt:auto;line-height:normal;mso-list:l0 level1 lfo5; tab-stops:list 36.0pt"><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";mso-fareast-language:ES">Los antígenos de las esporas son termoresistentes al igual que las propias esporas</span></li><li class="MsoNormal" style="color:black;mso-themecolor:text1;mso-margin-top-alt: auto;mso-margin-bottom-alt:auto;line-height:normal;mso-list:l0 level1 lfo5; tab-stops:list 36.0pt"><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";mso-fareast-language:ES">pH = 4,9 - 9,3; Aw = 0,93 - 0,95.</span></li><li class="MsoNormal" style="color:black;mso-themecolor:text1;mso-margin-top-alt: auto;mso-margin-bottom-alt:auto;line-height:normal;mso-list:l0 level1 lfo5; tab-stops:list 36.0pt"><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";mso-fareast-language:ES">Para la germinación en el momento que se agota el medio, al final de la fase exponencial ocurre la esporulación porque son menos exigentes. La germinación de las esporas es a 30º. Las esporas son moderadamente resistentes al calor. Resisten 100º durante 5-10 minutos.</span></li></ul> <p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto; line-height:normal"><b><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:black;mso-themecolor:text1; mso-fareast-language:ES">ENZIMAS Y TOXINAS QUE PRODUCE B. CEREUS</span></b><span style="font-size:12.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black;mso-themecolor:text1;mso-fareast-language:ES"></span></p> <p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto; line-height:normal"><b><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:black;mso-themecolor:text1; mso-fareast-language:ES">Lecitinasa</span></b><span style="font-size:12.0pt; font-family:"Arial","sans-serif";mso-fareast-font-family:"Times New Roman"; color:black;mso-themecolor:text1;mso-fareast-language:ES"> (fosfolipasa), se puede detectar porque estos microorganismos dan lugar a una reacción típica de precipitación cuando crecen en medios con yema de huevo. Es una sustancia que puede estar relacionada con efectos necróticos de células intestinales.</span></p> <p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto; line-height:normal"><b><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:black;mso-themecolor:text1; mso-fareast-language:ES">Hemolisina</span></b><span style="font-size:12.0pt; font-family:"Arial","sans-serif";mso-fareast-font-family:"Times New Roman"; color:black;mso-themecolor:text1;mso-fareast-language:ES">, produce la lisis de glóbulos rojos</span></p> <p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto; line-height:normal"><b><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:black;mso-themecolor:text1; mso-fareast-language:ES">Factor letal</span></b><span style="font-size:12.0pt; font-family:"Arial","sans-serif";mso-fareast-font-family:"Times New Roman"; color:black;mso-themecolor:text1;mso-fareast-language:ES">, produce la muerte de conejos cuando se inyectan por vía endovenosa</span></p> <p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto; line-height:normal"><b><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:black;mso-themecolor:text1; mso-fareast-language:ES">Factor de permeabilidad vascular</span></b><span style="font-size:12.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black;mso-themecolor:text1;mso-fareast-language:ES">, produce alteraciones en vasos sanguineos ya que altera su permeabilidad.</span></p> <p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto; line-height:normal"><b><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:black;mso-themecolor:text1; mso-fareast-language:ES">Toxina necrótica</span></b><span style="font-size: 12.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family:"Times New Roman"; color:black;mso-themecolor:text1;mso-fareast-language:ES">, relacionada con la lecitina y produce necrosis de las células del epitelio intestinal</span></p> <p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto; line-height:normal"><b><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:black;mso-themecolor:text1; mso-fareast-language:ES">Toxina emética</span></b><span style="font-size:12.0pt; font-family:"Arial","sans-serif";mso-fareast-font-family:"Times New Roman"; color:black;mso-themecolor:text1;mso-fareast-language:ES">, produce vomitos. Toxina estable a 126º durante 90 minutos. Estable a pH 2 y 11 durante 2 horas, puede sobrevivir en los alimentos.</span></p> <p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto; line-height:normal"><b><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:black;mso-themecolor:text1; mso-fareast-language:ES">Factor del asa ileal de conejo</span></b><span style="font-size:12.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black;mso-themecolor:text1;mso-fareast-language:ES">, origina diarrea y salida de líquido en experimentación.</span></p> <p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto; line-height:normal"><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:black;mso-themecolor:text1; mso-fareast-language:ES">Todas esta sustancias se producen a lo largo de la fase exponencial o al final de la misma por las células vegetativas</span></p> <p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto; line-height:normal"><b><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:black;mso-themecolor:text1; mso-fareast-language:ES">HABITAT Y EPIDEMIOLOGIA</span></b><span style="font-size:12.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black;mso-themecolor:text1;mso-fareast-language:ES"></span></p> <ul type="disc"><li class="MsoNormal" style="color:black;mso-themecolor:text1;mso-margin-top-alt: auto;mso-margin-bottom-alt:auto;line-height:normal;mso-list:l4 level1 lfo6; tab-stops:list 36.0pt"><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";mso-fareast-language:ES">Es ubicuo</span></li><li class="MsoNormal" style="color:black;mso-themecolor:text1;mso-margin-top-alt: auto;mso-margin-bottom-alt:auto;line-height:normal;mso-list:l4 level1 lfo6; tab-stops:list 36.0pt"><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";mso-fareast-language:ES">Se puede aislar frecuentemente de alimentos naturales e industrializados</span></li><li class="MsoNormal" style="color:black;mso-themecolor:text1;mso-margin-top-alt: auto;mso-margin-bottom-alt:auto;line-height:normal;mso-list:l4 level1 lfo6; tab-stops:list 36.0pt"><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";mso-fareast-language:ES">Cuando se ingiere en cantidades pequeñas no produce clínica aparente</span></li><li class="MsoNormal" style="color:black;mso-themecolor:text1;mso-margin-top-alt: auto;mso-margin-bottom-alt:auto;line-height:normal;mso-list:l4 level1 lfo6; tab-stops:list 36.0pt"><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";mso-fareast-language:ES">Se empezo a asociar a alimentos en los años 50.</span></li><li class="MsoNormal" style="color:black;mso-themecolor:text1;mso-margin-top-alt: auto;mso-margin-bottom-alt:auto;line-height:normal;mso-list:l4 level1 lfo6; tab-stops:list 36.0pt"><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";mso-fareast-language:ES">En los casos de intoxicación los alimentos pueden haber sido tratados pero si se dejan enfriar a temperatura ambiente pueden germinar las esporas, conviene enfriar con rapidez y conservar a temperatura de refrigeración.</span></li><li class="MsoNormal" style="color:black;mso-themecolor:text1;mso-margin-top-alt: auto;mso-margin-bottom-alt:auto;line-height:normal;mso-list:l4 level1 lfo6; tab-stops:list 36.0pt"><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";mso-fareast-language:ES">En la leche es frecuente que lleguen a las ubres de las vacas y si estas no son esterilizadas antes del ordeño pueden pasar a la leche, se produce la posterior germinación de las esporas y alteran la leche lo cual puede ser detectado.</span></li><li class="MsoNormal" style="color:black;mso-themecolor:text1;mso-margin-top-alt: auto;mso-margin-bottom-alt:auto;line-height:normal;mso-list:l4 level1 lfo6; tab-stops:list 36.0pt"><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";mso-fareast-language:ES">Alimentos que pueden estar implicados: pasteles con crema, carnes y verduras, sopas, salsas, ensaladas, arroz hervido.</span></li></ul> <p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto; line-height:normal"><b><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:black;mso-themecolor:text1; mso-fareast-language:ES">PODER PATOGENO</span></b><span style="font-size:12.0pt; font-family:"Arial","sans-serif";mso-fareast-font-family:"Times New Roman"; color:black;mso-themecolor:text1;mso-fareast-language:ES"></span></p> <ul type="disc"><li class="MsoNormal" style="color:black;mso-themecolor:text1;mso-margin-top-alt: auto;mso-margin-bottom-alt:auto;line-height:normal;mso-list:l5 level1 lfo7; tab-stops:list 36.0pt"><b><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";mso-fareast-language:ES">Toxina hemética</span></b><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";mso-fareast-language:ES">, enterotoxina, la parte activa es una sustancia de bajo peso molecular (10.000), es estable al calor (resiste 120º durante 1 hora)</span></li><li class="MsoNormal" style="color:black;mso-themecolor:text1;mso-margin-top-alt: auto;mso-margin-bottom-alt:auto;line-height:normal;mso-list:l5 level1 lfo7; tab-stops:list 36.0pt"><b><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";mso-fareast-language:ES">Factor del asa ileal de conejo</span></b><span style="font-size:12.0pt; font-family:"Arial","sans-serif";mso-fareast-font-family:"Times New Roman"; mso-fareast-language:ES">, enterotoxina diarreica, proteina de peso molecular 38000-50000, se inactiva por calentamiento a 56º durante 5 minutos, es termolábil.</span></li></ul> <p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto; line-height:normal"><b><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:black;mso-themecolor:text1; mso-fareast-language:ES">CUADRO CLINICO</span></b><span style="font-size:12.0pt; font-family:"Arial","sans-serif";mso-fareast-font-family:"Times New Roman"; color:black;mso-themecolor:text1;mso-fareast-language:ES"></span></p> <p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto; line-height:normal"><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:black;mso-themecolor:text1; mso-fareast-language:ES">Síndrome emético, nauseas y vomitos se producen al cabo de 1-5 horas, la diarrea no es tan frecuente.</span></p> <p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto; line-height:normal"><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:black;mso-themecolor:text1; mso-fareast-language:ES">Síndrome diarreico, período de incubación de 8 a 10 horas, dolor abdominal y diarrea, la clínica desaparece a las 12-24 horas.</span></p> <p class="MsoNormal" style="margin-bottom:0cm;margin-bottom:.0001pt;line-height: normal"><b style="mso-bidi-font-weight:normal"><span style="font-size:12.0pt; font-family:"Arial","sans-serif";mso-fareast-font-family:"Times New Roman"; color:black;mso-themecolor:text1;mso-fareast-language:ES">Cultivo</span></b></p> <p class="MsoListParagraph" style="margin-bottom:0cm;margin-bottom:.0001pt; mso-add-space:auto;text-indent:-18.0pt;line-height:normal;mso-list:l2 level1 lfo4; tab-stops:list 36.0pt"><span style="font-size:12.0pt; font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:Symbol; color:black;mso-themecolor:text1;mso-fareast-language:ES"><span style="mso-list:Ignore"><img src="file:///C:/DOCUME%7E1/Invitado/CONFIG%7E1/Temp/msohtmlclip1/01/clip_image001.gif" alt="*" height="13" width="13" /><span style="font:7.0pt "Times New Roman""> </span></span></span><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:black;mso-themecolor:text1; mso-fareast-language:ES"> </span></p> <p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto; line-height:normal"><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:black;mso-themecolor:text1; mso-fareast-language:ES">Las colonias aparecen rodeadas de un halo de precipitación blanco sobre fondo rosa-rojo-violeta, las que fermentan el manitol de color amarillo, a las 24 horas las colonias son circulares y lisas, a las 48 horas grandes y rugosas con estrías, nº de colonias x factor de dilución = nº U.F.C. / g.</span></p> <p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto; line-height:normal"><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:black;mso-themecolor:text1; mso-fareast-language:ES">Las colonias sospechosas se trnasfieren a un agar nutritivo y se incuba. </span></p> <p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto; line-height:normal"><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:black;mso-themecolor:text1; mso-fareast-language:ES">Sembramos en agar para anaerobios sin glucosa ni indicador, sembramos en picadura, se añade parafina, incubamos a 31º 24 hora, si hay crecimiento es Bacillus cereus.</span></p> <p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto; line-height:normal"><b><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:black;mso-themecolor:text1; mso-fareast-language:ES">Caldo glucosa sin fosfato</span></b><span style="font-size:12.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black;mso-themecolor:text1;mso-fareast-language:ES">, prueba de Voges Proskaguer (VP+), detectar acetil metil carbinol, añadir reactivos y añadir cristales de creatina para que la reacción sea más rápida.</span></p> <p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto; line-height:normal"><b><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:black;mso-themecolor:text1; mso-fareast-language:ES">Agar nutritivo glucosa</span></b><span style="font-size:12.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black;mso-themecolor:text1;mso-fareast-language:ES">, incubar a 31º 24-48 horas, se realiza la tinción con fuschina y el polihidroxibutirato (material de reserva) no se tiñe.</span></p> <p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto; line-height:normal"><b><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:black;mso-themecolor:text1; mso-fareast-language:ES">Caldo nitrato</span></b><span style="font-size:12.0pt; font-family:"Arial","sans-serif";mso-fareast-font-family:"Times New Roman"; color:black;mso-themecolor:text1;mso-fareast-language:ES">, la prueba es positiva si hay transformación del nitrato en nitrito.</span></p> <p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto; line-height:normal"><b><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:black;mso-themecolor:text1; mso-fareast-language:ES">Movilidad, se siembra en agar en un medio semisólido en picadura</span></b><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:black;mso-themecolor:text1; mso-fareast-language:ES">, si el microorganismo es movil crece por todo el medio.</span></p> <p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto; line-height:normal"><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:black;mso-themecolor:text1; mso-fareast-language:ES">Se puede calcular el NMP cuando se sospecha que el alimento tenga menos de 10 UFC/ml. A partir de diluciones decimáles se siembran en: caldo tripticasa a 31º durante 48 horas, de los tubos en crecimiento se siembran en Mossel y se confirma.</span></p> <p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto; line-height:normal"><b><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:black;mso-themecolor:text1; mso-fareast-language:ES">PREVENCION Y CONTROL</span></b><span style="font-size: 12.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family:"Times New Roman"; color:black;mso-themecolor:text1;mso-fareast-language:ES"></span></p> <ul type="disc"><li class="MsoNormal" style="color:black;mso-themecolor:text1;mso-margin-top-alt: auto;mso-margin-bottom-alt:auto;line-height:normal;mso-list:l3 level1 lfo3; tab-stops:list 36.0pt"><span style="font-size:12.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";mso-fareast-language:ES">Evitar que se multipliquen en 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font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-fareast-language:EN-US;} </style> <![endif]-->maiiahttp://www.blogger.com/profile/18141447435977845589noreply@blogger.com0tag:blogger.com,1999:blog-114959675141045615.post-29847287649119145852011-06-01T22:30:00.000-07:002011-06-01T22:52:53.693-07:00<span class="Apple-style-span" ><br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjo6bY0iFfko0TxA5oNMd-Al7-6H31wP5fIu_3B_fmmc2H50H1rptlyl3tf6i_GehGfRxfFtIwfZz-TpIOoZF8oHSsKh4DdGZ7Kd5o8d-JJzCWuXaF7ieSgXl0NZhQxyqfaE0ElQTn_KS_F/s1600/botulism%252520micro.jpg" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}"><img style="cursor:pointer; cursor:hand;width: 321px; height: 277px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjo6bY0iFfko0TxA5oNMd-Al7-6H31wP5fIu_3B_fmmc2H50H1rptlyl3tf6i_GehGfRxfFtIwfZz-TpIOoZF8oHSsKh4DdGZ7Kd5o8d-JJzCWuXaF7ieSgXl0NZhQxyqfaE0ElQTn_KS_F/s1600/botulism%252520micro.jpg" border="0" alt="" /></a><br /></span><p class="MsoNormal"><span lang="ES-MX" style="mso-ansi-language:ES-MX" >CLOSTRIDIUM BOTULINUM<o:p></o:p></span></p> <p class="MsoNormal"><span lang="ES-MX" style="mso-ansi-language:ES-MX" >Bacilos gram positivos, grandes con los extremos redondeados y esporas de localización subterminal. Se encuentran ampliamente distribuidos en la naturaleza (suelo, vegetales, frutas, pescados, etc.).<o:p></o:p></span></p> <p class="MsoNormal"><span lang="ES-MX" style="mso-ansi-language:ES-MX" >Patogenia<o:p></o:p></span></p> <p class="MsoNormal"><span lang="ES-MX" style="mso-ansi-language:ES-MX" >Existen ocho tipos distintos de toxinas neurotóxicas. La toxina de C. botulinum es una exotoxina muy potente que inhibe la liberación de acetil-colina en la placa neuromuscular mediante unión a un gangliósido de membrana, produce una parálisis flácida.</span></p><span class="Apple-style-span" > </span><p class="MsoNormal"><span class="Apple-style-span" ><span lang="ES-MX" style="mso-ansi-language:ES-MX">Manifestaciones clínicas<o:p></o:p></span><img src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjd8a5cfhU6gUcs-B1uNuIhr4yjfUV7xcSNBjZMuJhFjzO68A4dovqNIQI1SnR8oQ28BshUSrQygStm_b-2R5MesvzdlHTTN-p-pPrrZ2jAsZ2DF_kBbnTNld9FTNZxfmUP5yIYA2RLrUe8/s1600/botulismo.jpg" style="cursor:pointer; cursor:hand;width: 500px; height: 337px;" border="0" alt="" /></span></p><span class="Apple-style-span" > </span><p class="MsoListParagraphCxSpFirst" style="margin-left:9.0pt;mso-add-space:auto; text-indent:-.25in;mso-list:l0 level1 lfo2"><!--[if !supportLists]--><span class="Apple-style-span" ><span lang="ES-MX" style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family: Symbol;mso-ansi-language:ES-MX"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman""> </span></span></span><!--[endif]--><span dir="LTR"></span><span lang="ES-MX" style="mso-ansi-language:ES-MX">Botulismo alimentario: es el más frecuente, tiene un periodo de incubación corto. Produce parálisis flácida descendente, comienza en la cabeza y acaba en las piernas, produce parálisis en los músculos oculares, faríngeos y respiratorios; también se puede producir parálisis de los músculos voluntarios, nauseas, vómitos, dolor abdominal, etc.