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Revista Medica Herediana

Print version ISSN 1018-130XOn-line version ISSN 1729-214X

Abstract

MAGUINA VARGAS, Ciro Peregrino et al. Clinical manifestations and complications of the acute phase of bartonellosis or Oroya’s Fever in patients of the Hospital Nacional Cayetano Heredia. Rev Med Hered [online]. 2008, vol.19, n.3, pp.87-95. ISSN 1018-130X.

Objectives: To determine the clinical, epidemiological and laboratory of acute bartonellosis, as well as complications in a series of patients treated at the Hospital Nacional Cayetano Heredia. Material and methods: Descriptive study type series of patients aged over 15 years with acute bartonellosis hospitalized at the Hospital Nacional Cayetano Heredia between 1993 and 2006. Results: The mean age was 27.8 years, 72.7% were male, 51.5% were from Lima and 33.3% from Ancash. The main symptoms were: fever 90.9%, headache 87.9%, hyporexia 75.5%, weight loss 63.6% and jaundice 57.6%. Two patients showed abnormalities in the ophtalmoscopie: exudative retinitis and hemorrhagic retinopathy. The mean hematocrit was 20.8% and 63.6% had hematocrit £ 20%. There was left shift in 24.2%, indirect hyperbilirubinemia 62.5% and hypoalbuminaemia 56.5%. Complications were present in 84.8% and 27.2% required placement in the ICU. Noninfectious complications occurred in 84.8%, hematological 81.8% and gastrointestinal 78.7%. Infectious complications were presented in 12.1%. The most commonly antibiotics used were ciprofloxacin in 66.6% and chloramphenicol 42.4%, corticoids were administered in 9,1% and 42,4% required red blood cell transfusion. Conclusions: ICU patients had more cardiovascular complications, thrombocytopenia and increased severity of anemia. There was no mortality. (Rev Med Hered 2008;19:87-95)

Keywords : Bartonellosis; complications; Oroya’s fever.

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