Neumonía de lenta resolución

Slowly resolving pneumonia

Publicado 2006-03-01

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Vol. 18 Núm. 1 (2006)
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Neumonía de lenta resolución.
rev. colomb. neumol. [Internet]. 2006 Mar. 1 [cited 2024 Nov. 21];18(1):50-6.
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Alirio Rodrigo Bastidas Goyes
Residente de Medicina Interna Nivel III del Hospital Militar Central Bogotá - Universidad Militar Nueva Granada.
    Robin Alonso Rada Escobar
    Internista Neumólogo. Coordinador Académico del Servicio de Medicina Interna del Hospital Militar Central de Bogotá - Universidad Militar Nueva Granada.
      Mostrar biografía de los autores

      La neumonía de lenta resolución se define como aquella cuya sintomatología persiste luego de 10 días de un tratamiento antibiótico adecuado o la persistencia de los infiltrados radiológicos, que permanecen constantes después de seis semanas de la evaluación radiológica inicial. Esta inadecuada respuesta se debe principalmente a la existencia de gérmenes resistentes, enfermedades sistémicas, estados de inmunosupresión y a la presencia de determinadas patologías que semejan procesos infecciosos. Existen aún interrogantes sobre la fisiopatología y el enfoque terapéutico a seguir; de ahí la importancia de conocer y entender los mecanismos relacionados con la inapropiada evolución para llegar a una aproximación diagnóstica más acertada. En esta revisión se exponen los diferentes postulados que sobre el tema se han escrito y con base en estos se propone un esquema para un diagnóstico más preciso.

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