<o:p></o:p></span></span></p> <p class="MsoListParagraphCxSpMiddle" style="margin-left:9.0pt;mso-add-space: auto;text-indent:-.25in;mso-list:l0 level1 lfo2"><!--[if !supportLists]--><span class="Apple-style-span" ><span lang="ES-MX" style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family: Symbol;mso-ansi-language:ES-MX"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman""> </span></span></span><!--[endif]--><span dir="LTR"></span><span lang="ES-MX" style="mso-ansi-language:ES-MX">Botulismo infantil o del lactante: afecta a los niños menores de 12 meses de edad, y es causado por la ingestión de las esporas del C. botulinum que colonizan y producen la toxina en el tracto intestinal de los lactantes.<o:p></o:p></span></span></p> <p class="MsoListParagraphCxSpMiddle" style="margin-left:9.0pt;mso-add-space: auto;text-indent:-.25in;mso-list:l1 level1 lfo1"><!--[if !supportLists]--><span class="Apple-style-span" ><span lang="ES-MX" style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family: Symbol;mso-ansi-language:ES-MX"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman""> </span></span></span><!--[endif]--><span dir="LTR"></span><span lang="ES-MX" style="mso-ansi-language:ES-MX"><span style="mso-spacerun:yes"> </span>Existen formas leves, en las que el lactante deja de ganar peso, y formas fulminantes con parálisis progresiva y fracaso respiratorio.<o:p></o:p></span></span></p> <p class="MsoListParagraphCxSpMiddle" style="margin-left:9.0pt;mso-add-space: auto;text-indent:-.25in;mso-list:l1 level1 lfo1"><!--[if !supportLists]--><span class="Apple-style-span" ><span lang="ES-MX" style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family: Symbol;mso-ansi-language:ES-MX"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman""> </span></span></span><!--[endif]--><span dir="LTR"></span><span lang="ES-MX" style="mso-ansi-language:ES-MX">Botulismo de las heridas: Es poco frecuente, cuadro clínico similar al botulismo alimentario pero sin síntomas gastrointestinales.<o:p></o:p></span></span></p> <p class="MsoListParagraphCxSpLast" style="margin-left:9.0pt;mso-add-space:auto; text-indent:-.25in;mso-list:l1 level1 lfo1"><!--[if !supportLists]--><span class="Apple-style-span" ><span lang="ES-MX" style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family: Symbol;mso-ansi-language:ES-MX"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman""> </span></span></span><!--[endif]--><span dir="LTR"></span><span lang="ES-MX" style="mso-ansi-language:ES-MX">Botulismo del adulto de causa desconocida: se debe a la colonización intestinal por C. botulinum favorecida por una patología gastrointestinal, cirugía o tratamiento antibiótico.<o:p></o:p></span></span></p> <p class="MsoNormal" style="margin-left:-9.0pt"><span lang="ES-MX" style="mso-ansi-language:ES-MX" ><o:p> </o:p></span></p> <p class="MsoNormal" style="margin-left:-9.0pt"><span lang="ES-MX" style="mso-ansi-language:ES-MX" >Diagnóstico<o:p></o:p></span></p> <p class="MsoNormal" style="margin-left:-9.0pt"><span lang="ES-MX" style="mso-ansi-language:ES-MX" >Es fundamentalmente clínico. Se puede confirmar en el laboratorio detectando la toxina en alimentos sospechosos, jugos digestivos o sangre del paciente. Se puede obtener el agente causal en heces, contenido gástrico o en el alimento ingerido. Actualmente, el método más sensible y de mayor uso para la detección de la toxina es a través de la neutralización de la toxina en un roedor.<o:p></o:p></span></p> <p class="MsoNormal" style="margin-left:-9.0pt"><span lang="ES-MX" style="mso-ansi-language:ES-MX" >Tratamiento<o:p></o:p></span></p> <p class="MsoNormal" style="margin-left:-9.0pt"><span lang="ES-MX" style="mso-ansi-language:ES-MX" >Medidas de sostén, administración de purgantes y enemas con el fin de eliminar la toxina no absorbida en el intestino, si la ingestión del alimento sospechoso es reciente se aconseja provocar los vómitos o realizar un lavado gástrico.<o:p></o:p></span></p> <p class="MsoNormal" style="margin-left:-9.0pt"><span lang="ES-MX" style="mso-ansi-language:ES-MX" >En el botulismo de herida se deben administrar antimicrobianos.<o:p></o:p></span></p> <p class="MsoNormal" style="margin-left:-9.0pt"><span lang="ES-MX" style="mso-ansi-language:ES-MX" >En el botulismo del lactante no se deben administrar antimicrobianos porque incrementan las concentraciones de toxina intestinal al destruir las formas vegetativas.<o:p></o:p></span></p> <p class="MsoNormal" style="margin-left:-9.0pt"><span lang="ES-MX" style="mso-ansi-language:ES-MX" >Profilaxis<o:p></o:p></span></p> <p class="MsoNormal" style="margin-left:-9.0pt"><span lang="ES-MX" style="mso-ansi-language:ES-MX"><span class="Apple-style-span" >Evitar la contaminación de los alimentos. Utilizar sistemas de conservación que destruyan las esporas.</span><o:p></o:p></span></p>maiiahttp://www.blogger.com/profile/18141447435977845589noreply@blogger.com0tag:blogger.com,1999:blog-114959675141045615.post-64584639099857961602011-06-01T21:58:00.000-07:002011-06-01T22:27:37.091-07:00<div style="text-align: center;"><br /></div><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjmM785vMSIvMybhUEOCBfVhsv6KKUmJOU8GkrWvw4xBGSl7Q0HuC1WwwUJOHAll6eiDWBgvgTMhDoBk0Dm3LMvoOYn909B6P5OCtVQG-JBGbwQigiFDSaaFG34AfHuDq1esh9nux1j1mE/s1600/Untitled4.jpg" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}"><img style="float:right; margin:0 0 10px 10px;cursor:pointer; cursor:hand;width: 256px; height: 223px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjmM785vMSIvMybhUEOCBfVhsv6KKUmJOU8GkrWvw4xBGSl7Q0HuC1WwwUJOHAll6eiDWBgvgTMhDoBk0Dm3LMvoOYn909B6P5OCtVQG-JBGbwQigiFDSaaFG34AfHuDq1esh9nux1j1mE/s320/Untitled4.jpg" border="0" alt="" id="BLOGGER_PHOTO_ID_5613485394160654786" /></a><br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiVK23PnQ_CjOpc-AsGJe69WrRvkeRLx2ye9vgnT4kI-vRBfkKv79EOc2F5MC7Pd2WYT1BHr9JNa-X_7w7MVNgneoTXJQCv9oJP-eMXwZ34HIZ1jCpLurt3-a748q_2KQfg7HZaUvi3IbY/s1600/Untitled.jpg" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}"><span><span></span></span></a><span><span></span></span><br /><p class="MsoNormal"><span class="Apple-style-span" ><span lang="ES-MX" style="mso-ansi-language:ES-MX">BACTERIAS ANAE</span>ROBIAS PRODUCTORAS DE NEUROTOXINAS</span></p><p class="MsoNormal"></p><p class="MsoNormal"><span lang="ES-MX" style="mso-ansi-language:ES-MX" >CLOSTRIDIUM TETANI</span></p> <p class="MsoNormal"><span lang="ES-MX" style="mso-ansi-language:ES-MX" >Bacilo gram positivo, grande, móvil y con esporas</span></p><p class="MsoNormal"><span lang="ES-MX" style="mso-ansi-language:ES-MX" > terminales deformantes (aspecto en palillo de tambor). Ampliam</span></p><p class="MsoNormal"><span lang="ES-MX" style="mso-ansi-language:ES-MX" >ente diseminado en la naturaleza, en el suelo, en heces humanas y animales y las esporas ampliamente distribuidas pueden sobrevivir en suelos secos durante años. La transmisión se realiza por contaminación de heridas por las esporas. Más frecuente en países subdesarrollados y en vías de desarrollo.</span></p><span class="Apple-style-span" > </span><p style="margin-top:6.75pt;margin-right:0in;margin-bottom:6.75pt;margin-left: 0in;line-height:13.5pt;background:white"><span lang="ES-MX" style="mso-ansi-language: ES-MX" >Oportunista no invasivo, las esporas penetran en tejido dañado o desvitalizado (heridas, ulceraciones, quemaduras, etc.) junto con cuerpos extraños y/u otras bacterias que proporcionan las condiciones anaerobias favorables para su crecimiento. Algunas veces, las esporas del bacilo introducidas por una lesión previa pueden sob</span></p><p style="margin-top:6.75pt;margin-right:0in;margin-bottom:6.75pt;margin-left: 0in;line-height:13.5pt;background:white"><span class="Apple-style-span" ><span lang="ES-MX" style="mso-ansi-language: ES-MX">revivir en tejidos durante meses o años y ser activadas para crecimiento vegetativo cuando un traumatismo menor altera las condiciones locales. Produce dos toxinas, la tetanoespasmina (responsable del cuadro clínico), y la tetanolisina. La tetanoespasmina se introduce en la neurona y es llevada por transporte axónal retrógrado hacia el neuroeje donde migra hacia otras neuronas. La toxina se une a neu</span>ronas inhibidoras presinápticas en el neuroeje e impide la liberación de transmisores. La ausencia de esta inhibición permite a las neuronas motoras inferiores aumentar el tono muscular y producir rigidez dando lugar al espasmo simultáneo de músculos agonistas y antagonistas que caracteriza al tétanos.</span></p><p style="margin-top:6.75pt;margin-right:0in;margin-bottom:6.75pt;margin-left: 0in;line-height:13.5pt;background:white"><span lang="ES-MX" style="mso-ansi-language: ES-MX" ></span></p><p class="MsoNormal"><span lang="ES-MX" style="mso-ansi-language: ES-MX"><span lang="ES-MX" style="mso-ansi-language:ES-MX" >Manifestaciones clínicas<o:p></o:p></span></span></p><span lang="ES-MX" style="mso-ansi-language: ES-MX"><p class="MsoNormal"><span lang="ES-MX" style="mso-ansi-language:ES-MX" >Periodo de incubación es variable. Tres presentaciones clínicas: generalizado, localizado o cefálico. El tétanos generalizado es el más común y produce </span></p><p class="MsoNormal"><span class="Apple-style-span" ><span lang="ES-MX" style="mso-ansi-language:ES-MX">debilidad generalizada, rigidez muscular o calambres, dificultad para masticar o deglutir, trismos, la llamada risa sardónica, los tetanoespasmos, postura tetánica con opistótonos, etc.</span><img src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgqKKRf66YxMJWDvtHiBIzecjaAio04JKTD8RMdYzSqvHcK9BXuQ8T6dJR5JRWJRCIQJAu8fx4VOx09XWIeAjkJLUGKc3z7Tx5lu0dpUJaLJiLl1oTjlS3C603b3QW6dqcw9rg9S-wIJyA/s320/sardonica.jpg" style="cursor:pointer; cursor:hand;width: 168px; height: 220px;" border="0" alt="" /></span></p><p class="MsoNormal"><span lang="ES-MX" style="mso-ansi-language:ES-MX" ><img src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhA8PaASB7sWpp9y24GiqICB385J-IqpyRt9dT-5hvwMQcrY407cGDK6Myc8dFWfTagOSdoUgqKrb5597-b2Ie5gZ56w2JCcpJ-iEbJLm3xKcHCEUX_aAMJ4shMMyyA-vPBcrUQwHqRAptH/s320/cuadromesoctubre20071cb3.jpg" style="cursor:pointer; cursor:hand;width: 320px; height: 210px;" border="0" alt="" /><br /><br /><img src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhnhE-fegfoXb38B9h3l6U_cR2yCmzYLo8SH9Z6QGEDCA7yr42FLRXyfnFUZriODLJneFwJu-zlhSK2gUu9Jh6lvjf4obQBFtXag4g902mofOvaPPyG53cwrLLTIyGPTPU-TWMAzuf_IMA/s320/Untitled.jpg" style="display:block; margin:0px auto 10px; text-align:center;cursor:pointer; cursor:hand;width: 262px; height: 320px;" border="0" alt="" id="BLOGGER_PHOTO_ID_5613485706667816114" /> El laringoespasmo o el compromiso de músculos respiratorios pueden impedir una ventilación adecuada.<o:p></o:p></span></p> <p class="MsoNormal"><span lang="ES-MX" style="mso-ansi-language:ES-MX" >El tétanos cefálico es una forma inusual de la enfermedad resultante de heridas en la cabeza, manifestándose con la disfunción de uno o más pares craneales.<o:p></o:p></span></p> <p class="MsoNormal"><span lang="ES-MX" style="mso-ansi-language:ES-MX" >El tétanos neonatal es un tétanos generalizado producido por la contaminación del cordón umbilical.<o:p></o:p></span></p><p class="MsoNormal"><span lang="ES-MX" style="mso-ansi-language:ES-MX" ></span></p><p class="MsoNormal"><span lang="ES-MX" style="mso-ansi-language:ES-MX" ><span lang="ES-MX" style="mso-ansi-language:ES-MX">Diagnóstico<o:p></o:p></span></span></p><span lang="ES-MX" style="mso-ansi-language:ES-MX" > <p class="MsoNormal"><span lang="ES-MX" style="mso-ansi-language:ES-MX">El diagnóstico del tétanos se basa en las manifestaciones clínicas y en los antecedentes epidemiológicos. Las pruebas de laboratorio normalmente no son contributorias, en una minoría de casos se pueden reconocer formas<span style="mso-spacerun:yes"> </span>esporuladas de C.tetani en tinciones de gram de material de una herida o recuperarse el microorganismo en cultivos anaerobios. La neutralización de la toxina en ratones es el método de referencia para detectar la antitoxina en suero.<o:p></o:p></span></p> <p class="MsoNormal"><span lang="ES-MX" style="mso-ansi-language:ES-MX">Tratamiento<o:p></o:p></span></p> <p class="MsoListParagraphCxSpFirst" style="margin-left:.75in;mso-add-space:auto; text-indent:-.25in;mso-list:l0 level1 lfo1;tab-stops:157.5pt"><!--[if !supportLists]--><span lang="ES-MX" style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family: Symbol;mso-ansi-language:ES-MX"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman""> </span></span></span><!--[endif]--><span dir="LTR"></span><span lang="ES-MX" style="mso-ansi-language:ES-MX">Impedir los espasmos musculares y medidas de sostén.<o:p></o:p></span></p> <p class="MsoListParagraphCxSpMiddle" style="margin-left:.75in;mso-add-space: auto;text-indent:-.25in;mso-list:l0 level1 lfo1"><!--[if !supportLists]--><span lang="ES-MX" style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family: Symbol;mso-ansi-language:ES-MX"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman""> </span></span></span><!--[endif]--><span dir="LTR"></span><span lang="ES-MX" style="mso-ansi-language:ES-MX">Neutralización de la toxina.<o:p></o:p></span></p> <p class="MsoListParagraphCxSpMiddle" style="margin-left:.75in;mso-add-space: auto;text-indent:-.25in;mso-list:l0 level1 lfo1"><!--[if !supportLists]--><span lang="ES-MX" style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family: Symbol;mso-ansi-language:ES-MX"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman""> </span></span></span><!--[endif]--><span dir="LTR"></span><span lang="ES-MX" style="mso-ansi-language:ES-MX">Eliminación de la fuente de producción de la toxina.<o:p></o:p></span></p> <p class="MsoListParagraphCxSpLast" style="margin-left:.75in;mso-add-space:auto; text-indent:-.25in;mso-list:l0 level1 lfo1"><!--[if !supportLists]--><span lang="ES-MX" style="font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family: Symbol;mso-ansi-language:ES-MX"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman""> </span></span></span><!--[endif]--><span dir="LTR"></span><span lang="ES-MX" style="mso-ansi-language:ES-MX">Administrar antibiótico, de elección Metronidazol o penicilina.<o:p></o:p></span></p> <p class="MsoNormal"><span lang="ES-MX" style="mso-ansi-language:ES-MX">Alternativas, macrólidos, tetraciclinas o clindamicina).<o:p></o:p></span></p> <p class="MsoNormal"><span lang="ES-MX" style="mso-ansi-language:ES-MX">Profilaxis <o:p></o:p></span></p> <p class="MsoNormal"><span lang="ES-MX" style="mso-ansi-language:ES-MX">1. Inmunización activa frente al tétanos (calendario de vacunaciones: toxoide tetánico a los 2, 4 y 6 meses de edad, dosis de recuerdo a los 18 meses y dosis de refuerzo a los 6 y 13-16 años. Revacunación cada 10 años.<o:p></o:p></span></p> <p class="MsoNormal"><span lang="ES-MX" style="mso-ansi-language:ES-MX">2. Inmunización pasiva, indicada en no vacunados, en vacunados incorrectamente o en inmunodeprimidos.<o:p></o:p></span></p> <p class="MsoNormal"><span lang="ES-MX" style="mso-ansi-language:ES-MX">3. Tratamiento quirúrgico.<o:p></o:p></span></p> <p class="MsoNormal"><span lang="ES-MX" style="mso-ansi-language:ES-MX">4. Quimioprofilaxis (penicilina, eritromicina o Metronidazol).<o:p></o:p></span></p> <p class="MsoNormal"><span lang="ES-MX" style="mso-ansi-language:ES-MX">5. Vacunación de embarazadas, o administración de inmunoglobulina antitetánica en recién nacidos de madres no inmunes en partos con riesgo como profilaxis del tétanos neonatal.<o:p></o:p></span></p></span><p></p><p class="MsoNormal"><span lang="ES-MX" style="mso-ansi-language:ES-MX"><br /></span></p></span><p></p><p></p>maiiahttp://www.blogger.com/profile/18141447435977845589noreply@blogger.com0tag:blogger.com,1999:blog-114959675141045615.post-44943249429153606462011-06-01T20:51:00.000-07:002011-06-01T21:57:54.547-07:00<p class="MsoNormal"><span class="Apple-style-span">RESPIRACIÓN ANAEROBIA</span></p><p class="MsoNormal"><span lang="ES-MX" style="mso-ansi-language:ES-MX"> </span></p><p style="margin-top:4.8pt;margin-right:0in;margin-bottom:6.0pt;margin-left: 0in"><span lang="ES-MX" style="mso-ansi-language:ES-MX"><b><span lang="ES-MX" style="font-size:10.0pt;font-family:"Arial","sans-serif"; mso-ansi-language:ES-MX"></span></b></span></p><span class="Apple-style-span"><span lang="ES-MX" style="mso-ansi-language:ES-MX"><span><span>En el proceso anaeróbico no se usa oxígeno, sino que para la misma función se emplea otra sustancia oxidante distinta, como el sulfato o el nitrato. En las bacterias con respiración anaerobia interviene también una cadena transportadora de electrones en la que se reoxidan los coenzimas reducidos durante la oxidación de los substratos nutrientes; es análoga a la de la respiración aerobia, ya que se compone de los mismos elementos (citocromos, quinonas, proteínas ferrosulfúricas, etc.). La única diferencia, por tanto radica, en que el aceptor último de electrones no es el oxígeno. Todos los posibles aceptores en la respiración anaerobia tienen un potencial de reducción menor que el O2, por lo que, partiendo de los mismos sustratos (glucosa, aminoácidos,triglicéridos), se genera menos energía en este metabolismo que en la respiración aerobia convencional. No hay que confundir la respiración anaeróbica con la fermentación, en la que no existe en absoluto cadena de transporte de electrones, y el aceptor final de electrones es </span></span></span>una molécula; estos dos tipos de metabolismo tienen solo en común el no ser dependientes del oxígeno.</span><p></p><p class="MsoNormal"></p><p class="MsoNormal"><span lang="ES-MX" style="mso-ansi-language:ES-MX"><span class="Apple-style-span">BACTERIAS ANAEROBIAS. CARACTERÍSTICAS GENERALES<o:p></o:p></span></span></p> <p class="MsoNormal"><span lang="ES-MX" style="mso-ansi-language:ES-MX"><span class="Apple-style-span">Necesitan para su crecimiento una atmósfera sin oxígeno. Pueden ser anaerobias estrictas o anaerobias moderadas. Según su acción patógena se diferencian en dos grupos:<o:p></o:p></span></span></p> <p class="MsoNormal"><span lang="ES-MX" style="mso-ansi-language:ES-MX"><span class="Apple-style-span">1. género Clostridium: bacterias anaerobias estrictas (la mayoría), productoras de exotoxinas muy potentes y formadoras de esporas.<o:p></o:p></span></span></p> <p class="MsoNormal"><span lang="ES-MX" style="mso-ansi-language:ES-MX"><span class="Apple-style-span">2. los restantes géneros incluyen bacterias anaerobias no esporuladas y no toxigénicas.