Paciente femenino de 35 años con neumonía adquirida en la comunidad.

The case to present is focused on a 35-year-old patient, presenting a productive purulent cough, fever, and dyspnea without receiving antibiotics, tachypnea with saturation of 88.9%. The proper physical examination and different diagnostic tests were carried out to determine the causative agent of the pathology and use the appropriate treatment for a favorable evolution. Community-acquired pneumonia is a frequent cause of death in adults over 65 years of age, with pre-existing diseases (asthma, COPD, diabetes mellitus, etc.), and risk factors. Its etiology is bacterial, caused by Streptococcus Pneumoniae. However, it is caused by other microorganisms such as: Mycoplasma pneumoniae, Chlamydophila, Klebsiella pneumoniae. Epidemiological surveillance makes it possible to check the changes in the producing microorganisms and their sensitivity to certain antibiotics. Physical examination reveals characteristic signs and symptoms of the pathology, showing decreased lung expandability, fever, inspiratory and expiratory crackles. Complementary studies including chest radiographs, infiltrates are observed either unilateral or bilateral, in conjunction with sputum examinations and blood counts, they give guidance towards which germ is causing the disease. Treatment is based on the administration of antibiotics according to the sensitivity and the causative germ obtained from the complementary tests, the antibiotic of suggestion in outpatients is amoxicillin or amoxicillin / clavulanic acid, also intravenously ceftriaxone, combining them with therapy techniques respiratory and mucoactive to fight infection, mobilize secretions and improve oxygenation of the patient.

• Hlavní autor: Espinoza Riera, Héctor David (author)
• Médium: bachelorThesis
• Vydáno: 2021
• Témata: Neumonía adquirida en la comunidad; Streptococcus Pneumonaie; Factores de riesgo; Fisioterapia Respiratoria; Tratamiento
• On-line přístup: http://dspace.utb.edu.ec/handle/49000/10233