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toxoplasmosis y sida
Dec 15, 2006

tengo un familiar que se inicio con problemas neurologicos convulsiono , y hemiparesia derecha al realizarle los estudios estaba positivo..y le detectaron toxoplasmosis cerebral..pregunto he leido el T,G que tipo de lesion tipo tumoral o quistica, y cual seria la conducta a tomar quirurgica o tratamiento.. y cual seria el pronostico tiene 28 aņos y estaba asintomatico hasta hace unos dias le agradeceria su respuesta gracias

Respuesta del Dr. Santana

Toxoplasma cerebral, su tratamiento es totalmente terapeutico en otras palabras responde a medicamentos y en raras ocasiones dependiendo si comprime estructuras vitales necesita intervencion quirurgica. El tratamiento resuelve las lesiones y luego con el tratamiento de la condicion de VIH/SIDA apropiadas usualmente no recurre. Este tratamiento en la fase aguda se prolonga por 4 semanas y posterior se deja en una dosis de mantenimiento preventivo hasta que las defensas CD4 esten por encima de 200 celulas y por espacio mayor de 6 meses. El pronostico general si su familiar se toma religiosamente los medicamentos y los tolera sin problema es muy bueno y alentador.



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