</span><o:p></o:p></span></p><p></p>maiiahttp://www.blogger.com/profile/18141447435977845589noreply@blogger.com0tag:blogger.com,1999:blog-114959675141045615.post-36297279574950827312011-04-07T08:36:00.000-07:002011-04-07T08:37:12.857-07:00Salmonelosis<iframe title="YouTube video player" width="480" height="390" src="http://www.youtube.com/embed/kMbGF3xQvrU" frameborder="0" 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mso-para-margin-top:0cm; mso-para-margin-right:0cm; mso-para-margin-bottom:10.0pt; mso-para-margin-left:0cm; line-height:115%; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-ansi-language:EN-US; mso-fareast-language:EN-US; mso-bidi-language:HE;} </style> <![endif]--> <p style="font-family: arial;" class="MsoNormal"><span style="font-size:130%;"><span class="apple-style-span"><span style="font-size: 12pt; line-height: 115%; color: black;" lang="ES-MX">Las</span></span><span class="apple-converted-space"><span style="font-size: 12pt; line-height: 115%; color: black;" lang="ES-MX"> </span></span><span class="apple-style-span"><b><span style="font-size: 12pt; line-height: 115%; color: black;" lang="ES-MX">bacterias</span></b></span><span class="apple-converted-space"><span style="font-size: 12pt; line-height: 115%; color: black;" lang="ES-MX"> </span></span><span class="apple-style-span"><span style="font-size: 12pt; line-height: 115%; color: black;" lang="ES-MX">son</span></span><span class="apple-converted-space"><span style="font-size: 12pt; line-height: 115%; color: black;" lang="ES-MX"> </span></span><span lang="EN-US"><a href="http://es.wikipedia.org/wiki/Microorganismo" title="Microorganismo"><span style="font-size: 12pt; line-height: 115%; color: rgb(6, 69, 173); text-decoration: none;" lang="ES-MX">microorganismos</span></a></span><span class="apple-converted-space"><span style="font-size: 12pt; line-height: 115%; color: black;" lang="ES-MX"> </span></span><span lang="EN-US"><a href="http://es.wikipedia.org/wiki/Unicelular" title="Unicelular"><span style="font-size: 12pt; line-height: 115%; color: rgb(6, 69, 173); text-decoration: none;" lang="ES-MX">unicelulares</span></a></span><span class="apple-converted-space"><span style="font-size: 12pt; line-height: 115%; color: black;" lang="ES-MX"> </span></span><span class="apple-style-span"><span style="font-size: 12pt; line-height: 115%; color: black;" lang="ES-MX">que presentan un tamaño de algunos</span></span><span class="apple-converted-space"><span style="font-size: 12pt; line-height: 115%; color: black;" lang="ES-MX"> </span></span><span lang="EN-US"><a href="http://es.wikipedia.org/wiki/Micr%C3%B3metro_%28unidad_de_longitud%29" title="Micrómetro (unidad de longitud)"><span style="font-size: 12pt; line-height: 115%; color: rgb(6, 69, 173); text-decoration: none;" lang="ES-MX">micrómetros</span></a></span><span class="apple-converted-space"><span style="font-size: 12pt; line-height: 115%; color: black;" lang="ES-MX"> </span></span><span class="apple-style-span"><span style="font-size: 12pt; line-height: 115%; color: black;" lang="ES-MX">de largo (entre 0,5 y 5</span></span><span class="apple-converted-space"><span style="font-size: 12pt; line-height: 115%; color: black;" lang="ES-MX"> </span></span><span lang="EN-US"><a href="http://es.wikipedia.org/wiki/Micr%C3%B3metro_%28unidad_de_longitud%29" title="Micrómetro (unidad de longitud)"><span style="font-size: 12pt; line-height: 115%; color: rgb(6, 69, 173); text-decoration: none;">μ</span><span style="font-size: 12pt; line-height: 115%; color: rgb(6, 69, 173); text-decoration: none;" lang="ES-MX">m</span></a></span><span class="apple-style-span"><span style="font-size: 12pt; line-height: 115%; color: black;" lang="ES-MX">, por lo general) y diversas formas incluyendo cocos(esferas), basilos(barras) y espirilos (hélices). Las bacterias son</span></span><span class="apple-converted-space"><span style="font-size: 12pt; line-height: 115%; color: black;" lang="ES-MX"> </span></span><span lang="EN-US"><a href="http://es.wikipedia.org/wiki/Procariota" title="Procariota"><span style="font-size: 12pt; line-height: 115%; color: rgb(6, 69, 173); text-decoration: none;" lang="ES-MX">procariotas</span></a></span><span class="apple-converted-space"><span style="font-size: 12pt; line-height: 115%; color: black;" lang="ES-MX"> </span></span><span class="apple-style-span"><span style="font-size: 12pt; line-height: 115%; color: black;" lang="ES-MX">y, por lo tanto, a diferencia de las</span></span><span class="apple-converted-space"><span style="font-size: 12pt; line-height: 115%; color: black;" lang="ES-MX"> </span></span><span lang="EN-US"><a href="http://es.wikipedia.org/wiki/C%C3%A9lulas" title="Células"><span style="font-size: 12pt; line-height: 115%; color: rgb(6, 69, 173); text-decoration: none;" lang="ES-MX">células</span></a></span><span class="apple-converted-space"><span style="font-size: 12pt; line-height: 115%; color: black;" lang="ES-MX"> </span></span><span lang="EN-US"><a href="http://es.wikipedia.org/wiki/C%C3%A9lula_eucariota" title="Célula eucariota"><span style="font-size: 12pt; line-height: 115%; color: rgb(6, 69, 173); text-decoration: none;" lang="ES-MX">eucariotas</span></a></span><span class="apple-converted-space"><span style="font-size: 12pt; line-height: 115%; color: black;" lang="ES-MX"> </span></span><span class="apple-style-span"><span style="font-size: 12pt; line-height: 115%; color: black;" lang="ES-MX">(de animales, plantas, etc.), no tienen el</span></span><span class="apple-converted-space"><span style="font-size: 12pt; line-height: 115%; color: black;" lang="ES-MX"> </span></span><span lang="EN-US"><a href="http://es.wikipedia.org/w/index.php?title=N%C3%BAcleo_definido&action=edit&redlink=1" title="Núcleo definido (aún no redactado)"><span style="font-size: 12pt; line-height: 115%; color: rgb(186, 0, 0); text-decoration: none;" lang="ES-MX">núcleo definido</span></a></span><span class="apple-converted-space"><span style="font-size: 12pt; line-height: 115%; color: black;" lang="ES-MX"> </span></span><span class="apple-style-span"><span style="font-size: 12pt; line-height: 115%; color: black;" lang="ES-MX">y presenta</span></span><span class="apple-converted-space"><span style="font-size: 12pt; line-height: 115%; color: black;" lang="ES-MX"> </span></span><span lang="EN-US"><a href="http://es.wikipedia.org/wiki/Org%C3%A1nulos" title="Orgánulos"><span style="font-size: 12pt; line-height: 115%; color: rgb(6, 69, 173); text-decoration: none;" lang="ES-MX">orgánulos</span></a></span><span class="apple-converted-space"><span style="font-size: 12pt; line-height: 115%; color: black;" lang="ES-MX"> </span></span><span class="apple-style-span"><span style="font-size: 12pt; line-height: 115%; color: black;" lang="ES-MX">internos de locomoción. Generalmente poseen una</span></span><span class="apple-converted-space"><span style="font-size: 12pt; line-height: 115%; color: black;" lang="ES-MX"> </span></span><span lang="EN-US"><a href="http://es.wikipedia.org/wiki/Pared_celular"><span style="font-size: 12pt; line-height: 115%; color: rgb(6, 69, 173); text-decoration: none;" lang="ES-MX">pared celular</span></a></span><span class="apple-converted-space"><span style="font-size: 12pt; line-height: 115%; color: black;" lang="ES-MX"> </span></span><span class="apple-style-span"><span style="font-size: 12pt; line-height: 115%; color: black;" lang="ES-MX">compuesta de</span></span><span class="apple-converted-space"><span style="font-size: 12pt; line-height: 115%; color: black;" lang="ES-MX"> </span></span><span class="apple-style-span"><span style="font-size: 12pt; line-height: 115%; color: black;" lang="EN-US"><a href="http://es.wikipedia.org/wiki/Peptidoglicano" title="Peptidoglicano"><span style="color: rgb(6, 69, 173); text-decoration: none;" lang="ES-MX">peptidoglicano</span></a></span></span><span class="apple-style-span"><span style="font-size: 12pt; line-height: 115%; color: black;" lang="ES-MX">. Muchas bacterias disponen de</span></span><span class="apple-converted-space"><span style="font-size: 12pt; line-height: 115%; color: black;" lang="ES-MX"> </span></span><span lang="EN-US"><a href="http://es.wikipedia.org/wiki/Flagelo_bacteriano" title="Flagelo bacteriano"><span style="font-size: 12pt; line-height: 115%; color: rgb(6, 69, 173); text-decoration: none;" lang="ES-MX">flagelos</span></a></span><span class="apple-converted-space"><span style="font-size: 12pt; line-height: 115%; color: black;" lang="ES-MX"> </span></span><span class="apple-style-span"><span style="font-size: 12pt; line-height: 115%; color: black;" lang="ES-MX">o de otros sistemas de desplazamiento y son móviles. Del estudio de las bacterias se encarga la</span></span><span class="apple-converted-space"><span style="font-size: 12pt; line-height: 115%; color: black;" lang="ES-MX"> </span></span><span lang="EN-US"><a href="http://es.wikipedia.org/wiki/Bacteriolog%C3%ADa" title="Bacteriología"><span style="font-size: 12pt; line-height: 115%; color: rgb(6, 69, 173); text-decoration: none;" lang="ES-MX">bacteriología</span></a></span><span class="apple-style-span"><span style="font-size: 12pt; line-height: 115%; color: black;" lang="ES-MX">, una rama de la</span></span><span class="apple-converted-space"><span style="font-size: 12pt; line-height: 115%; color: black;" lang="ES-MX"> </span></span><span lang="EN-US"><a href="http://es.wikipedia.org/wiki/Microbiolog%C3%ADa"><span style="font-size: 12pt; line-height: 115%; color: rgb(6, 69, 173); text-decoration: none;" lang="ES-MX">microbiología</span></a></span><span class="apple-style-span"><span style="font-size: 12pt; line-height: 115%; color: black;" lang="ES-MX">.</span></span></span></p> <p style="font-family: arial;" class="MsoNormal"><span style="font-size:130%;"><span class="apple-style-span"><span style="font-size: 12pt; line-height: 115%; color: black;" lang="ES-MX">Las bacterias forman un</span></span><span class="apple-converted-space"><span style="font-size: 12pt; line-height: 115%; color: black;" lang="ES-MX"> </span></span><span lang="EN-US"><a href="http://enciclopedia.us.es/index.php/Dominio_%28biolog%C3%ADa%29" title="Dominio (biología)"><span style="font-size: 12pt; line-height: 115%; color: rgb(6, 69, 173); text-decoration: none;" lang="ES-MX">dominio</span></a></span><span class="apple-style-span"><span style="font-size: 12pt; line-height: 115%; color: black;" lang="ES-MX">, en el esquema de tres dominios, bajo el reino</span></span><span class="apple-converted-space"><span style="font-size: 12pt; line-height: 115%; color: black;" lang="ES-MX"> </span></span><span class="apple-style-span"><i><span style="font-size: 12pt; line-height: 115%; color: black;" lang="ES-MX">Monera</span></i></span><span class="apple-converted-space"><span style="font-size: 12pt; line-height: 115%; color: black;" lang="ES-MX"> </span></span><span class="apple-style-span"><span style="font-size: 12pt; line-height: 115%; color: black;" lang="ES-MX">y se dividen en tres. Las más conocidas son las</span></span><span class="apple-converted-space"><span style="font-size: 12pt; line-height: 115%; color: black;" lang="ES-MX"> </span></span><span class="apple-style-span"><i><span style="font-size: 12pt; line-height: 115%; color: black;" lang="EN-US"><a href="http://enciclopedia.us.es/index.php/Eubacteria" title="Eubacteria"><span style="color: rgb(6, 69, 173); text-decoration: none;" lang="ES-MX">Eubacterias</span></a></span></i></span><span class="apple-converted-space"><span style="font-size: 12pt; line-height: 115%; color: black;" lang="ES-MX"> </span></span><span class="apple-style-span"><span style="font-size: 12pt; line-height: 115%; color: black;" lang="ES-MX">y las</span></span><span class="apple-converted-space"><span style="font-size: 12pt; line-height: 115%; color: black;" lang="ES-MX"> </span></span><span class="apple-style-span"><i><span style="font-size: 12pt; line-height: 115%; color: black;" lang="EN-US"><a 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</w:LatentStyles> </xml><![endif]--><!--[if gte mso 10]> <style> /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Tabla normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin-top:0cm; mso-para-margin-right:0cm; mso-para-margin-bottom:10.0pt; mso-para-margin-left:0cm; line-height:115%; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-ansi-language:EN-US; mso-fareast-language:EN-US; mso-bidi-language:HE;} </style> <![endif]--> </p><p class="MsoNormal"><span style="font-size:130%;"><span style="font-size: 12pt; line-height: 115%;" lang="ES-MX">ENTEROBACTERIAS: CARACTERÍSTICAS GENERALES.</span></span></p> <p class="MsoNormal"><span style="font-size:130%;"><span style="font-size: 12pt; line-height: 115%;" lang="ES-MX">La familia Enterobacteriaceae está formada por bacilos gramnegativos aerobios,</span></span></p> <p class="MsoNormal"><span style="font-size:130%;"><span style="font-size: 12pt; line-height: 115%;" lang="ES-MX">anaerobios facultativos, no esporulados. Todas las especies son oxidasa negativos,</span></span></p> <p class="MsoNormal"><span style="font-size:130%;"><span style="font-size: 12pt; line-height: 115%;" lang="ES-MX">reducen nitratos a nitritos y fermentan glucosa. Pueden ser móviles o inmóviles. Se</span></span></p> <p class="MsoNormal"><span style="font-size:130%;"><span style="font-size: 12pt; line-height: 115%;" lang="ES-MX">encuentran en la flora normal del tracto digestivo del hombre y animales.</span></span></p> <p class="MsoNormal"><span style="font-size:130%;"><span style="font-size: 12pt; line-height: 115%;" lang="ES-MX">Son bacterias poco exigentes, sobreviven en el ambiente, contaminan agua y alimentos</span></span></p> <p class="MsoNormal"><span style="font-size:130%;"><span style="font-size: 12pt; line-height: 115%;" lang="ES-MX">y crecen en medios de cultivo comunes.</span></span></p> <p class="MsoNormal"><span style="font-size:130%;"><span class="apple-style-span"><span style="font-size: 12pt; line-height: 115%; font-family: "Arial","sans-serif"; color: black;" lang="ES-MX">Adicional a ello, las</span></span><span class="apple-converted-space"><span style="font-size: 12pt; line-height: 115%; font-family: "Arial","sans-serif"; color: black;" lang="ES-MX"> </span></span><span class="apple-style-span"><i><span style="font-size: 12pt; line-height: 115%; font-family: "Arial","sans-serif"; color: black;" lang="ES-MX">Enterobacteriaceae</span></i></span><span class="apple-converted-space"><span style="font-size: 12pt; line-height: 115%; font-family: "Arial","sans-serif"; color: black;" lang="ES-MX"> </span></span><span class="apple-style-span"><span style="font-size: 12pt; line-height: 115%; font-family: "Arial","sans-serif"; color: black;" lang="ES-MX">no forman</span></span><span class="apple-converted-space"><span style="font-size: 12pt; line-height: 115%; font-family: "Arial","sans-serif"; color: black;" lang="ES-MX"> </span></span><span lang="EN-US"><a href="http://es.wikipedia.org/wiki/Espora" title="Espora"><span style="font-size: 12pt; line-height: 115%; font-family: "Arial","sans-serif"; color: rgb(6, 69, 173); text-decoration: none;" lang="ES-MX">esporas</span></a></span><span class="apple-style-span"><span style="font-size: 12pt; line-height: 115%; font-family: "Arial","sans-serif"; color: black;" lang="ES-MX">, algunas producen</span></span><span class="apple-converted-space"><span style="font-size: 12pt; line-height: 115%; font-family: "Arial","sans-serif"; color: black;" lang="ES-MX"> </span></span><span lang="EN-US"><a href="http://es.wikipedia.org/wiki/Toxina" title="Toxina"><span style="font-size: 12pt; line-height: 115%; font-family: "Arial","sans-serif"; color: rgb(6, 69, 173); text-decoration: none;" lang="ES-MX">toxinas</span></a></span><span class="apple-converted-space"><span style="font-size: 12pt; line-height: 115%; font-family: "Arial","sans-serif"; color: black;" lang="ES-MX"> </span></span><span class="apple-style-span"><span style="font-size: 12pt; line-height: 115%; font-family: "Arial","sans-serif"; color: black;" lang="ES-MX">y pueden ser encapsuladas y son organismos </span></span><span lang="EN-US"><a href="http://es.wikipedia.org/wiki/Catalasa"><span style="font-size: 12pt; line-height: 115%; font-family: "Arial","sans-serif"; color: rgb(6, 69, 173); text-decoration: none;" lang="ES-MX">catalasa</span></a></span><span class="apple-converted-space"><span style="font-size: 12pt; line-height: 115%; font-family: "Arial","sans-serif"; color: black;" lang="ES-MX"> </span></span><span class="apple-style-span"><span style="font-size: 12pt; line-height: 115%; font-family: "Arial","sans-serif"; color: black;" lang="ES-MX">positivos. Son</span></span><span class="apple-converted-space"><span style="font-size: 12pt; line-height: 115%; font-family: "Arial","sans-serif"; color: black;" lang="ES-MX"> </span></span><span class="apple-style-span"><span style="font-size: 12pt; line-height: 115%; font-family: "Arial","sans-serif"; color: black;" lang="EN-US"><a href="http://es.wikipedia.org/wiki/Quimioheter%C3%B3trofo" title="Quimioheterótrofo"><span style="color: rgb(6, 69, 173); text-decoration: none;" lang="ES-MX">quimioheterótrofos</span></a></span></span><span class="apple-style-span"><span style="font-size: 12pt; line-height: 115%; font-family: "Arial","sans-serif"; color: black;" lang="ES-MX">, y necesitan para su crecimiento compuestos simples de</span></span><span class="apple-converted-space"><span style="font-size: 12pt; line-height: 115%; font-family: "Arial","sans-serif"; color: black;" lang="ES-MX"> </span></span><span lang="EN-US"><a href="http://es.wikipedia.org/wiki/Carbono"><span style="font-size: 12pt; line-height: 115%; font-family: "Arial","sans-serif"; color: rgb(6, 69, 173); text-decoration: none;" lang="ES-MX">carbono</span></a></span><span class="apple-converted-space"><span style="font-size: 12pt; line-height: 115%; font-family: "Arial","sans-serif"; color: black;" lang="ES-MX"> </span></span><span class="apple-style-span"><span style="font-size: 12pt; line-height: 115%; font-family: "Arial","sans-serif"; color: black;" lang="ES-MX">y</span></span><span class="apple-converted-space"><span style="font-size: 12pt; line-height: 115%; font-family: "Arial","sans-serif"; color: black;" lang="ES-MX"> </span></span><span lang="EN-US"><a href="http://es.wikipedia.org/wiki/Nitr%C3%B3geno"><span style="font-size: 12pt; line-height: 115%; font-family: "Arial","sans-serif"; color: rgb(6, 69, 173); text-decoration: none;" lang="ES-MX">nitrógeno</span></a></span><span class="apple-style-span"><span style="font-size: 12pt; line-height: 115%; font-family: "Arial","sans-serif"; color: black;" lang="ES-MX">, generalmente sólo con</span></span><span class="apple-converted-space"><span style="font-size: 12pt; line-height: 115%; font-family: "Arial","sans-serif"; color: black;" lang="ES-MX"> </span></span><span lang="EN-US"><a href="http://es.wikipedia.org/wiki/Glucosa" title="Glucosa"><span style="font-size: 12pt; line-height: 115%; font-family: "Arial","sans-serif"; color: rgb(6, 69, 173); text-decoration: none;" lang="ES-MX">D-glucosa</span></a></span><span class="apple-style-span"><span style="font-size: 12pt; line-height: 115%; font-family: "Arial","sans-serif"; color: black;" lang="ES-MX">, aunque algunas requieren</span></span><span class="apple-converted-space"><span style="font-size: 12pt; line-height: 115%; font-family: "Arial","sans-serif"; color: black;" lang="ES-MX"> </span></span><span lang="EN-US"><a href="http://es.wikipedia.org/wiki/Amino%C3%A1cido" title="Aminoácido"><span style="font-size: 12pt; line-height: 115%; font-family: "Arial","sans-serif"; color: rgb(6, 69, 173); text-decoration: none;" lang="ES-MX">aminoácidos</span></a></span><span class="apple-converted-space"><span style="font-size: 12pt; line-height: 115%; font-family: "Arial","sans-serif"; color: black;" lang="ES-MX"> </span></span><span class="apple-style-span"><span style="font-size: 12pt; line-height: 115%; font-family: "Arial","sans-serif"; color: black;" lang="ES-MX">y</span></span><span class="apple-converted-space"><span style="font-size: 12pt; line-height: 115%; font-family: "Arial","sans-serif"; color: black;" lang="ES-MX"> </span></span><span lang="EN-US"><a href="http://es.wikipedia.org/wiki/Vitamina" title="Vitamina"><span style="font-size: 12pt; line-height: 115%; font-family: "Arial","sans-serif"; color: rgb(6, 69, 173); text-decoration: none;" lang="ES-MX">vitaminas</span></a></span><span class="apple-style-span"><span style="font-size: 12pt; line-height: 115%; font-family: "Arial","sans-serif"; color: black;" lang="ES-MX">. La temperatura óptima de crecimiento es de entre 22 °C y 37 °C.