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2 meses ♂️, madre VIH+, toxicómana, y chancro perineal indoloro en 2º trimestre del embarazo:
Un mes de rinorrea serosanguinolenta, lesiones dérmicas, FC 180lpm, FR 50rpm, Tª 38,8°C, crepitantes finos en tórax, hepatoesplenomegalia,

#dermatología #pediatria #infecciosas Queilitis y exantema generalizado macular con hiperqueratosi
🧪CMIA anti-Treponema pallidum :➕
⬇️: glucosa, hemoglobina, plaquetas, albúmina
⬆️:transaminas, bilirrubinemia directa
RX: periostitis en huesos largos
PL: hipoglucorraquia, hiperproteinorraquia, sin pleocitosis y VDRL➕
VDRL materno:➕

#microbiologia #urgencias Periostitis en huesos largos.

Penicilina G sódica cristalina durante 14 días, con adecuada evolución y alta por mejoría clínica.

🖊️@_jicastillo @samanthap78 @Mascarejazzy col.
DOI: 10.1016/j.anpedi.2022.06.019
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