SciELO - Scientific Electronic Library Online

 
vol.23 número3Validación de la versión reducida de la escala de depresión geriátrica en el consultorio externo de geriatría del Hospital Nacional Cayetano HerediaEpidemiología de la Hemorragia Digestiva índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados

Articulo

Indicadores

  • No hay articulos citadosCitado por SciELO

Links relacionados

  • No hay articulos similaresSimilares en SciELO

Bookmark


Acta Médica Peruana

versión On-line ISSN 1728-5917

Resumen

LOPEZ GUIMARAES, Douglas; GIRALDO VILLAFANE, Maricriz  y  MAGUINA VARGAS, Ciro. Gyneco-obstetric complications in acute bartonellosis: 50 cases observed in Caraz, Ancash. Acta méd. peruana [online]. 2006, vol.23, n.3, pp. 148-151. ISSN 1728-5917.

Objective: to evaluate obstetric complications arising in pregnant native women with acute bartonellosis due to Bartonella bacilliformis in an endemic area in Caraz, Ancash, at 2 237 m above sea level. Material and method: 50 pregnant women were enrolled consecutively in San Juan de Dios Hospital, Caraz, between 1999 and 2003. All cases had the diagnosis of bartonellosis, based on a Bartonella-positive peripheral blood smear.  Results: all pregnant women were native and living in the endemic area; 64% came from adjacent rural areas, 12% had an antecedent of "verruga peruana" and 10 % had previously received treatment for "verruga". The features of early acute bartonellosis (Carrión's disease) in these patients were paleness (80%), headache (76 %), articular pain (64%), fever (34 %), abdominal pain (24 %) and vaginal bleeding (18%). The average age was 25,5 years. The average gestational age when seen was 22,9 weeks. The average hemoglobin was 9,8 g/dL. The average parasitic index (proportion of parasitized red cells) was 23,2%, range 1-100; only 22 % had a high parasitic index, over 50 % in their blood smears. 48% of patients had obstetric complications: abortions 26%, premature labor 8%, fetal death 4 %, placental retention 4 % and sepsis 2%. The obstetric complications were more frequent during the first trimester of pregnancy with 71,4 %. There were no maternal deaths in this cohort.  Conclusion: in endemic areas, pregnant women suffering from Carrión's disease (acute bartonellosis by B. bacilliformis) had a high frequency of obstetric complications; the disease poses a high risk to pregnant women

Palabras llave : acute bartonellosis; pregnancy; Carrión's disease; Bartonella. Bacilliformis.

        · resumen en Español     · texto en Español     · pdf en Español