</span></span></span></p> <p class="MsoNormal"><span style="font-size:130%;"><span style="font-size: 12pt; line-height: 115%;" lang="ES-MX"> </span></span></p> <p class="MsoNormal"><span style="font-size:130%;"><span style="font-size: 12pt; line-height: 115%;" lang="ES-MX">Estructura antigénica</span></span></p> <p class="MsoNormal"><span style="font-size:130%;"><span style="font-size: 12pt; line-height: 115%;" lang="ES-MX">Se distinguen tres tipos de antígenos: AgO ó antígeno somático constituido por el</span></span></p> <p class="MsoNormal"><span style="font-size:130%;"><span style="font-size: 12pt; line-height: 115%;" lang="ES-MX">lipopolisacárido (LPS) de la membrana externa, H ó antígeno flagelar y K ó antígeno</span></span></p> <p class="MsoNormal"><span style="font-size:130%;"><span style="font-size: 12pt; line-height: 115%;" lang="ES-MX">capsular.</span></span></p> <p class="MsoNormal"><span style="font-size:130%;"><span style="font-size: 12pt; line-height: 115%;" lang="ES-MX">Clasificación</span></span></p> <p class="MsoNormal"><span style="font-size:130%;"><span style="font-size: 12pt; line-height: 115%;" lang="ES-MX">Enterobacterias patógenas: Géneros Escherichia, Salmonella, Shigella, Yersinia.</span></span></p> <p class="MsoNormal"><span style="font-size:130%;"><span style="font-size: 12pt; line-height: 115%;" lang="ES-MX">Enterobacterias oportunistas: Géneros más importantes: Escherichia, Klebsiella,</span></span></p> <p class="MsoNormal"><span style="font-size:130%;"><span style="font-size: 12pt; line-height: 115%;" lang="ES-MX">Enterobacter, Pantoea, Serratia, Citrobacter, Hafnia, Proteus, Morganella,</span></span></p> <p class="MsoNormal"><span style="font-size:130%;"><span style="font-size: 12pt; line-height: 115%;" lang="ES-MX">Providencia.</span></span></p> <p class="MsoNormal"><span style="font-size:130%;"><span style="font-size: 12pt; line-height: 115%;" lang="ES-MX">ENTEROBACTERIAS OPORTUNISTAS</span></span></p> <p class="MsoNormal"><span style="font-size:130%;"><span style="font-size: 12pt; line-height: 115%;" lang="ES-MX">Se encuentran formando parte de la flora normal del intestino del hombre, aunque la</span></span></p> <p class="MsoNormal"><span style="font-size:130%;"><span style="font-size: 12pt; line-height: 115%;" lang="ES-MX">mayor parte de la flora gastrointestinal está compuesta por bacterias anaerobias, la</span></span></p> <p class="MsoNormal"><span style="font-size:130%;"><span style="font-size: 12pt; line-height: 115%;" lang="ES-MX">mayoría del género Bacteroides.</span></span></p> <p class="MsoNormal"><span style="font-size:130%;"><span style="font-size: 12pt; line-height: 115%;" lang="ES-MX">Estas enterobacterias producen patología cuando en el huésped aparecen factores</span></span></p> <p class="MsoNormal"><span style="font-size:130%;"><span style="font-size: 12pt; line-height: 115%;" lang="ES-MX">predisponentes locales (heridas, quemaduras, sondajes, catéteres, etc), generales</span></span></p> <p class="MsoNormal"><span style="font-size:130%;"><span style="font-size: 12pt; line-height: 115%;" lang="ES-MX">(disminución de las defensas inespecíficas o de la respuesta inmune) o enfermedades de</span></span></p> <p class="MsoNormal"><span style="font-size:130%;"><span style="font-size: 12pt; line-height: 115%;" lang="ES-MX">base como la diabetes, hemopatías, etc. Pacientes hospitalizados o</span></span></p> <p class="MsoNormal"><span style="font-size:130%;"><span style="font-size: 12pt; line-height: 115%;" lang="ES-MX">inmunocomprometidos, especialmente aquellos que reciben terapia antimicrobiana,</span></span></p> <p class="MsoNormal"><span style="font-size:130%;"><span style="font-size: 12pt; line-height: 115%;" lang="ES-MX">pueden ser colonizados por enterobacterias.La acción patógena que producen puede ser muy variada: la más frecuente es la</span></span></p> <p class="MsoNormal"><span style="font-size:130%;"><span style="font-size: 12pt; line-height: 115%;" lang="ES-MX">infección urinaria, seguida de infecciones de herida quirúrgicas y traumáticas,</span></span></p> <p class="MsoNormal"><span style="font-size:130%;"><span style="font-size: 12pt; line-height: 115%;" lang="ES-MX">infecciones respiratorias y sepsis. Dado que forman parte de la flora normal del</span></span></p> <p class="MsoNormal"><span style="font-size:130%;"><span style="font-size: 12pt; line-height: 115%;" lang="ES-MX">intestino, también pueden participar como agentes etiológicos en peritonitis, abscesos</span></span></p> <p class="MsoNormal"><span style="font-size:130%;"><span style="font-size: 12pt; line-height: 115%;" lang="ES-MX">abdominales o colangitis. Con menos frecuencia pueden producir otras infecciones</span></span></p> <p class="MsoNormal"><span style="font-size:130%;"><span style="font-size: 12pt; line-height: 115%;" lang="ES-MX">como otitis, sinusitis o meningitis (ésta última, especialmente en ancianos y neonatos)</span></span></p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: 18pt;"><span style="font-size:130%;"><span style="font-size: 12pt; font-family: "Arial","sans-serif"; color: black;" lang="ES-MX">Factores de patogenicidad:</span></span></p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: 18pt;"><span style="font-size:130%;"><span style="font-size: 12pt; font-family: "Georgia","serif"; color: black;" lang="ES-MX">1)</span><span style="font-size: 12pt; font-family: "Verdana","sans-serif"; color: black;" lang="ES-MX">Adhesinas,</span><span style="font-size: 12pt; font-family: "Arial","sans-serif"; color: black;" lang="ES-MX"> actividad presente en</span><span style="font-size: 12pt; font-family: "Verdana","sans-serif"; color: black;" lang="ES-MX"> fimbrias</span><span style="font-size: 12pt; font-family: "Arial","sans-serif"; color: black;" lang="ES-MX">, que se asocian con uropatogenicidad de</span><span style="font-size: 12pt; font-family: "Georgia","serif"; color: black;" lang="ES-MX"></span></span></p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: 18pt;"><span style="font-size:130%;"><span style="font-size: 12pt; font-family: "Arial","sans-serif"; color: black;" lang="ES-MX">E.coli y enteropatogenicidad para otros géneros de enterobacterias. También existen</span></span></p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: 18pt;"><span style="font-size:130%;"><span style="font-size: 12pt; font-family: "Verdana","sans-serif"; color: black;" lang="ES-MX">adhesinas afimbricas</span><span style="font-size: 12pt; font-family: "Arial","sans-serif"; color: black;" lang="ES-MX">.</span><span style="font-size: 12pt; font-family: "Verdana","sans-serif"; color: black;" lang="ES-MX"></span></span></p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: 18pt;"><span style="font-size:130%;"><span style="font-size: 12pt; font-family: "Georgia","serif"; color: black;" lang="ES-MX">2)</span><span style="font-size: 12pt; font-family: "Verdana","sans-serif"; color: black;" lang="ES-MX">Pseudocápsula</span><span style="font-size: 12pt; font-family: "Arial","sans-serif"; color: black;" lang="ES-MX">, que permite la adherencia a fómites, como sondas urinarias y</span><span style="font-size: 12pt; font-family: "Georgia","serif"; color: black;" lang="ES-MX"></span></span></p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: 18pt;"><span style="font-size:130%;"><span style="font-size: 12pt; font-family: "Arial","sans-serif"; color: black;" lang="ES-MX">catéteres.</span></span></p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: 18pt;"><span style="font-size:130%;"><span style="font-size: 12pt; font-family: "Georgia","serif"; color: black;" lang="ES-MX">3)</span><span style="font-size: 12pt; font-family: "Verdana","sans-serif"; color: black;" lang="ES-MX">Cápsula,</span><span style="font-size: 12pt; font-family: "Arial","sans-serif"; color: black;" lang="ES-MX"> se asocia con mayor invasividad, particularmente en las Meningitis por</span><span style="font-size: 12pt; font-family: "Georgia","serif"; color: black;" lang="ES-MX"></span></span></p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: 18pt;"><span style="font-size:130%;"><span style="font-size: 12pt; font-family: "Arial","sans-serif"; color: black;" lang="ES-MX">E.coli.</span></span></p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: 18pt;"><span style="font-size:130%;"><span style="font-size: 12pt; font-family: "Georgia","serif"; color: black;" lang="ES-MX">4)</span><span style="font-size: 12pt; font-family: "Verdana","sans-serif"; color: black;" lang="ES-MX">Exotoxinas y exoenzimas:</span><span style="font-size: 12pt; font-family: "Arial","sans-serif"; color: black;" lang="ES-MX"> especificas para cada genero y especie</span><span style="font-size: 12pt; font-family: "Georgia","serif"; color: black;" lang="ES-MX"></span></span></p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: 18pt;"><span style="font-size:130%;"><span style="font-size: 12pt; font-family: "Georgia","serif"; color: black;" lang="ES-MX">5)</span><span style="font-size: 12pt; font-family: "Verdana","sans-serif"; color: black;" lang="ES-MX">Endotoxinas,</span><span style="font-size: 12pt; font-family: "Arial","sans-serif"; color: black;" lang="ES-MX"> representada por LPS. Puede provocar el Shock endotóxico.</span><span style="font-size: 12pt; font-family: "Georgia","serif"; color: black;" lang="ES-MX"></span></span></p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: 18pt;"><span style="font-size:130%;"><span style="font-size: 12pt; font-family: "Verdana","sans-serif"; color: black;" lang="ES-MX">6) Sideróforos</span></span></p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: 18pt;"><span style="font-size:130%;"><span style="font-size: 12pt; font-family: "Georgia","serif"; color: black;" lang="ES-MX">7)</span><span style="font-size: 12pt; font-family: "Verdana","sans-serif"; color: black;" lang="ES-MX">Plásmidos</span><span style="font-size: 12pt; font-family: "Arial","sans-serif"; color: black;" lang="ES-MX">, permiten la transferencia de factores de patogenicidad y genes que</span><span style="font-size: 12pt; font-family: "Georgia","serif"; color: black;" lang="ES-MX"></span></span></p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: 18pt;"><span style="font-size:130%;"><span style="font-size: 12pt; font-family: "Arial","sans-serif"; color: black;" lang="ES-MX">otorguen resistencia antibiótica a otras bacterias</span></span></p> <p style="font-family: arial;" class="MsoNormal"><br /><span style="font-size:130%;"><span class="apple-style-span"><span style="font-size: 12pt; line-height: 115%; color: black;" lang="ES-MX"></span></span></span></p><p style="font-family: arial;" class="MsoNormal"><span style="font-size:130%;"><span class="apple-style-span"><span style="font-size: 12pt; line-height: 115%; color: black;" lang="ES-MX"><img src="http://www.teclimza.com/images/enterobacteriaceae_480.jpg" /></span></span></span></p>maiiahttp://www.blogger.com/profile/18141447435977845589noreply@blogger.com0tag:blogger.com,1999:blog-114959675141045615.post-55351962720673292622011-04-06T22:30:00.000-07:002011-04-06T22:44:03.272-07:00Entamoeba coli<p style="font-family: arial;"><span style="font-size:130%;">La <i><b>Entamoeba coli</b></i> es una <a href="http://es.wikipedia.org/wiki/Amoebozoa" title="Amoebozoa">ameba</a> fácilmente encontrada en los intestinos de algunos animales, incluido el hombre. Se presenta tanto en sujetos sanos como en enfermos, frecuentemente en forma <a href="http://es.wikipedia.org/wiki/Comensalismo" title="Comensalismo">comensal</a>.</span></p> <p style="font-family: arial;"><span style="font-size:130%;">Es una especie de <a href="http://es.wikipedia.org/wiki/Par%C3%A1sito" title="Parásito" class="mw-redirect">parásitos</a> mayormente no patógena del género <i>Entamoeba</i> que es de importancia clínica. Primero, porque a una persona sana no le causará ningún daño o malestar, pero si las <a href="http://es.wikipedia.org/wiki/Sistema_inmune" title="Sistema inmune" class="mw-redirect">defensas naturales</a> corporales están bajas o en casos de <a href="http://es.wikipedia.org/wiki/Desnutrici%C3%B3n" title="Desnutrición">mala nutrición</a>, sí causará daño. Segundo, es importante en m</span><span style="font-size:130%;">edicina, porque a menudo es confundida durante la examinación <a href="http://es.wikipedia.org/wiki/Microscopio" title="Microscopio">microscópica</a> de <a href="http://es.wikipedia.org/wiki/Heces" class="mw-redirect" title="Heces">heces</a>, con la <a href="http://es.wikipedia.org/wiki/Especie">especie</a> patogénica <i><a href="http://es.wikipedia.org/wiki/Entamoeba_histolytica">Entamoeba histolytica</a></i>.<sup id="cite_ref-Baron_0-0" class="reference"><a href="http://es.wikipedia.org/wiki/Entamoeba_coli#cite_note-Baron-0"><span class="corchete-llamada">[</span>1<span class="corchete-llamada">]</span></a></sup> Aunque esta última diferenciación entre las dos especies es típicamente hecha por examinación visual de los <a href="http://es.wikipedia.org/wiki/Quiste" title="Quiste">quistes</a> del parásito con el microscopio de luz, se han desarrollado nuevos métodos y técnicas para facilitar la distinción.<sup id="cite_ref-1" class="reference"><a href="http://es.wikipedia.org/wiki/Entamoeba_coli#cite_note-1"><span class="corchete-llamada">[</span>2<span class="corchete-llamada">]</span></a></sup></span></p> <p style="font-family: arial;"><span style="font-size:130%;">La presencia de <i>E. coli</i> no debe ser, en sí, una causa para buscar tratamiento médico por ser inofensiva. Sin embargo, esta ameba propicia la proliferación de otras amebas en el interior del <a href="http://es.wikipedia.org/wiki/Ser_vivo" title="Ser vivo">organismo</a> que se encuentre, así como puede ser un indicio de que otros organismos patógenos hayan sido consumidos conj</span><span style="font-size:130%;">untamente.<sup id="cite_ref-CDC_2-0" class="reference"><a href="http://es.wikipedia.org/wiki/Entamoeba_coli#cite_note-CDC-2"><span class="corchete-llamada">[</span>3<span class="corchete-llamada">]</span></a></sup> En muchas ocasiones es confundido (por su abreviación <i>E. Coli</i>) con <i><a href="http://es.wikipedia.org/wiki/Escherichia_coli">Escherichia coli</a></i>.</span></p><h2><span style="font-size:180%;"><span class="mw-headline" id="Ciclo_de_vida">Ciclo de vida</span></span></h2><p style="font-family: arial;"><span style="font-size:130%;">A lo largo de su vida presenta varias etapas, las cuales dependen de los nutrientes (o ausencia de estos) en el medio que lo rodea.</span></p> <h3 style="font-family:arial;"><span style="font-size:130%;"> <span class="mw-headline" id="Trofozoito">Trofozoito</span></span></h3> <p style="font-family: arial;"><span style="font-size:130%;">Se presenta como una masa <a href="http://es.wikipedia.org/wiki/Amoebozoa" title="Amoebozoa">ameboide</a>, incolora, que mide</span><span style="font-size:130%;"> de 15 a 50 μm. Sus movimientos son típicamente lentos, con formación de <a href="http://es.wikipedia.org/wiki/Seud%C3%B3podo" title="Seudópodo">seudópodos</a> anchos, cortos y con escasa progresión. En el interior de su <a href="http://es.wikipedia.org/wiki/Endoplasma">endoplasma</a> se pueden apreciar algunas <a href="http://es.wikipedia.org/wiki/Vacuola" title="Vacuola">vacuolas</a> digestivas que generalmente contienen <a href="http://es.wikipedia.org/wiki/Bacteria" title="Bacteria">bacterias</a> en su interior.</span></p> <h3 style="font-family:arial;"><span style="font-size:130%;"> <span class="mw-headline" id="Prequiste">Prequiste</span></span></h3> <p style="font-family: arial;"><span style="font-size:130%;">Al prepararse para el enquistamiento, el trofozoito expulsa de su <a href="http://es.wikipedia.org/wiki/Citoplasma">citoplasma</a> los alimentos no digeridos y su contorno se vuelve más <a href="http://es.wikipedia.org/wiki/Esfera" title="Esfera">esféri</a></span><span style="font-size:130%;"><a href="http://es.wikipedia.org/wiki/Esfera" title="Esfera">co</a>.</span></p> <h3 style="font-family:arial;"><span style="font-size:130%;"> <span class="mw-headline" id="Quiste_Inmaduro">Quiste Inmaduro</span></span></h3> <p style="font-family: arial;"><span style="font-size:130%;">En este estado se empieza a secretar una membrana protectora resistente que recubre la <a href="http://es.wikipedia.org/wiki/C%C3%A9lula">célula</a> de los medios externos desfavorables. Al mismo tiempo se empieza a crear una <a href="http://es.wikipedia.org/wiki/Vacuola">vacuola</a> conteniendo <a href="http://es.wikipedia.org/wiki/Gluc%C3%B3geno">glucógeno</a>.</span></p> <h3 style="font-family:arial;"><span style="font-size:130%;"> <span class="mw-headline" id="Quiste_Maduro">Quiste Maduro</span></span></h3> <p style="font-family: arial;"><span style="font-size:130%;">El <a href="http://es.wikipedia.org/wiki/N%C3%BAcleo_celular" title="Núcleo celular">núcleo</a> se divide 3 veces alcanzando el número de 8 núcleos, a diferencia de los <a href="http://es.wikipedia.org/wiki/Quiste" title="Quiste">quistes</a> de <i>E. histolytica</i>, el cual no tiene más de 4 núcleos. En el <a href="http://es.wikipedia.org/wiki/Citoplasma">citoplasma</a> del quiste maduro se observan espículas o masas irregulares llamadas <a href="http://es.wikipedia.org/w/index.php?title=Crom%C3%A1tide&action=edit&redlink=1" class="new" title="Cromátide (aún no redactado)">cromátides</a>. Se observa nuevamente la vacuola con glucógeno.