{"id":17958,"date":"2002-01-07T00:00:00","date_gmt":"2002-01-07T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/la-infeccion-por-m-avium-intracellulare-mai-asociada-al-sida-en-un-hospital-de-la-zona-sur-de-madrid-estudio-cla%c2%adnico-y-epidemiologico\/"},"modified":"2002-01-07T00:00:00","modified_gmt":"2002-01-07T00:00:00","slug":"la-infeccion-por-m-avium-intracellulare-mai-asociada-al-sida-en-un-hospital-de-la-zona-sur-de-madrid-estudio-cla%c2%adnico-y-epidemiologico","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/la-infeccion-por-m-avium-intracellulare-mai-asociada-al-sida-en-un-hospital-de-la-zona-sur-de-madrid-estudio-cla%c2%adnico-y-epidemiologico\/","title":{"rendered":"La infecci\u00f3n por m. avium-intracellulare (mai) asociada al sida en un hospital de la zona sur de Madrid. estudio cl\u00ednico y epidemiol\u00f3gico"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Jos\u00e9 Ramon Costa Perez Herrero <\/strong><\/h2>\n<p>Se estudian retrospectivamente las caracter\u00edsticas epidemiol\u00f3gicas y cl\u00ednicas de 70 pacientes con infecci\u00f3n por mai asociada al sida, pertenecientes a un hospital de la zona sur de Madrid. La incidencia de infecci\u00f3n por mai, en el periodo del estudio (1984-1988), fue de un 4%, similar a la de otras series de nuestro entorno. La categor\u00eda de transmisi\u00f3n del vih de tipo heterosexual fue m\u00e1s frecuente entre los pacientes con infecci\u00f3n por mai, con respecto a la poblaci\u00f3n con sida de nuestro hospital, durante el mismo periodo de observaci\u00f3n.  se observ\u00f3 que haber padecido antes una tuberculosis activa, entre los pacientes con infecci\u00f3n por vih, confiere protecci\u00f3n para presentar posteriormente enfermedad por mai. \u00e9Sta se presenta, habitualmente de forma diseminada y en pacientes con menos de 100\/mm3 linfocitos cd4+, con fiebre, bicitopenia e incremento de ggt y fosfatasa alcalina. El hemocultivo para micobacterias seg\u00fan el m\u00e9todo radiom\u00e9trico de bactec y el cultivo de m\u00e9dula \u00f3sea, demostraron alta sensibilidad diagn\u00f3stica. Alrededor de un 60% de los pacientes presentaron alg\u00fan tipo de respuesta cl\u00ednica al tratamiento espec\u00edfico anti-mai. Se observ\u00f3 que los pacientes que realizaban tratamiento antirretroviral en forma de biterapia con respecto a los de monoterapia, estuvieron libres de la infecci\u00f3n por mai en un porcentaje mayor a lo largo del tiempo. La mediana de supervivencia desde la infecci\u00f3n por mai fue de 8 meses y se objetiv\u00f3 que tener una ldh elevada al diagn\u00f3stico, fue un factor predictor independiente de mal pron\u00f3stico.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>La infecci\u00f3n por m. avium-intracellulare (mai) asociada al sida en un hospital de la zona sur de Madrid. estudio cl\u00ednico y epidemiol\u00f3gico<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 La infecci\u00f3n por m. avium-intracellulare (mai) asociada al sida en un hospital de la zona sur de Madrid. estudio cl\u00ednico y epidemiol\u00f3gico <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Jos\u00e9 Ramon Costa Perez Herrero <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/07\/2002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>medel Palacio P\u00e9rez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: rafael Enr\u00edquez de salamanca <\/li>\n<li>Jos\u00e9 Mar\u00eda Pe\u00f1a  sanchez de rivera (vocal)<\/li>\n<li>julio De la morena fern\u00e1ndez (vocal)<\/li>\n<li>ram\u00f3n P\u00e9rez maelztu (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Jos\u00e9 Ramon Costa Perez Herrero Se estudian retrospectivamente las caracter\u00edsticas epidemiol\u00f3gicas y cl\u00ednicas de 70 pacientes con [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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