REPORTE DE CASO: MUCORMICOSIS Y RODOCOCOCIS PULMONAR EN UN PACIENTE TRASPLANTE RENAL
DOI:
https://doi.org/10.56238/revgeov17n2-052Palabras clave:
Mucormicosis, Infección por Rhodococcus, Trasplante Renal, Infecciones Oportunistas, InmunosupresiónResumen
La mucormicosis pulmonar es una infección fúngica oportunista rara, de rápida progresión y a menudo mortal, especialmente en pacientes inmunodeprimidos. Rhodococcus equi, a su vez, es un patógeno bacteriano intracelular oportunista poco común en humanos, con una mayor prevalencia en receptores de trasplante renal. Este informe describe a un paciente masculino de 76 años, receptor de trasplante renal 15 meses antes, que estaba usando inmunosupresores. La evolución clínica se caracterizó por un deterioro progresivo de la función renal, insuficiencia respiratoria, la necesidad de cuidados intensivos y la administración de múltiples antimicrobianos, incluyendo anfotericina B liposomal, vancomicina y rifampicina. Después de una extensa investigación con tomografía computarizada, broncoscopia, biopsia y cultivos, se le diagnosticó coinfección con mucormicosis pulmonar y Rhodococcus equi. A pesar de las medidas terapéuticas intensivas, el paciente falleció después del deterioro clínico. Este informe destaca los desafíos diagnósticos y terapéuticos de la coinfección por dos agentes oportunistas poco frecuentes en un paciente trasplantado, lo que refuerza la importancia del diagnóstico temprano, el tratamiento oportuno y la intervención agresiva en estas situaciones.
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