</span></p> <h3 style="font-family:arial;"><span style="font-size:130%;"><span class="mw-headline" id="Metaquiste">Metaquiste</span></span></h3> <p style="font-family: arial;"><span style="font-size:130%;">La capa es <a href="http://es.wikipedia.org/wiki/Lisis" title="Lisis">lisada</a> y desgarrada, escapando la masa octanucleada. El citoplasma del metaquiste se divide en ocho partes, dando lugar al trofozoito metaquístico.</span></p> <h3 style="font-family:arial;"><span style="font-size:130%;"> <span class="mw-headline" id="Trofozoito_Metaqu.C3.ADstico">Trofozoito Metaquístico</span></span></h3> <p style="font-family: arial;"><span style="font-size:130%;">Son el producto inmediato del metaquiste. Al empezar su alimentación se desarrollan y crecen formando el trofozoito, cerrando así el ciclo vital.</span></p><p style="font-family: arial;"><span style="font-size:130%;"><br /></span></p><br /><h3 face="arial"><a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhNvDxeukMjw4dpKMwYJlPJBqOxG4IOGxWbu2nc5B6-heQlXH7uKoNuRSn_-962btb1RZl9KEggUkFFTrXWFZkUYankIHo4VjhTGwQEV1bnX79Nz4qk8ynESnti6CL1tyOD51-iq_im1bM/s1600/000614580.png"><img style="cursor: pointer; width: 650px; height: 407px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhNvDxeukMjw4dpKMwYJlPJBqOxG4IOGxWbu2nc5B6-heQlXH7uKoNuRSn_-962btb1RZl9KEggUkFFTrXWFZkUYankIHo4VjhTGwQEV1bnX79Nz4qk8ynESnti6CL1tyOD51-iq_im1bM/s400/000614580.png" alt="" id="BLOGGER_PHOTO_ID_5592711972063609858" border="0" /></a></h3><br /><p style="text-align: center; font-weight: bold; font-family: arial;"><span style="font-size:180%;"><u>Epidemiología.</u></span></p> <p style="font-family: arial;"><span style="font-size:130%;">E. coli se transmite en forma de quiste viable que llega al a boca por contaminación fecal y se traga o deglute. La infección se adquiere con facilidad, lo que explica su frecuencia alta en países tropicales, así como en las poblaciones de clima frío en los que las condiciones de higiene y sanitarias son primitivas. Aunque los monos y en ocasiones los perros se han encontrado infectados en forma natural por una ameba similar a la E. coli, la infección es casi exclusiva de origen humano.</span></p><p style="text-align: center;"><span style="font-size:180%;"><b><u>Patogenia y sintomatología.</u></b></span></p> <p>E. coli es un parásito de la luz intestinal no patógeno y que no produce síntomas.</p> <p style="text-align: center;"><span style="font-size:180%;"><b><u>Diagnóstico.</u></b></span></p> <p><span style="font-size:130%;">A E. coli hay que distinguirla de la ameba patógena E. histolytica, a veces es casi imposible diferenciar los trofozoitos evacuados con las heces líquidas. En las materias fecales que contienen gran número de quistes de E. coli pueden pasar inadvertidos unos cuantos de E. histolytica.</span></p> <p style="text-align: center;"><span style="font-size:180%;"><b><u>Tratamiento</u></b></span></p> <p><span style="font-size:130%;">Como esta ameba no es patógena, no está indicado tratamiento específico; de todos modos conviene recordar que E. coli es mucho más resistente a los agentes antiamebianos que E. histolytica.</span></p> <p style="text-align: center;"><span style="font-size:180%;"><b><u>Profilaxis.</u></b></span></p> <p><span style="font-size:130%;">El hallazgo de esta ameba en las materias fecales prueba de que algo contaminado por éstas ha llegado a la boca. 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Definitions */ table.MsoNormalTable {mso-style-name:"Tabla normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin-top:0cm; mso-para-margin-right:0cm; mso-para-margin-bottom:10.0pt; mso-para-margin-left:0cm; line-height:115%; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-ansi-language:EN-US; mso-fareast-language:EN-US; mso-bidi-language:HE;} </style> <![endif]--> <p class="MsoNormal"><span class="Apple-style-span" style="font-size: 21px; line-height: 24px;"><b><i><img src="http://www.madrimasd.org/blogs/salud_publica/wp-content/blogs.dir/97/files/739/o_salmonella%20saintpaul.jpg" /></i></b></span></p><p class="MsoNormal"><span class="apple-style-span" style="font-size:130%;"><b><i><span style="line-height: 115%;font-family:";color:black;" lang="ES-MX">Salmonella</span></i></b></span><span class="apple-converted-space" style="font-size:130%;"><span style="line-height: 115%;font-family:";color:black;" lang="ES-MX"> </span></span><span class="apple-style-span" style="font-size:130%;"><span style="line-height: 115%;font-family:";color:black;" lang="ES-MX">es un</span></span><span class="apple-converted-space" style="font-size:130%;"><span style="line-height: 115%;font-family:";color:black;" lang="ES-MX"> </span></span><span lang="EN-US" style="font-size:130%;"><a href="http://es.wikipedia.org/wiki/G%C3%A9nero_%28biolog%C3%ADa%29" title="Género (biología)"><span style="line-height: 115%;font-family:";" lang="ES-MX">género</span></a></span><span class="apple-converted-space" style="font-size:130%;"><span style="line-height: 115%;font-family:";color:black;" lang="ES-MX"> </span></span><span class="apple-style-span" style="font-size:130%;"><span style="line-height: 115%;font-family:";color:black;" lang="ES-MX">de</span></span><span class="apple-converted-space" style="font-size:130%;"><span style="line-height: 115%;font-family:";color:black;" lang="ES-MX"> </span></span><span lang="EN-US" style="font-size:130%;"><a href="http://es.wikipedia.org/wiki/Bacteria" title="Bacteria"><span style="line-height: 115%;font-family:";" lang="ES-MX">bacterias</span></a></span><span class="apple-converted-space" style="font-size:130%;"><span style="line-height: 115%;font-family:";color:black;" lang="ES-MX"> </span></span><span class="apple-style-span" style="font-size:130%;"><span style="line-height: 115%;font-family:";color:black;" lang="ES-MX">que pertenece a la familia</span></span><span class="apple-converted-space" style="font-size:130%;"><span style="line-height: 115%;font-family:";color:black;" lang="ES-MX"> </span></span><span class="apple-style-span" style="font-size:130%;"><span style="line-height: 115%;font-family:";color:black;" lang="EN-US"><a href="http://es.wikipedia.org/wiki/Enterobacteriaceae"><span style="color: rgb(6, 69, 173); text-decoration: none;" lang="ES-MX">Enterobacteriaceae</span></a></span></span><span class="apple-style-span" style="font-size:130%;"><span style="line-height: 115%;font-family:";color:black;" lang="ES-MX">, formado por</span></span><span class="apple-converted-space" style="font-size:130%;"><span style="line-height: 115%;font-family:";color:black;" lang="ES-MX"> </span></span><span lang="EN-US" style="font-size:130%;"><a href="http://es.wikipedia.org/wiki/Bacilo" title="Bacilo"><span style="line-height: 115%;font-family:";" lang="ES-MX">bacilos</span></a></span><span class="apple-converted-space" style="font-size:130%;"><span style="line-height: 115%;font-family:";color:black;" lang="ES-MX"> </span></span><span class="apple-style-span" style="font-size:130%;"><span style="line-height: 115%;font-family:";color:black;" lang="EN-US"><a href="http://es.wikipedia.org/wiki/Bacteria_Gram_negativa" title="Bacteria Gram negativa"><span style="color: rgb(6, 69, 173); text-decoration: none;" lang="ES-MX">gramnegativos</span></a></span></span><span class="apple-style-span" style="font-size:130%;"><span style="line-height: 115%;font-family:";color:black;" lang="ES-MX">,</span></span><span class="apple-converted-space" style="font-size:130%;"><span style="line-height: 115%;font-family:";color:black;" lang="ES-MX"> </span></span><span lang="EN-US" style="font-size:130%;"><a href="http://es.wikipedia.org/wiki/Organismo_anaerobio" title="Organismo anaerobio"><span style="line-height: 115%;font-family:";" lang="ES-MX">anaerobios facultativos</span></a></span><span class="apple-style-span" style="font-size:130%;"><span style="line-height: 115%;font-family:";color:black;" lang="ES-MX">, con</span></span><span class="apple-converted-space" style="font-size:130%;"><span style="line-height: 115%;font-family:";color:black;" lang="ES-MX"> </span></span><span lang="EN-US" style="font-size:130%;"><a href="http://es.wikipedia.org/wiki/Flagelo_bacteriano" title="Flagelo bacteriano"><span style="line-height: 115%;font-family:";" lang="ES-MX">flagelos</span></a></span><span class="apple-converted-space" style="font-size:130%;"><span style="line-height: 115%;font-family:";color:black;" lang="ES-MX"> </span></span><span class="apple-style-span" style="font-size:130%;"><span style="line-height: 115%;font-family:";color:black;" lang="ES-MX">perítricos y que no desarrollan cápsula (ex</span></span><span class="apple-style-span" style="font-size:130%;"><span style="line-height: 115%;font-family:";color:black;" lang="ES-MX">cepto la especie ni esporas. Son</span></span><span class="apple-converted-space" style="font-size:130%;"><span style="line-height: 115%;font-family:";color:black;" lang="ES-MX"> </span></span><span lang="EN-US" style="font-size:130%;"><a href="http://es.wikipedia.org/wiki/Bacteria" title="Bacteria"><span style="line-height: 115%;font-family:";" lang="ES-MX">bacterias</span></a></span><span class="apple-style-span" style="font-size:130%;"><span style="line-height: 115%;font-family:";color:black;" lang="EN-US"> </span></span><span class="apple-style-span" style="font-size:130%;"><span style="line-height: 115%;font-family:";color:black;" lang="ES-MX">móviles que producen</span></span><span class="apple-converted-space" style="font-size:130%;"><span style="line-height: 115%;font-family:";color:black;" lang="ES-MX"> </span></span><span lang="EN-US" style="font-size:130%;"><a href="http://es.wikipedia.org/wiki/Sulfuro_de_hidr%C3%B3geno" title="Sulfuro de hidrógeno"><span style="line-height: 115%;font-family:";" lang="ES-MX">sulfuro de hidrógeno</span></a></span><span class="apple-converted-space" style="font-size:130%;"><span style="line-height: 115%;font-family:";color:black;" lang="ES-MX"> </span></span><span class="apple-style-span" style="font-size:130%;"><span style="line-height: 115%;font-family:";color:black;" lang="ES-MX">(H<sub>2</sub>S). 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name="Bibliography"> <w:lsdexception locked="false" priority="39" qformat="true" name="TOC Heading"> </w:LatentStyles> </xml><![endif]--><!--[if gte mso 10]> <style> /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Tabla normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin-top:0cm; mso-para-margin-right:0cm; mso-para-margin-bottom:10.0pt; mso-para-margin-left:0cm; line-height:115%; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-ansi-language:EN-US; mso-fareast-language:EN-US; mso-bidi-language:HE;} </style> <![endif]--> <p style="font-family:arial;"><span style="font-size:130%;"><span style=";color:black;" lang="ES-MX">El género<span class="apple-converted-space"> </span><i>Salmonella,</i><span class="apple-converted-space"> </span>definido por su conjunto de características bioquímicas, reúne cerca de 2.000 tipos serológicos. Cada tipo serológico a </span></span><span style="font-size:130%;"><span style=";color:black;" lang="ES-MX">su vez está caracterizado por antígenos específicos que pueden ser identificados mediante pruebas serológicas. Los antígenos que caracterizan los tipos serológicos de las salmonellas son los antígenos O (somáticos), y los antígenos H (flagelares); algunos presentan un tercer tipo el denominado antígeno Vi.</span></span></p> <p style="font-family:arial;"><span style="font-size:130%;"><span style=";color:black;" lang="ES-MX">Existen tres tipos de<span class="apple-converted-space"> </span><i>Salmonella,<span class="apple-converted-space"> </span></i>la<span class="apple-converted-space"> </span><i>S.Choleraesuis,<span class="apple-converted-space"> </span></i>la<span class="apple-converted-space"><i> </i></span><i>S.typhi</i><span class="apple-converted-space"> </span>y<span class="apple-converted-space"><i> </i></span>la<span class="apple-converted-space"> </span><i>S. enteritidis.</i><span class="apple-converted-space"> </span>Las dos primeras corresponden a un sólo serotipo; la<span class="apple-converted-space"><i> </i></span><i>S.enterit</i></span></span><span style="font-size:130%;"><span style=";color:black;" lang="ES-MX"><i>idis</i><span class="apple-converted-space"> </span>engloba los demás serotipos. Se reúnen estos microorganismos en seis grupos: el grupo A que incluye la<span class="apple-converted-space"> </span><i>S.paratyphi</i><span class="apple-converted-space"> </span>A; el grupo B que incluye la<span class="apple-converted-space"> </span><i>S.typhimurium</i><span class="apple-converted-space"> </span>y la<span class="apple-converted-space"> </span><i>S.bredeney</i>; el grupo C1 con la<span class="apple-converted-space"> </span><i>S.choleraesuis</i>, la<span class="apple-converted-space"> </span><i>S.montevideo</i><span class="apple-converted-space"> </span>y la<i>S.oranienburg</i>; el grupo C2 tiene sólo la<span class="apple-converted-space"> </span><i>S.neuport</i>; al grupo D pertenencen la<span class="apple-converted-space"> </span><i>S.typhi</i>, la<span class="apple-converted-space"> </span><i>S.enteritidis</i>, la<span class="apple-converted-space"> </span><i>S.dublin</i><span class="apple-converted-space"> </span>y la<span class="apple-converted-space"> </span><i>S.gallinarum</i>, finalmente en el grupo E1 se encuentran la<span class="apple-converted-space"> </span><i>S.butantan</i>, la<span class="apple-converted-space"> </span><i>S.anatum</i>y la<span class="apple-converted-space"> </span><i>S.give.</i></span></span></p><p style="font-weight: bold;font-family:arial;"><span style="font-size:180%;"><br /></span></p><!--[if gte mso 9]><xml> <w:worddocument> <w:view>Normal</w:View> <w:zoom>0</w:Zoom> <w:trackmoves/> <w:trackformatting/> <w:hyphenationzone>21</w:HyphenationZone> <w:punctuationkerning/> <w:validateagainstschemas/> <w:saveifxmlinvalid>false</w:SaveIfXMLInvalid> <w:ignoremixedcontent>false</w:IgnoreMixedContent> <w:alwaysshowplaceholdertext>false</w:AlwaysShowPlaceholderText> <w:donotpromoteqf/> <w:lidthemeother>ES</w:LidThemeOther> <w:lidthemeasian>X-NONE</w:LidThemeAsian> <w:lidthemecomplexscript>X-NONE</w:LidThemeComplexScript> <w:compatibility> <w:breakwrappedtables/> <w:snaptogridincell/> <w:wraptextwithpunct/> 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style="font-size:130%;"><span style=";color:black;" lang="ES-MX">Las salmonellas son bacterias invasoras y enterot</span></span><span style="font-size:130%;"><span style=";color:black;" lang="ES-MX">oxigénicas. La infección se localiza principalmente en el íleo terminal y en el intestino grueso. Las salmonellas tíficas y paratíficas normalmente invaden la circulación, mientras que las otras están limitadas a la mucosa intestinal. Algunas como la<span class="apple-converted-space"> </span><i>S.dublin</i><span class="apple-converted-space"> </span>y<span class="apple-converted-space"> </span><i>S.panamá</i><span class="apple-converted-space"> </span>invaden la circulación. El mecanismo de producción de la diarrea, está relacionado más directamente con el de las diarreas de tipo secretorio, en el que la respuesta inflamatoria debida a la penetración de la salmonella produce liberación de prostaglandinas, que a su vez estimulan la poducción de AMP cíclico y como consecuencia, secreción activa de líquidos. El papel de las </span></span><span style="font-size:130%;"><span style=";color:black;" lang="ES-MX">enterotoxinas es aún discutible.</span></span></p> <p style="font-family:arial;"><span style="font-size:130%;"><span style=";color:black;" lang="ES-MX">La fiebre tifoidea producida por la<span class="apple-converted-space"><i> </i></span><i>S.typhi</i><span class="apple-converted-space"> </span>es una enfermedad exclusiva del hombre, el no ser posible reproducirla en ninguna otra especie animal, hace difíciles los estudios experimentales sobre su patogenia; los datos conocidos corresponden a estudios realizados en voluntarios humanos.</span></span></p><!--[if gte mso 9]><xml> <w:worddocument> <w:view>Normal</w:View> <w:zoom>0</w:Zoom> <w:trackmoves/> <w:trackformatting/> <w:hyphenationzone>21</w:HyphenationZone> <w:punctuationkerning/> <w:validateagainstschemas/> <w:saveifxmlinvalid>false</w:SaveIfXMLInvalid> <w:ignoremixedcontent>false</w:IgnoreMixedContent> 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name="Bibliography"> <w:lsdexception locked="false" priority="39" qformat="true" name="TOC Heading"> </w:LatentStyles> </xml><![endif]--><!--[if gte mso 10]> <style> /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Tabla normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin-top:0cm; mso-para-margin-right:0cm; mso-para-margin-bottom:10.0pt; mso-para-margin-left:0cm; line-height:115%; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-ansi-language:EN-US; mso-fareast-language:EN-US; mso-bidi-language:HE;} </style> <![endif]--> <p style="font-family:arial;"><span style="font-size:130%;"><span style=";color:black;" lang="ES-MX">Muchas de las manifestaciones de la fiebre tifoidea son causadas por los metabolitos del ácido araquidónico, los radicales libres de oxígeno y otros mediadores liberados por las células mononucleares y los macrófago</span></span><span style="font-size:130%;"><span style=";color:black;" lang="ES-MX">s.</span></span></p><p style="font-family: arial; font-weight: bold;"><span style="font-size:180%;"><img src="http://t3.gstatic.com/images?q=tbn:ANd9GcQe41HhVgFDr61HHRhbJ8ENnuLqOIhUBuJI0qd_mSj3Uir6lRjV" /></span></p><p style="font-family:arial;"><span style="font-size:130%;"><span style=";font-size:10pt;color:black;" lang="ES-MX"><span style="font-family: arial; font-weight: bold;font-size:180%;">CUADRO CLINICO</span></span></span></p><!--[if gte mso 9]><xml> <w:worddocument> <w:view>Normal</w:View> <w:zoom>0</w:Zoom> <w:trackmoves/> <w:trackformatting/> <w:hyphenationzone>21</w:HyphenationZone> <w:punctuationkerning/> <w:validateagainstschemas/> <w:saveifxmlinvalid>false</w:SaveIfXMLInvalid> 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priority="37" name="Bibliography"> <w:lsdexception locked="false" priority="39" qformat="true" name="TOC Heading"> </w:LatentStyles> </xml><![endif]--><!--[if gte mso 10]> <style> /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Tabla normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin-top:0cm; mso-para-margin-right:0cm; mso-para-margin-bottom:10.0pt; mso-para-margin-left:0cm; line-height:115%; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-ansi-language:EN-US; mso-fareast-language:EN-US; mso-bidi-language:HE;} </style> <![endif]--> <p style="font-family:arial;"><span style="font-size:130%;"><span style=";color:black;" lang="ES-MX">Las manifestaciones clínicas de las salmonelosis se presentan básicamente bajo tres modalidades: las denominadas fiebres entéricas entre las cuales la más común es la fiebre tifoidea producida por la<span class="apple-converted-space"> </span><i>Salmonella typhi</i>; las gastroenteritis producidas por varios tipos, entre ellas la<span class="apple-converted-space"> </span><i>S.typhimurium</i>; y la forma sept</span></span><span style="font-size:130%;"><span style=";color:black;" lang="ES-MX">icémica, caracterizada por la bacteremia asociada a lesiones focales debida frecuentemente a la<span class="apple-converted-space"><i> </i></span><i>S.choleraesuis</i>.</span></span></p> <p style="font-family:arial;"><span style="font-size:130%;"><span style=";color:black;" lang="ES-MX">Dentro de las manifestaciones clínicas comunes está la fiebre acompañada de dolor abdominal, evacuaciones intestinales frecuentes, líquidas, de aspecto verdoso, fétidas, mucoides y en ocasiones con estrías de sangre. Estos cuadros clínicos son más severos en los niños y en los viejos. 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mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin-top:0cm; mso-para-margin-right:0cm; mso-para-margin-bottom:10.0pt; mso-para-margin-left:0cm; line-height:115%; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-ansi-language:EN-US; mso-fareast-language:EN-US; mso-bidi-language:HE;} </style> <![endif]--> <p style="font-weight: bold;font-family:arial;"><span style="font-size:180%;"><span style=";color:black;" lang="ES-MX">FIEBRES ENTERICAS (FIEBRE TIFOIDEA)</span></span></p> <p style="font-family: arial;"><span style="font-size:130%;"><span style=";color:black;" lang="ES-MX">Es clásico dividir las manifestaciones clínicas de la fiebre tifoidea de acuerdo a su evolución en semanas o septenarios. Se sabe que la salmonella tiene un período de incubación que se calcula en aproximadamente 10 días. La e</span></span><span style="font-size:130%;"><span style=";color:black;" lang="ES-MX">nfermedad tiene un período inicial de una semana caracterizado por la aparición de fiebre, en forma escalonada y progresiva asociada a cefalea intensa, astenia y anorexia. En el segundo período correspondiente a la segunda y tercera semanas, los síntomas se acentúan, la fiebre se estabiliza, la cefalea es continua y no responde a los analgésicos comunes, el estado de conciencia se altera y el paciente entra en estado de sopor está delirante e indiferente (tiphus), presenta diarrea profusa y signos de deshidratación; en la piel aparecen como elementos caracteríticos las "manchas rosadas". En 60-70% de los casos puede observarse esplenomegalia. El cuarto período corresponde al estadío de declinación; la fiebre empieza a disminuir en forma progresiv</span></span><span style="font-size:130%;"><span style=";color:black;" lang="ES-MX">a; mejoran el estado de conciencia, la cefalea, las manifestaciones gastrointestinales y el paciente inicia la recuperación.</span></span></p> <p style="font-family: arial;"><span style="font-size:130%;"><span style=";color:black;" lang="ES-MX">Las complicaciones pueden presentarse en cualquier órgano, sin embargo las más severas y más temidas son la hemorragia digestiva y la perforación intestinal. Otras complicaciones de las salmonelosis son los aneurismas micóticos</span></span><span style="font-size:130%;"><span style=";color:black;" lang="ES-MX"> los cuales han sido descritos a nivel de la aorta abdominal, las arterias poplítea, ilíaca y carótida. 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mso-para-margin-bottom:10.0pt; mso-para-margin-left:0cm; line-height:115%; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-ansi-language:EN-US; mso-fareast-language:EN-US; mso-bidi-language:HE;} </style> <![endif]--> <p class="verdegrande"><span style=";font-family:";font-size:10pt;color:black;" lang="ES-MX"><span style="font-family:arial;font-size:180%;"><span style="font-weight: bold;">CULTIVO: </span></span><br /></span></p><p style="color: rgb(0, 0, 0);" class="verdegrande"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiKRDdSd-8tGZoFXZpfdZsVHA2JGpJqkLBYPkaZKodI8o4h_bRLu-7oKG2fR-nAnXxYuTD9rO0ADJh9mhwcmiVGONDQRO3PL4xFH7f0MsDYjWHSqx-ZW4V1FPr2Ifh-KfxCIbYNliQjpV4/s1600/SALMONELLA.jpg" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}"><img style="cursor: pointer; width: 502px; height: 271px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiKRDdSd-8tGZoFXZpfdZsVHA2JGpJqkLBYPkaZKodI8o4h_bRLu-7oKG2fR-nAnXxYuTD9rO0ADJh9mhwcmiVGONDQRO3PL4xFH7f0MsDYjWHSqx-ZW4V1FPr2Ifh-KfxCIbYNliQjpV4/s400/SALMONELLA.jpg" alt="" id="BLOGGER_PHOTO_ID_5592707023480028226" border="0" /></a><br /><span style=";font-family:";font-size:10pt;" lang="ES-MX"></span></p><p style="color: rgb(0, 0, 0);" class="verdegrande"><span style="font-size:130%;"><span style=";font-family:";" lang="ES-MX">Agar Salmonella-Shigella (SS)</span></span></p> <p class="negranormal" style="text-align: justify; line-height: 15pt; vertical-align: top;"><span style=";font-family:";font-size:130%;color:black;" lang="ES-MX">Ágar altamente selectivo que se utiliza para el aislamiento de<span class="apple-converted-space"> </span><span class="nombrecientifico"><i>Salmonella</i></span><span class="apple-converted-space"> </span>y de alguna especies de<span class="apple-converted-space"> </span><span class="nombrecientifico"><i>Shigella</i></span>.</span></p> <p class="negranormal" style="text-align: justify; line-height: 15pt; vertical-align: top;"><span style=";font-family:";font-size:130%;color:black;" lang="ES-MX">Se diseñó para diferenciar fermentadores de lactosa de los que no la fermentan, proporcionando buena inhibición de coliformes sin restringir el crecimiento de otros BGN patógenos.</span></p> <p class="negranormal" style="text-align: justify; line-height: 15pt; vertical-align: top;"><span class="nombrecientifico" style="font-size:130%;"><i><span style=";font-family:";color:black;" lang="ES-MX">Salmonella</span></i></span><span class="apple-converted-space" style="font-size:130%;"><span style=";font-family:";color:black;" lang="ES-MX"> </span></span><span style=";font-family:";font-size:130%;color:black;" lang="ES-MX">y<span class="apple-converted-space"> </span><span class="nombrecientifico"><i>Shigella</i></span><span class="apple-converted-space"> </span>(y otros no fermentadores de lactosa) producen colonias transparentes, translúcidas, mientras los pocos fermentadores de lactosa que se desarrollan dan colonias mucosas, rojizas.</span></p><p class="negranormal" style="text-align: justify; line-height: 15pt; vertical-align: top;"><br /></p><p class="negranormal" style="text-align: justify; line-height: 15pt; vertical-align: top;"><span style=";font-family:";font-size:130%;color:black;" lang="ES-MX"><span style="font-weight: bold;font-size:180%;">PROFILAXIS</span></span></p><p style="color: rgb(0, 0, 0); font-family: arial;"><span style="font-size:130%;">Para prevenir y facilitar la cura de esta enfermedad es fundamental impedir el abuso de los antibióticos que existe actualmente. Resultado del uso indiscriminado de antibióticos es la aparición de cepas de <i>S. thyphimurium</i> multirresistentes, algunas cepas incluso a quinolonas.<br />La Organizacion Mundial de la Salud ha tomado diversas directrices para impedir la expansión de cepas resistentes a antibióticos mediante las siguientes medidas:</span> </p><ol style="color: rgb(0, 0, 0); font-family: arial;"><li><span style="font-size:130%;">Control de las aves reproductoras. </span></li><li><span style="font-size:130%;">Control microbiológico de alimentos y agua. </span></li><li><span style="font-size:130%;">Control de la producción avícola y su ambiente.<span style="font-size: 0pt;"><span style="font-size: 100%;"><br /></span></span></span></li></ol><p class="MsoNormal" style="background-color: white; background-image: none; background-repeat: repeat; background-attachment: scroll; background-position: 0% 50%; -moz-background-size: auto auto; margin-bottom: 1.2pt; margin-left: 20.4pt; color: rgb(0, 0, 0); text-align: justify; -moz-background-clip: -moz-initial; -moz-background-origin: -moz-initial; -moz-background-inline-policy: -moz-initial; font-family: arial;"><span style="font-size:130%;"><span style="font-size: 0pt;"></span></span></p><span style="font-family: arial;font-size:130%;"><span style="color: rgb(0, 0, 0);">Es muy importante también vigilar la industria alimentaria, durante toda la cadena productiva, incluida la manipulación de la materia prima y del producto final. Los productos lácteos deberán ser muy controlados y someterse a pasteurización antes del consumo humano.<br /><br />Es una enfermedad de declaración obligatoria, esto contribuye a detectar los casos a tiempo antes de que se produzcan epidemias.</span></span><p><span style=";font-family:";font-size:180%;color:black;" lang="ES-MX"> </span></p> <p style="font-family:arial;"><span style="font-size:130%;"><span style=";font-size:10pt;color:black;" lang="ES-MX"><br /></span></span></p> <p style="font-family: arial; font-weight: bold;"><span style="font-size:180%;"><span style=";font-size:10pt;color:black;" lang="ES-MX"><br /></span></span></p>maiiahttp://www.blogger.com/profile/18141447435977845589noreply@blogger.com0tag:blogger.com,1999:blog-114959675141045615.post-57891173479224276482011-04-06T21:52:00.000-07:002011-04-07T09:42:59.475-07:00SHIGELLA<!--[if gte mso 9]><xml> <w:worddocument> <w:view>Normal</w:View> <w:zoom>0</w:Zoom> <w:trackmoves/> <w:trackformatting/> 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Aunque con frecuencia se alude a esta enfermedad como disentería bacilar, muchos enfermos sólo tienen una ligera diarrea acuosa y nunca presentan síntomas disentéricos. Las formas menos intensas de la enfermedad predominan en los países industrializados, mientras que la disentería más grave y a menudo mortal afecta a </span><span style=";font-family:";font-size:130%;" lang="ES-MX">enfermos de países en vías de desarrollo.</span></p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: 13.5pt;"><span style=";font-family:";font-size:130%;" lang="ES-MX">Fue descubierta hace 100 años por un científico japonés llamado</span><span style=";font-family:";font-size:130%;" lang="ES-MX"> </span><span lang="EN-US" style="font-size:130%;"><a href="http://enciclopedia.us.es/index.php?title=Shiga&action=edit" title="Shiga"><span style=";font-family:";" lang="ES-MX">Shiga</span></a></span><span style=";font-family:";font-size:130%;" lang="ES-MX">, de quien tomó su nombre.</span></p><p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: 13.5pt;"><span style="font-family:arial;"><span 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lang="ES-MX">(12 serotipos), es un tipo que se encuentra en los países del mundo en desarrollo donde ocasiona</span><span lang="ES-MX"> </span><span lang="ES-MX">epidemiasmortíferas. </span><span lang="EN-US">Es el más virulento de los cuatro serogrupos de</span><i><span lang="EN-US">Shigella</span></i></span></li><li class="MsoNormal" style="color: rgb(102, 102, 102); line-height: 13.5pt;"><span style="font-size:130%;"><span lang="ES-MX">Serogrupo B:<br /> </span><span lang="EN-US" style="color:#000000;"><a href="http://es.wikipedia.org/w/index.php?title=Shigella_flexneri&action=edit" title="Shigella flexneri"><i><span style="color: rgb(102, 102, 102);" lang="ES-MX">S. flexneri</span></i></a></span><span lang="ES-MX"> </span><span lang="ES-MX">(6 serotipos), las personas al contagiarse con esta</span><i><span lang="ES-MX">Shigella</span></i><span lang="ES-MX"> </span><span lang="ES-MX">contraerán posteriormente dolores en las articulaciones, irritación en los ojos y dolores al orinar, denominado síndrome de Reiter. Puede durar meses o años lo que lleva que se produsca artritis crónica que es difícil de tratar. Causante de cerca de una tercera parte de los casos de</span><i><span lang="ES-MX">shigelosis</span></i><span lang="ES-MX"> </span><span lang="ES-MX">en los Estados Unidos.</span></span></li><li class="MsoNormal" style="color: rgb(102, 102, 102); line-height: 13.5pt;"><span style="font-size:130%;"><span lang="ES-MX">Serogrupo C:<br /> </span><span lang="EN-US" style="color:#000000;"><a href="http://es.wikipedia.org/w/index.php?title=Shigella_boydii&action=edit" title="Shigella boydii"><i><span style="color: rgb(102, 102, 102);" lang="ES-MX">S. boydii</span></i></a></span><span lang="ES-MX"> </span><span lang="ES-MX">(23 serotipos).</span></span></li><li class="MsoNormal" style="color: rgb(102, 102, 102); line-height: 13.5pt;"><span style="font-size:130%;"><span lang="ES-MX">Serogrupo D:<br /> </span><span lang="EN-US" style="color:#000000;"><a href="http://es.wikipedia.org/wiki/Shigella_sonnei" title="Shigella sonnei"><i><span style="color: rgb(102, 102, 102);" lang="ES-MX">S. sonnei</span></i></a></span><span lang="ES-MX"> </span><span lang="ES-MX">(1 serotipo), En la medida que mejora el nivel socioeconómico y mejora el abastecimiento de agua potable y la eliminación de excretas (alcantarillado), pasa a ser más frecuen este serotipo. 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mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin-top:0cm; mso-para-margin-right:0cm; mso-para-margin-bottom:10.0pt; mso-para-margin-left:0cm; line-height:115%; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-ansi-language:EN-US; mso-fareast-language:EN-US; mso-bidi-language:HE;} </style> <![endif]--> <p class="MsoListParagraph" style="margin-bottom: 9pt; text-indent: -18pt; line-height: 13.5pt;"><span style="font-family:arial;font-size:130%;"><span style="color: rgb(102, 102, 102);font-size:10pt;" lang="ES-MX"><span style="">·<span style="font-style: normal; font-variant: normal; font-weight: normal; line-height: normal; font-size-adjust: none; font-stretch: normal;font-size:7pt;"> <span style="font-size:130%;"> </span></span></span></span><span style="font-size:130%;"><span style="color: rgb(102, 102, 102);" lang="ES-MX">La</span><span style="color: rgb(102, 102, 102);" lang="ES-MX"> <i>shigelosis </i></span><span style="color: rgb(102, 102, 102);" lang="ES-MX">se caracteriza por espasmos</span></span></span><span style="font-family:arial;font-size:130%;"><span style="font-size:130%;"><span style="color: rgb(102, 102, 102);" lang="ES-MX"> abdominales, diarrea, fiebre y heces sanguinolentas. Los signos y síntomas clínicos de la enfermedad aparecen 1 a 3 días después de la ingestión de bacilos. Dichos bacilos colonizan inicialmente el intestino delgado y comienzan a multiplicarse en las primeras 12 horas. El primer signo de infección, una profusa diarrea acuosa sin evidencia histológica de invasión mucosa, está mediado por una enterotoxina. </span></span></span><span style="font-family:arial;font-size:130%;"><span style="font-size:130%;"><span style="color: rgb(102, 102, 102);" lang="ES-MX">Sin embargo, la característica fundamental de la</span><span style="color: rgb(102, 102, 102);" lang="ES-MX"> <i>shigelosis</i> </span><span style="color: rgb(102, 102, 102);" lang="ES-MX">son los espasmos abdominales y el tenesmo, con abundante pus y sangre en las heces. Es el resultado de la invasión de la mucosa colónica por los bacilos. En las heces se ven numerosos nuetrófilos, eritrocitos y moco. La infección es generalmente autolimitada, aunque se recomienda el tratamiento antibiótico para reducir el riesgo de diseminación secundaria a los miembros de la familla y a otros contactos. La colonización asintomática del colon por los mismos microorganismos se produce en un pequeño nú</span></span></span><span style="font-family:arial;font-size:130%;"><span style="font-size:130%;"><span style="color: rgb(102, 102, 102);" lang="ES-MX">mero de pacientes y representa el reservorio para las infecciones.</span></span></span></p> <span style="font-size:180%;"><span style="font-weight: bold;">PROFILAXIS</span></span><br /><!--[if gte mso 9]><xml> <w:worddocument> <w:view>Normal</w:View> <w:zoom>0</w:Zoom> <w:trackmoves/> <w:trackformatting/> <w:hyphenationzone>21</w:HyphenationZone> <w:punctuationkerning/> <w:validateagainstschemas/> <w:saveifxmlinvalid>false</w:SaveIfXMLInvalid> <w:ignoremixedcontent>false</w:IgnoreMixedContent> <w:alwaysshowplaceholdertext>false</w:AlwaysShowPlaceholderText> <w:donotpromoteqf/> <w:lidthemeother>ES</w:LidThemeOther> <w:lidthemeasian>X-NONE</w:LidThemeAsian> <w:lidthemecomplexscript>X-NONE</w:LidThemeComplexScript> <w:compatibility> 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mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin-top:0cm; mso-para-margin-right:0cm; mso-para-margin-bottom:10.0pt; mso-para-margin-left:0cm; line-height:115%; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-ansi-language:EN-US; mso-fareast-language:EN-US; mso-bidi-language:HE;} </style> <![endif]--> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: 13.5pt;font-family:arial;"><span style="font-size:130%;"><span style="color: rgb(102, 102, 102);" lang="ES-MX">Se ha intentado la quimioprofilaxia masiva durante periodos limitados (por ejemplo, en el personal militar), pero las cepas resistentes de</span><span style="color: rgb(102, 102, 102);" lang="ES-MX"> <i>Shigella</i> </span><span style="color: rgb(102, 102, 102);" lang="ES-MX">tienden a surgir con rapidez. Puesto que los humanos son el principal huésped identificado de las</span><i><span style="color: rgb(102, 102, 102);" lang="ES-MX">Shigellas</span></i><span style="color: rgb(102, 102, 102);" lang="ES-MX"> </span><span style="color: rgb(102, 102, 102);" lang="ES-MX">patógenas, los esfuerzos de control deben dirigi</span></span><span style="font-size:130%;"><span style="color: rgb(102, 102, 102);" lang="ES-MX">rse a eliminar los microorganismos de este reservorio mediante:</span></span></p> <ul type="disc"><li class="MsoNormal" style="color: rgb(102, 102, 102); line-height: 13.5pt;font-family:arial;"><span style="font-size:130%;"><span lang="ES-MX">Control sanitario del agua, alimentos y leche; disposición de la basura y control de las moscas</span></span></li><li class="MsoNormal" style="color: rgb(102, 102, 102); line-height: 13.5pt;font-family:arial;"><span style="font-size:130%;"><span lang="ES-MX">Asilamiento de pacientes y desinfección de las excretas</span></span></li><li class="MsoNormal" style="color: rgb(102, 102, 102); line-height: 13.5pt;"><span style="font-family: arial;font-size:130%;"><span lang="ES-MX">Detección de casos subclínicos y portadores, en particular entre los manejadores de alimentos.</span></span></li></ul><br /><span style="font-weight: bold;">CULTIVO</span><br /><br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiR826sIWjY5wMYngo2bZuzIFaABQDQJOYMkfA73CUzOJF3oSSpLSQBJJfw2Sg70GFCUKFFX9fjVvpr-yMQGG0QtOmKrkmkyk5Mu9Amz5zuAQt1t3k5tpdVXPhL7V9HGIb8pDq4OrTnsvI/s1600/SHGELLA.jpg" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}"><img style="cursor: pointer; width: 455px; height: 284px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiR826sIWjY5wMYngo2bZuzIFaABQDQJOYMkfA73CUzOJF3oSSpLSQBJJfw2Sg70GFCUKFFX9fjVvpr-yMQGG0QtOmKrkmkyk5Mu9Amz5zuAQt1t3k5tpdVXPhL7V9HGIb8pDq4OrTnsvI/s400/SHGELLA.jpg" alt="" id="BLOGGER_PHOTO_ID_5592702732612931378" border="0" /></a><div><br /></div><div><br 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mso-bidi-language:HE;} </style> <![endif]--><div style="border-width: medium medium 1pt; border-style: none none solid; border-color: -moz-use-text-color -moz-use-text-color rgb(170, 170, 170); padding: 0cm;font-family:arial;"> <h1 style="margin: 0cm 0cm 1.2pt; border: medium none; padding: 0cm;"><span style="font-size:130%;"><span style="font-weight: normal;font-size:19pt;color:black;" lang="ES-MX"><span style="font-size:130%;">Klebs</span><span style="font-size:130%;">iella pneumoniae</span></span></span></h1> </div> <p style="margin: 4.8pt 0cm 6pt; line-height: 18pt;font-family:arial;"><span style="font-size:130%;"><b><i><span style=";color:black;" lang="ES-MX">Klebsella pneumoniae</span></i></b><span class="apple-converted-space"><span style=";color:black;" lang="ES-MX"> </span></span><span style=";color:black;" lang="ES-MX">es la<span class="apple-converted-space"> </span></span><span lang="EN-US"><a href="http://es.wikipedia.org/wiki/Especie"><span style="color: rgb(6, 69, 173);" lang="ES-MX">especie</span></a></span><span class="apple-converted-space"><span style=";color:black;" lang="ES-MX"> </span></span><span style=";color:black;" lang="ES-MX">de mayor rel</span></span></p><p style="margin: 4.8pt 0cm 6pt; line-height: 18pt;font-family:arial;"><span style="font-size:130%;"><span style=";color:black;" lang="ES-MX">evancia clínica dentro del género bacteriano<span class="apple-converted-space"> </span></span><span lang="EN-US"><a href="http://es.wikipedia.org/wiki/Klebsiella"><i><span style="color: rgb(6, 69, 173);" lang="ES-MX">Klebsiella</span></i></a></span><span style=";color:black;" lang="ES-MX">, compuesto por<span class="apple-converted-space"> </span></span><span lang="EN-US"><a href="http://es.wikipedia.org/wiki/Bacteria_Gram_negativa" title="Bacteria Gram negativa"><span style="color: rgb(6, 69, 173);" lang="ES-MX">bacterias gramnegativas</span></a></span><span class="apple-converted-space"><span style=";color:black;" lang="ES-MX"> </span></span><span style=";color:black;" lang="ES-MX">de la familia<span class="apple-converted-space"> </span></span><i><span style=";color:black;" lang="EN-US"><a href="http://es.wikipedia.org/wiki/Enterobacteriaceae"><span style="color: rgb(6, 69, 173);" lang="ES-MX">Enterobacteriaceae</span></a></span></i><span style=";color:black;" lang="ES-MX">, que desempeñan un importante papel como causa de las<span class="apple-converted-space"> </span></span><span lang="EN-US"><a href="http://es.wikipedia.org/wiki/Enfermedades_infecciosas" title="Enfermedades infecciosas"><span style="color: rgb(6, 69, 173);" lang="ES-MX">enfermedades infecciosas</span></a></span><span style=";color:black;" lang="ES-MX">oportunistas. El género fue llamado así en honor a<span class="apple-converted-space"> </span></span><span lang="EN-US"><a href="http://es.wikipedia.org/wiki/Edwin_Klebs"><span style="color: rgb(6, 69, 173);" lang="ES-MX">Edwin Klebs</span></a></span><span style=";color:black;" lang="ES-MX">, un microbiólogo alemán de final</span></span><span style="font-size:130%;"><span style=";color:black;" lang="ES-MX">es del siglo XIX.</span></span></p> <span style="font-family:arial;font-size:130%;"><span class="apple-style-span" style="font-size:130%;"><span style="line-height: 115%;color:black;" lang="ES-MX">En la</span></span><span class="apple-converted-space" style="font-size:130%;"><span style="line-height: 115%;color:black;" lang="ES-MX"> </span></span><span style="line-height: 115%;font-size:130%;" lang="EN-US"><a href="http://es.wikipedia.org/wiki/Tinci%C3%B3n_de_Gram"><span style="line-height: 115%; color: rgb(6, 69, 173);" lang="ES-MX">tinción de Gram</span></a></span><span class="apple-converted-space" style="font-size:130%;"><span style="line-height: 115%;color:black;" lang="ES-MX"> </span></span><span class="apple-style-span" style="font-size:130%;"><span style="line-height: 115%;color:black;" lang="ES-MX">son negativos (color fucsia); la asimilación y la fermentación de la lactosa se puede observar en el Agar MacC</span></span></span> <span style="font-family:arial;font-size:130%;"><span class="apple-style-span" style="font-size:130%;"><span style="line-height: 115%;color:black;" lang="ES-MX">onkey</span></span></span><div><span style="font-family:arial;font-size:130%;"><br /></span></div><div><span><span class="apple-style-span"><span lang="ES-MX"></span></span></span><span><span class="Apple-style-span"><span class="Apple-style-span" style="font-size: 21px;"><a 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<w:lsdexception locked="false" priority="33" semihidden="false" unhidewhenused="false" qformat="true" name="Book Title"> <w:lsdexception locked="false" priority="37" name="Bibliography"> <w:lsdexception locked="false" priority="39" qformat="true" name="TOC Heading"> </w:LatentStyles> </xml><![endif]--><!--[if gte mso 10]> <style> /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Tabla normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin-top:0cm; mso-para-margin-right:0cm; mso-para-margin-bottom:10.0pt; mso-para-margin-left:0cm; line-height:115%; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-ansi-language:EN-US; mso-fareast-language:EN-US; mso-bidi-language:HE;} </style> <![endif]--><p><b><span style=";font-size:13.5pt;color:black;" lang="ES-MX">PATOGENIA</span></b></p> <p style="font-family:arial;"><span style="font-size:130%;"><span lang="ES-MX" style="color:black;">Neumonía es la inflamación aguda del parenquima pulmonar de diversas etiologías y de duración variable, caracterizada por una e</span></span></p> <p style="font-family:arial;"><span style="font-size:130%;"><span lang="ES-MX" style="color:black;">xudación inflamatoria localizada en las porciones distales del bronquiolo terminal incluyendo sacos alveolares y alvéolos.(2,3)</span></span></p> <p style="font-family:arial;"><span style="font-size:130%;"><span lang="ES-MX" style="color:black;">La infección es de origen endógeno prácticamente siempre, s</span></span><span style="font-size:130%;"><span lang="ES-MX" style="color:black;">iendo las principales fuentes de infección la orofaringe y</span></span></p> <p style="font-family:arial;"><span style="font-size:130%;"><span lang="ES-MX" style="color:black;"> los senos paranasales. La magnitud de la infección depende de la frecuencia del contacto, del volumen aspirado, como también de la virulencia de la bacteria por un lado y por el otro lado de los mecanismos de defensa del huésped.</span></span></p> <!--[if gte mso 9]><xml> <w:worddocument> <w:view>Normal</w:View> <w:zoom>0</w:Zoom> <w:trackmoves/> <w:trackformatting/> <w:hyphenationzone>21</w:HyphenationZone> <w:punctuationkerning/> <w:validateagainstschemas/> <w:saveifxmlinvalid>false</w:SaveIfXMLInvalid> <w:ignoremixedcontent>false</w:IgnoreMixedContent> <w:alwaysshowplaceholdertext>false</w:AlwaysShowPlaceholderText> <w:donotpromoteqf/> <w:lidthemeother>ES</w:LidThemeOther> <w:lidthemeasian>X-NONE</w:LidThemeAsian> <w:lidthemecomplexscript>X-NONE</w:LidThemeComplexScript> <w:compatibility> <w:breakwrappedtables/> <w:snaptogridincell/> <w:wraptextwithpunct/> <w:useasianbreakrules/> <w:dontgrowautofit/> <w:splitpgbreakandparamark/> <w:dontvertaligncellwithsp/> <w:dontbreakconstrainedforcedtables/> 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mso-para-margin-bottom:10.0pt; mso-para-margin-left:0cm; line-height:115%; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-ansi-language:EN-US; mso-fareast-language:EN-US; mso-bidi-language:HE;} </style> <![endif]--><div style="text-align: justify;"><span style="font-size:130%;"><span style="line-height: 115%;font-family:arial;font-size:11pt;color:black;" lang="ES-MX"><span style="font-size:130%;">Cuando los neumococos alcanzan lo</span></span></span> <span style="font-size:130%;"><span style="line-height: 115%;font-family:arial;font-size:11pt;color:black;" lang="ES-MX"><span style="font-size:130%;">s espacios alveolares, comienzan a multiplicarse libremente y se diseminan por todo el lób</span></span></span><span style="font-size:130%;"><span style="line-height: 115%;font-family:arial;font-size:11pt;color:black;" lang="ES-MX"><span style="font-size:130%;">ulo, la respuesta inicial es una exudación edematosa con eritrocitos, seguida horas más tarde por leucocitos polimorfonucleare</span></span></span> <span style="font-size:130%;"><span style="line-height: 115%;font-family:arial;font-size:11pt;color:black;" lang="ES-MX"><span style="font-size:130%;">s. Las bacterias son transportadas por los linfáticos a los ganglios linfáticos regionales y luego a la sangre. Aún cuando e</span></span></span><span style="font-size:130%;"><span style="line-height: 115%;font-family:arial;font-size:11pt;color:black;" lang="ES-MX"><span style="font-size:130%;">l pulmón cuenta con el conjunto de proteínas plasmáticas, bacterias, y </span></span></span><span style="font-size:130%;"><span style="line-height: 115%;font-family:arial;font-size:11pt;color:black;" lang="ES-MX"><span style="font-size:130%;">leucocitos polimorfonucl</span></span></span> <span style="font-size:130%;"><span style="line-height: 115%;font-family:arial;font-size:11pt;color:black;" lang="ES-MX"><span style="font-size:130%;">eares, la fagocitosis es escasa hasta que el huésped elabora anticuerpos anticapsulares. El único factor de virulencia conocido del neumococo es la cápsula, constituida por carbohidratos de los cuales se</span></span></span> <span style="font-size:130%;"><span style="line-height: 115%;font-family:arial;font-size:11pt;color:black;" lang="ES-MX"><span style="font-size:130%;"> conocen 83 tipos serológic</span></span></span><span style="font-size:130%;"><span style="line-height: 115%;font-family:arial;font-size:11pt;color:black;" lang="ES-MX"><span style="font-size:130%;">os diferentes. Otra forma de infección es la inhalación directa del agente, el bacilo tuberculoso, la influenza, hongos.</span></span></span><br /></div><span style="font-size:130%;"><span style="line-height: 115%;font-family:arial;font-size:11pt;color:black;" lang="ES-MX">Cuadro clinico</span></span> <!--[if gte mso 9]><xml> <w:worddocument> <w:view>Normal</w:View> <w:zoom>0</w:Zoom> <w:trackmoves/> <w:trackformatting/> <w:hyphenationzone>21</w:HyphenationZone> <w:punctuationkerning/> <w:validateagainstschemas/> <w:saveifxmlinvalid>false</w:SaveIfXMLInvalid> <w:ignoremixedcontent>false</w:IgnoreMixedContent> <w:alwaysshowplaceholdertext>false</w:AlwaysShowPlaceholderText> <w:donotpromoteqf/> <w:lidthemeother>ES</w:LidThemeOther> <w:lidthemeasian>X-NONE</w:LidThemeAsian> <w:lidthemecomplexscript>X-NONE</w:LidThemeComplexScript> <w:compatibility> <w:breakwrappedtables/> <w:snaptogridincell/> <w:wraptextwithpunct/> <w:useasianbreakrules/> <w:dontgrowautofit/> <w:splitpgbreakandparamark/> 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mso-para-margin-top:0cm; mso-para-margin-right:0cm; mso-para-margin-bottom:10.0pt; mso-para-margin-left:0cm; line-height:115%; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-ansi-language:EN-US; mso-fareast-language:EN-US; mso-bidi-language:HE;} </style> <![endif]--> <p style="margin: 4.8pt 0cm 6pt; line-height: 18pt;font-family:arial;"><span style="font-size:130%;"><i><span style=";color:black;" lang="ES-MX">Klebsiella pneumoniae</span></i><span style=";color:black;" lang="ES-MX">, dentro de este género bacteriano, está implicada principalmente en infecciones nosocomiales. Es el agente causal de<span class="apple-converted-space"> </span></span><span lang="EN-US"><a href="http://es.wikipedia.org/wiki/Aparato_urinario" title="Aparato urinario"><span style="color: rgb(6, 69, 173);" lang="ES-MX">infecciones del tracto urinario</span></a></span><span style=";color:black;" lang="ES-MX">,<span class="apple-converted-space"> </span></span><span lang="EN-US"><a href="http://es.wikipedia.org/wiki/Neumon%C3%ADa" title="Neumonía"><span style="color: rgb(6, 69, 173);" lang="ES-MX">neumonías</span></a></span><span style=";color:black;" lang="ES-MX">,<span class="apple-converted-space"> </span></span><span style=";color:black;" lang="EN-US"><a href="http://es.wikipedia.org/wiki/Sepsis"><span style="color: rgb(6, 69, 173);" lang="ES-MX">sepsis</span></a></span><span style=";color:black;" lang="ES-MX">, infecciones de tejidos blandos, e infecciones de herida quirúrgica. Son especialmente susceptibles los pacientes ingresados en<span class="apple-converted-space"> </span></span><span lang="EN-US"><a href="http://es.wikipedia.org/wiki/Unidad_de_Cuidados_Intensivos" title="Unidad de Cuidados Intensivos"><span style="color: rgb(6, 69, 173);" lang="ES-MX">unidades de cuidados intensivos</span></a></span><span style=";color:black;" lang="ES-MX">,<span class="apple-converted-space"> </span></span><span lang="EN-US"><a href="http://es.wikipedia.org/wiki/Neonato" title="Neonato"><span style="color: rgb(6, 69, 173);" lang="ES-MX">neonatos</span></a></span><span style=";color:black;" lang="ES-MX">, y pacientes con<span class="apple-converted-space"> </span></span><span style=";color:black;" lang="EN-US"><a href="http://es.wikipedia.org/wiki/EPOC" title="EPOC"><span style="color: rgb(6, 69, 173);" lang="ES-MX">EPOC</span></a></span><span style=";color:black;" lang="ES-MX">,<span class="apple-converted-space"> </span></span><span lang="EN-US"><a href="http://es.wikipedia.org/wiki/Diabetes_mellitus"><span style="color: rgb(6, 69, 173);" lang="ES-MX">diabetes mellitus</span></a></span><span class="apple-converted-space"><span style=";color:black;" lang="ES-MX"> </span></span><span style=";color:black;" lang="ES-MX">o<span class="apple-converted-space"> </span></span><span lang="EN-US"><a href="http://es.wikipedia.org/wiki/Alcoholismo" title="Alcoholismo"><span style="color: rgb(6, 69, 173);" lang="ES-MX">alcohólicos</span></a></span><span style=";color:black;" lang="ES-MX">. A día de hoy también existe una fuerte teoría que la relaciona con la<span class="apple-converted-space"> </span></span><span lang="EN-US"><a href="http://es.wikipedia.org/wiki/Espondilitis_anquilosante"><span style="color: rgb(6, 69, 173);" lang="ES-MX">espondilitis anquilosante</span></a></span><span style=";color:black;" lang="ES-MX">.</span><span lang="EN-US"><a href="http://es.wikipedia.org/wiki/Klebsiella_pneumoniae#cite_note-0"><sup><span style="color: rgb(6, 69, 173);" lang="ES-MX">1</span></sup></a></span></span></p> <p style="margin: 4.8pt 0cm 6pt; line-height: 18pt;font-family:arial;"><span style="font-size:130%;"><span style=";color:black;" lang="ES-MX">Causa alrededor del 1% de las neumoní</span></span></p> <p style="margin: 4.8pt 0cm 6pt; line-height: 18pt;font-family:arial;"><span style="font-size:130%;"><span style=";color:black;" lang="ES-MX">as bacterianas y puede causar condensación hemorrágica extensa del pulmón. Además, en ocasiones provoca infección del aparato urinario y</span><span lang="EN-US"><a href="http://es.wikipedia.org/wiki/Bacteriemia" title="Bacteriemia"><span style="color: rgb(6, 69, 173);" lang="ES-MX">bacteriemia</span></a></span><span class="apple-converted-space"><span style=";color:black;" lang="ES-MX"> </span></span><span style=";color:black;" lang="ES-MX">a partir de lesiones focales en pacientes debilitados que pu</span></span></p> <p style="margin: 4.8pt 0cm 6pt; line-height: 18pt;font-family:arial;"><span style="font-size:130%;"><span style=";color:black;" lang="ES-MX">ede terminar con la vida del paciente. Algunas de </span></span><span style="font-size:130%;"><span style=";color:black;" lang="ES-MX">las complicaciones más frecuentes son el<span class="apple-converted-space"> </span></span><span lang="EN-US"><a href="http://es.wikipedia.org/wiki/Absceso_pulmonar"><span style="color: rgb(6, 69, 173);" lang="ES-MX">absceso pulmonar</span></a></span><span class="apple-converted-space"><span style=";color:black;" lang="ES-MX"> </span></span><span style=";color:black;" lang="ES-MX">y el<span class="apple-converted-space"> </span></span><span lang="EN-US"><a href="http://es.wikipedia.org/wiki/Empiema"><span style="color: rgb(6, 69, 173);" lang="ES-MX">empiema</span></a></span><span style=";color:black;" lang="ES-MX">.</span></span></p><p style="margin: 4.8pt 0cm 6pt; line-height: 18pt;font-family:arial;"><br /></p><p style="margin: 4.8pt 0cm 6pt; line-height: 18pt;"><span style="font-size:130%;"><span style=";font-size:10pt;color:black;" lang="ES-MX"><span 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mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-ansi-language:EN-US; mso-fareast-language:EN-US; mso-bidi-language:HE;} </style> <![endif]--> <p class="MsoNormal" style="line-height: normal;font-family:arial;"><span style="font-size:130%;"><span style=";color:black;" lang="ES-MX">Para establecer un diagnóstico correcto </span></span></p> <p class="MsoNormal" style="line-height: normal;font-family:arial;"><span style="font-size:130%;"><span style=";color:black;" lang="ES-MX">el médico dispon</span></span><span style="font-size:130%;"><span style=";color:black;" lang="ES-MX">e de diversos procedimientos que se clasifican en tres categorías: 1) procedimientos sencillos y sin riesgo para el paciente que sugieren el diagnóstico pero no lo establecen (historia clínica, exa</span></span></p> <p class="MsoNormal" style="line-height: normal;font-family:arial;"><span style="font-size:130%;"><span style=";color:black;" lang="ES-MX">men físico, radiografía del tórax y cuadro hemático); 2) procedimientos no invasivos con riesgo mínimo (gram de esputo, cultivo de esputo, hemocultivo, pruebas serológicas); 3) procedimientos invasivos que establecen en un alto porcentaje el diagnóstico (aspiración transtraqueal, toracocentesis, biopsia pleural, fibrobroncoscopia, biopsia pulmonar a cielo abierto). 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mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin-top:0cm; mso-para-margin-right:0cm; mso-para-margin-bottom:10.0pt; mso-para-margin-left:0cm; line-height:115%; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-ansi-language:EN-US; mso-fareast-language:EN-US; mso-bidi-language:HE;} </style> <![endif]--> <p class="MsoNormal" style="line-height: normal;"><span style="font-size:130%;"><b><span style=";font-family:";color:black;" lang="ES-MX">Examen físico del tórax</span></b><span style=";font-family:";color:black;" lang="ES-MX">: Constatar la</span></span></p> <p class="MsoNormal" style="line-height: normal;"><span style="font-size:130%;"><span style=";font-family:";color:black;" lang="ES-MX"> existencia de:</span></span></p> <p class="MsoNormal" style="margin-left: 36pt; text-indent: -18pt; line-height: normal;"><span style="font-size:130%;"><span style=";font-family:";color:black;" lang="EN-US"><span style="">a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span style=";font-family:";color:black;" lang="EN-US">Aumento de la frecuencia respiratoria</span></span></p> <p class="MsoNormal" style="margin-left: 36pt; text-indent: -18pt; line-height: normal;"><span style="font-size:130%;"><span style=";font-family:";color:black;" lang="EN-US"><span style="">b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span style=";font-family:";color:black;" lang="EN-US">Cianosis</span></span></p> <p class="MsoNormal" style="margin-left: 36pt; text-indent: -18pt; line-height: normal;"><span style="font-size:130%;"><span style=";font-family:";color:black;" lang="ES-MX"><span style="">c.<span style="font: 7pt "Times New Roman";"> </span></span></span><span style=";font-family:";color:black;" lang="ES-MX">Incremento del frémito tactil y vocal</span></span></p> <p class="MsoNormal" style="margin-left: 36pt; text-indent: -18pt; line-height: normal;"><span style="font-size:130%;"><span style=";font-family:";color:black;" lang="EN-US"><span style="">d.<span style="font: 7pt "Times New Roman";"> </span></span></span><span style=";font-family:";color:black;" lang="EN-US">Sonido mate a la percusión</span></span></p> <p class="MsoNormal" style="margin-left: 36pt; text-indent: -18pt; line-height: normal;"><span style="font-size:130%;"><span style=";font-family:";color:black;" lang="EN-US"><span style="">e.<span style="font: 7pt "Times New Roman";"> </span></span></span><span style=";font-family:";color:black;" lang="EN-US">Roncus</span></span></p> <p class="MsoNormal" style="margin-left: 36pt; text-indent: -18pt; line-height: normal;"><span style="font-size:130%;"><span style=";font-family:";color:black;" lang="EN-US"><span style="">f.<span style="font: 7pt "Times New Roman";"> </span></span></span><span style=";font-family:";color:black;" lang="EN-US">Frotis pleural</span></span></p> <p class="MsoNormal" style="margin-left: 36pt; text-indent: -18pt; line-height: normal;"><span style="font-size:130%;"><span style=";font-family:";color:black;" lang="EN-US"><span style="">g.<span style="font: 7pt "Times New Roman";"> </span></span></span><span style=";font-family:";color:black;" lang="EN-US">Pectoriloquia</span></span></p> <p class="MsoNormal" style="line-height: normal;"><span style="font-size:130%;"><b><span style=";font-family:";color:black;" lang="ES-MX">Radiografía del tórax</span></b><span style=";font-family:";color:black;" lang="ES-MX">: En todas las neumonías hay anormalidades visibles y aunque éstas no permiten establecer un diagnóstico etiológico, el análisis cuidadoso del patrón radiológico y su distribución anatómica permite sospechar el agente causal.</span></span></p> <p class="MsoNormal" style="margin-left: 36pt; text-indent: -18pt; line-height: normal;"><span style="font-size:130%;"><span style=";font-family:";color:black;" lang="ES-MX"><span style="">a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span style=";font-family:";color:black;" lang="ES-MX">Patrón alveolar. Como resultad</span></span></p> <p class="MsoNormal" style="margin-left: 36pt; text-indent: -18pt; line-height: normal;"><span style="font-size:130%;"><span style=";font-family:";color:black;" lang="ES-MX">o del acúmulo de líquido inflamatorio en los espacios aéreos distales del pulmón</span></span></p> <p class="MsoNormal" style="margin-left: 36pt; text-indent: -18pt; line-height: normal;"><span style="font-size:130%;"><span style=";font-family:";color:black;" lang="ES-MX"><span style="">b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span style=";font-family:";color:black;" lang="ES-MX">Patrón intersticial o reticular en donde las sombras conforman una red de opacidades lineares</span></span></p> <p class="MsoNormal" style="margin-left: 36pt; text-indent: -18pt; line-height: normal;"><span style="font-size:130%;"><span style=";font-family:";color:black;" lang="ES-MX"><span style="">c.<span style="font: 7pt "Times New Roman";"> </span></span></span><span style=";font-family:";color:black;" lang="ES-MX">Patrón nodular. El mejor eje</span></span></p> <p class="MsoNormal" style="margin-left: 36pt; text-indent: -18pt; line-height: normal;"><span style="font-size:130%;"><span style=";font-family:";color:black;" lang="ES-MX">mplo es la tuberculosis miliar pero a medida que crecen los nódulos originan la apariencia de vidrio esmerilado</span></span></p> <p class="MsoNormal" style="margin-left: 36pt; text-indent: -18pt; line-height: normal;"><span style="font-size:130%;"><span style=";font-family:";color:black;" lang="ES-MX"><span style="">d.<span style="font: 7pt "Times New Roman";"> </span></span></span><span style=";font-family:";color:black;" lang="ES-MX">Patrón bronconeumónico. El infiltrado forma parches siguiendo la distribución de las vías aéreas de conducción</span></span></p> <p class="MsoNormal" style="margin-left: 36pt; text-indent: -18pt; line-height: normal;"><span style="font-size:130%;"><span style=";font-family:";color:black;" lang="ES-MX"><span style="">e.<span style="font: 7pt "Times New Roman";"> </span></span></span><span style=";font-family:";color:black;" lang="ES-MX">Neumonía lobar. Es la condensación que compromete un lóbulo hasta alcanzar la superficie pleural</span></span></p> <p class="MsoNormal" style="margin-left: 36pt; text-indent: -18pt; line-height: normal;"><span style="font-size:130%;"><span style=";font-family:";color:black;" lang="ES-MX"><span style="">f.<span style="font: 7pt "Times New Roman";"> </span></span></span><span style=";font-family:";color:black;" lang="ES-MX">Neumonía necrotizante. En este proceso neumónico se observan una o varias cavidades de abscesos pulmonares</span></span></p><h2 style="font-family:arial;"><span style="font-size:180%;"><span class="mw-headline" id="Tratamiento.">Tratamiento.</span></span></h2> El tratamiento de elección consiste en la asociación de una <a href="http://es.wikipedia.org/wiki/Cefalosporina">cefalosporina</a> de tercera generación (<a href="http://es.wikipedia.org/wiki/Cefotaxima">cefotaxima</a>, <a href="http://es.wikipedia.org/wiki/Ceftriaxona">ceftriaxona</a>) y un <a href="http://es.wikipedia.org/wiki/Aminogluc%C3%B3sido">aminoglucósido</a> (<a href="http://es.wikipedia.org/wiki/Gentamicina">gentamicina</a>).</div><div><br /></div><div><img src="http://www.medspain.com/curso_torax/lecc_13_a.jpg" /></div><div><br /></div><div><br /><br /><span style="font-size:180%;">CULTIVO<br /></span><h1 style="margin: 0cm 0cm 1.2pt; border: medium none; padding: 0cm;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiPskRNreqHzBgr-yC8hE7TCu-2iosWiCMmzXJ25LFiDC9D_x6wpKMlcDRHvvpxkGLW3oE70mdm-fpSQl1-ZIJibNlKa77tLrj8dLtPkSVIO-Btn-ahlysp3XhNRqtjnIZLnP35CUAWaXc/s1600/KLEPCIELA.jpg" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}"><img style="cursor: pointer; width: 447px; height: 265px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiPskRNreqHzBgr-yC8hE7TCu-2iosWiCMmzXJ25LFiDC9D_x6wpKMlcDRHvvpxkGLW3oE70mdm-fpSQl1-ZIJibNlKa77tLrj8dLtPkSVIO-Btn-ahlysp3XhNRqtjnIZLnP35CUAWaXc/s400/KLEPCIELA.jpg" alt="" id="BLOGGER_PHOTO_ID_5592698715308031986" border="0" /></a></h1><br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj_HXqhmWb72_DuUYGJe-rnY8LGo6oyXQaGeksYXqWRFEBizKl-3uj5hovjABtRpWWIHqYU4Kh_EqgXgzClTbRLwoijDFUgHtUwxZqGoIWi9Ok6IjfEdM_NVS12fk0MzVlR136cIzAexkw/s1600/KLEPCIELLA.png" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}"><img style="cursor: pointer; width: 387px; height: 253px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj_HXqhmWb72_DuUYGJe-rnY8LGo6oyXQaGeksYXqWRFEBizKl-3uj5hovjABtRpWWIHqYU4Kh_EqgXgzClTbRLwoijDFUgHtUwxZqGoIWi9Ok6IjfEdM_NVS12fk0MzVlR136cIzAexkw/s400/KLEPCIELLA.png" alt="" id="BLOGGER_PHOTO_ID_5592697834115269026" border="0" /></a></div><div><br /></div><div><br /></div><div><br /></div><div><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj_HXqhmWb72_DuUYGJe-rnY8LGo6oyXQaGeksYXqWRFEBizKl-3uj5hovjABtRpWWIHqYU4Kh_EqgXgzClTbRLwoijDFUgHtUwxZqGoIWi9Ok6IjfEdM_NVS12fk0MzVlR136cIzAexkw/s1600/KLEPCIELLA.png" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}"></a><br /><img src="http://t3.gstatic.com/images?q=tbn:ANd9GcQLg18H9I8SZy_z-UNZS-DDgHGedoQziNsyH3VYYlrlRHLAO4NVIw" /><br /><br /><br /><p class="MsoNormal" style="margin-left: 36pt; text-indent: -18pt; line-height: normal;"><span style="font-size:130%;"><span style=";font-family:";font-size:13.5pt;color:black;" lang="ES-MX"><br /></span></span></p> <span style="font-size:130%;"><br /></span><span style="font-size:130%;"><span style="line-height: 115%;font-family:arial;font-size:11pt;color:black;" lang="ES-MX"><span style="font-size:130%;"></span><br /></span></span><p class="MsoNormal" style="margin-bottom: 1.2pt; margin-left: 18pt; text-indent: -18pt; line-height: 18pt; text-align: left;font-family:arial;"><span style="font-size:130%;"><span style=";font-size:10pt;color:black;" lang="ES-MX"><br /></span></span></p></div>maiiahttp://www.blogger.com/profile/18141447435977845589noreply@blogger.com2tag:blogger.com,1999:blog-114959675141045615.post-48890360298477225322011-04-06T20:43:00.000-07:002011-04-07T09:29:44.163-07:00PROTEUS<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhC5n1fwaI4IU5Xewe061nvR-DCD5NkF4en0NnRlU3uDcnBt4OniuHiyp9KDq9MF89rVzWDD9KMjzZYvgGqwevAezWUj7xVq7pkEDQ9oXie1LJ1L_OpbMOm89XHnLBmeNkOZ87KOw_Bruw/s1600/000680613.jpg" onblur="try {parent.deselectBloggerImageGracefully();} 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Definitions */ table.MsoNormalTable {mso-style-name:"Tabla normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin-top:0cm; mso-para-margin-right:0cm; mso-para-margin-bottom:10.0pt; mso-para-margin-left:0cm; line-height:115%; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin;} </style> <![endif]--> <p style="text-align: left;font-family:arial;" class="MsoNormal"><span style="font-size:130%;">Estos microorganismos se encuentran con frecuencia en el suelo , en las cloacas y en el estiércol . También<span style=""> </span>se observan con ciertas frecuencia<span style=""> </span>en las heces humanas normales, especialmente en caso de que el individuo este en tratamiento con antibióticos<span style=""> </span>o que sufra un proceso diarreico producido por otros microorganismos. Los proteos producen con frecuencia<span style=""> </span>en infecciones del tracto urinario (tanto a nivel de la comunidad como hospitalarias) e intervienen frecuentemente en otras infecciones<span style=""> </span>graves.</span></p><div style="text-align: left;"> </div><p style="text-align: left;font-family:arial;" class="MsoNormal"><span style="font-size:130%;">La estructura antigénica de p.vulgaris presenta un especial interés desde el punto de vista médico ,ya que c</span><span style="font-size:130%;">iertas cepas que posen Ag O determinados(OX2,OX19, OXK) son aglutinadas por acción de sueros de pacientes que </span><span style="font-size:130%;">presentan diversos proceso producidos por<span style=""> </span>Rickettsias.</span></p><div style="text-align: left;"> </div><p style="text-align: left;font-family:arial;" class="MsoNormal"><span style="font-size:130%;"><span style=""><span style="font-size:180%;">Epidemiologia</span></span></span></p><p style="text-align: left;font-family:arial;" class="MsoNormal"><span style="font-size:130%;"><span style="">Probocan infecione nosoccomiales.</span></span><span style="font-size:130%;"><span style="">Si la infeciosn la ovtubo despues de entra al hospital las manifestaciones clinicas se presentan 48 hrs . Despues del ingreso.</span></span></p><p style="text-align: left;font-family:arial;" class="MsoNormal"><span style="font-size:130%;"><span style=""><span style="font-size:180%;">PROBABLE INFECCION EN PACIENT</span></span></span><span style="font-size:130%;"><span style=""><span style="font-size:180%;">ES CON:</span></span></span></p><p style="text-align: left;font-family:arial;" class="MsoNormal"><span style="font-size:130%;"><span style="">ºInmunosuprimidos<br /></span></span></p><p style="text-align: left;font-family:arial;" class="MsoNormal"><span style="font-size:130%;"><span style="">ºDiavetes</span></span></p><p style="text-align: left;font-family:arial;" class="MsoNormal"><span style="font-size:130%;"><span style="">ºObecidad</span></span></p><p style="text-align: left;font-family:arial;" class="MsoNormal"><a 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/></p><p style="text-align: left;" class="MsoNormal"><span style="font-size:130%;">ºBacilos Cortos</span></p><p style="text-align: left;" class="MsoNormal">ºGran Negativos</p><p style="text-align: left;" class="MsoNormal">ºMoviles</p><p style="text-align: left;" class="MsoNormal">ºNo formadores de esporas</p><p face="arial" style="text-align: left;" class="MsoNormal">ºUrea positiva</p><p face="arial" style="text-align: left;" class="MsoNormal">ºAacido sulfhidrico positivo<br /></p><p face="arial" style="text-align: left;" class="MsoNormal"> </p><p face="arial" style="text-align: left;" class="MsoNormal"> <span style="font-size:180%;">FACTORES DE VIRULENCIA</span></p><p face="arial" style="text-align: left;" class="MsoNormal"><br /></p><p face="arial" style="text-align: left;" class="MsoNormal">ºFlagelos<br /></p><p face="arial" style="text-align: left;" class="MsoNormal">ºFimbrias</p><p face="arial" style="text-align: left;" class="MsoNormal">ºProteinas de las membranas</p><p face="arial" style="text-align: left;" class="MsoNormal">ºUreasa</p><p face="arial" style="text-align: left;" class="MsoNormal">ºHemolisina</p><p face="arial" style="text-align: left;" class="MsoNormal"><br /></p><p face="arial" style="text-align: left;" class="MsoNormal"> <span style="font-size:180%;">ENFERMEDADES</span></p><p face="arial" style="text-align: left;" class="MsoNormal"><br /></p><p face="arial" style="text-align: left;" class="MsoNormal">ºTracto urinario</p><p face="arial" style="text-align: left;" class="MsoNormal">ºHeridas (tejido blando)</p><p face="arial" style="text-align: left;" class="MsoNormal">ºNeumonia</p><p face="arial" style="text-align: left;" class="MsoNormal"><br /></p><p face="arial" style="text-align: left;" class="MsoNormal"> <span style="font-size:180%;">CULTIVO</span></p><p face="arial" style="text-align: left;" class="MsoNormal"><a 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arial;font-size:130%;"><span></span></span><span></span>maiiahttp://www.blogger.com/profile/18141447435977845589noreply@blogger.com8tag:blogger.com,1999:blog-114959675141045615.post-31291096511746024702011-04-06T20:38:00.000-07:002011-04-07T09:27:54.052-07:00Providencia<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhmVrXc14XCgBM2dV2_elhq90Itb8cn2OrpNuEfQN-xWZ-PbyW6qAfJ-pyHrIJuQaHGrLvAO_SehuOljWsjSZSp07HEWKfgsVLBV2LZzZMI8-mAlnFuA3HmA529L-DvWZ61G_QABB1WLDs/s1600/220px-Providencia_alcalifaciens.jpg" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}"><img style="display: block; margin: 0px auto 10px; text-align: center; cursor: pointer; width: 220px; height: 148px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhmVrXc14XCgBM2dV2_elhq90Itb8cn2OrpNuEfQN-xWZ-PbyW6qAfJ-pyHrIJuQaHGrLvAO_SehuOljWsjSZSp07HEWKfgsVLBV2LZzZMI8-mAlnFuA3HmA529L-DvWZ61G_QABB1WLDs/s400/220px-Providencia_alcalifaciens.jpg" alt="" 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mso-para-margin-bottom:10.0pt; mso-para-margin-left:0cm; line-height:115%; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin;} </style> <![endif]--> <p class="MsoNormal">Los microorganismos del genero providencia se encuentran íntimamente relacionados<span style=""> </span>con P.morganii y P.rettgerri; anteriormente estos microorganismos recibían el nombre de porteus<span style=""> </span>inconstans .Su diferenciación con uso proteos se pone de manifiesto por su carencia de ureasa, Los miembros de etse grupo pueden observarse en las heces humanas durante faces diarreicas y en individuos normales .Generalmente tienen una relación con las infecciones del tracto urinario .Los organismos<span style=""> </span>Providencia resultan extraordinariamente resistentes a los antibióticos , con la excepción de la Kanamicina , la Gentamicina y la carbenicilina.</p> es un <a href="http://es.wikipedia.org/wiki/G%C3%A9nero_%28biolog%C3%ADa%29" title="Género (biología)">género</a> de <a href="http://es.wikipedia.org/wiki/Bacteria" title="Bacteria">bacterias</a> <a href="http://es.wikipedia.org/wiki/Gram_negativa" class="mw-redirect" title="Gram negativa">gram negativa</a> de la <a href="http://es.wikipedia.org/wiki/Familia_%28biolog%C3%ADa%29" title="Familia (biología)">familia</a> <a href="http://es.wikipedia.org/wiki/Enterobacteriaceae">Enterobacteriaceae</a>. Como todas las de la familia <a href="http://es.wikipedia.org/wiki/Enterobacteriaceae">Enterobacteriaceae</a> <a href="http://es.wikipedia.org/w/index.php?title=Fermentan&action=edit&redlink=1" class="new" title="Fermentan (aún no redactado)">fermentan</a> la <a href="http://es.wikipedia.org/wiki/Glucosa">glucosa</a>, pero <i>Providencia</i> no puede <a href="http://es.wikipedia.org/wiki/Fermentar" class="mw-redirect" title="Fermentar">fermentar</a> la <a href="http://es.wikipedia.org/wiki/Lactosa">lactosa</a>. Son <a href="http://es.wikipedia.org/wiki/Bacteria" title="Bacteria">bacterias</a> móviles, <a href="http://es.wikipedia.org/wiki/Citrato">citrato</a> positivas, productoras de gas y capaces de desaminar la <a href="http://es.wikipedia.org/wiki/Fenilalanina">fenilalanina</a>. Algunas <a href="http://es.wikipedia.org/wiki/Especie" title="Especie">especies</a>, <i><a href="http://es.wikipedia.org/w/index.php?title=Providencia_stuartii&action=edit&redlink=1" class="new" title="Providencia stuartii (aún no redactado)">P. stuartii</a></i> por ejemplo, son <a href="http://es.wikipedia.org/wiki/Pat%C3%B3geno" title="Patógeno">patógenos</a> oportunistas en humanos y pueden causar <a href="http://es.wikipedia.org/wiki/Infecci%C3%B3n_urinaria" title="Infección urinaria">infecciones urinarias</a>, en particular en <a href="http://es.wikipedia.org/wiki/Paciente" title="Paciente">pacientes</a> con <a href="http://es.wikipedia.org/wiki/Cat%C3%A9ter_de_Foley" title="Catéter de Foley">catéteres urinarios</a> por largo tiempo o aquellos con quemaduras extensas. Algunas especies son resistentes a la <a href="http://es.wikipedia.org/wiki/Ampicilina">ampicilina</a> y es posible ver organismos multiresistentes a <a href="http://es.wikipedia.org/wiki/Antibi%C3%B3tico" title="Antibiótico">antibióticos</a>.<div><br /></div><div><br /></div><div> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhWVuQ11lxf7FINS33DLXjBFdtTqtKLYByfC3fJ5crxch_kHdEkuGGMF7Tlr0bN7tsHZQe3OBt06KBaf6p42IqNhyphenhyphenf-c58IkKFvs9CSP4os4U-zpAQd-WT_QdE_c9B66QcEj4M2BN8YmMQ/s1600/purple-pee0.jpg" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}"><img style="cursor:pointer; cursor:hand;width: 400px; height: 296px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhWVuQ11lxf7FINS33DLXjBFdtTqtKLYByfC3fJ5crxch_kHdEkuGGMF7Tlr0bN7tsHZQe3OBt06KBaf6p42IqNhyphenhyphenf-c58IkKFvs9CSP4os4U-zpAQd-WT_QdE_c9B66QcEj4M2BN8YmMQ/s400/purple-pee0.jpg" border="0" alt="" id="BLOGGER_PHOTO_ID_5592879021029326834" /></a></div><div><br /><div><div><br /></div></div></div>maiiahttp://www.blogger.com/profile/18141447435977845589noreply@blogger.com2