Aspergilosis Pulmonar invasiva con afectación miocárdica

0124567898   !"#$ %&'()*+,-&+&.'/,0-1%).+12%&+2%.3-1.%4(35%3+61.0+-37)8+3% ,9.*:;<=.0>?@A<B C DEFGF0HIJK1L798  DMFN8I8OP C D0FQ2P87  9 C &<?RSTS>.U<.0<USTSV@.+VW<[email protected]>[email protected]?Z<V.U<A.)>T[>9.&<RSAA@9.(BY@\@9.  &<?RSTS>.U<.1<];>A>Z[@9.X>[email protected]?Z<V.U<A. )>T[>9.&<RSAA@9.(BY@\@9.  &<?RSTS>.U<.%V@W>;[@.'@W>A:[email protected]>[email protected]?Z<V.U<A.)>T[>9.&<RSAA@9.(BY@\@ . &?9.8S?<TW>?9  ^8G561JP5P57K_`8a`285P28G7aD15K`8 1`b1_1H8HJ821D6HKPH86K`c`Jdefghijkllmfn fgoDpK18b198bK`H8_1`98_1`91868P1`915P`_K`q H16P_PH5D98568`98H5r5_19PH589898_P1`95 Y?>A>VZ@U>B.T>V.s]S;S>W<?@YS@.>.T>?WST>SU<B9.(V.A>B. tAWS;>B.@\>[email protected]<[email protected]<.A@.%'+.<V.Y@TS<VW<B.V>. `1K96u`P5D1``19D1`1`91v9H181`b1q ;<[email protected]]A;>V@?.>wBW?][email protected]?:[email protected]('-3y.Y@?<T<. 15988K_1`98`HFG6vP_8H8_1`911zzH1 W>[email protected]<.T@B>B.;>?W@A<B.U<.A@.%'+.B<.Y?>U]T<V.<V.Y@q P1`915`47{|D1`85P`15`6151`98P`15 @W[YST@B9.,@.T>;wSV@TS:V.U<.}@TW>?<B.T>;>.<A.U<B<s]Sq P~PP`_K`JPH16K_`D1K56`J8HH1 9PPH15D18K_1`9H189858H11v81~8P`15 ~891P8`85D11_61H18`9P~P9P5H18_6P1561q W?>..[email protected]<BV]W?STS:V.B>V.?<BY>VB@wA<B.U<.A@.@Y@?STS:V. U<.A@.%'+.<V.<BW>B.Y@TS<VW<B C 9.'?<B<VW@;>B.]V.T@B>.U<. ]V@.%BY<?ZSA>BSB.']A;>V@?.+VR@[email protected]>V.@}<TW@TS:V. 8HI88D1`K`68P1`91`47{|_KrJ821F  8`H185DHP8~u9P9P6D1vbK_8H` K``5K_8K_K8HH168pK19158D47{| ;].Z?@R<.x<BW@US>.+2.U<.A@.llnkkkhninikn fimkhnmjnkfhfhN{^DP`5KP1`P8156Pq 89P8`P8`H_PPP8PDHP5`18~858J8H 51J`8hklnhfhi.mkl.x;0)3y..<@T<?w@q TS>V<B.}?<T]<VW<B.s]<.?<s]S<?<V.T>?WST>SU<B.BSBW;ST>B. r8`9P~P9186P81`19P_8F . +VZ?<[email protected]>?.@];<VW>.Y?>Z?<BSR>.U<.B].USBV<@.w@q 58FG81v68P`bI5P8H15988~898pKP6`18 6_D98pKP8HP856_GDF|F %.A@.@]BT]AW@TS:V.T@?US>?<BYS?@W>[email protected]>.B<.>w¡<WSR@?>V. 5658HI85D`cP621`9P8P`1`8_~5c1q _P98vFG`8I9P81KP95P5FK`PH8H15_D `K`¢zH16P_b`K1815r691I`8|18q [email protected]'3)y.<V.A[;SW<B.B]Y<?S>?<B.U<[email protected]>?;@ASU@U9.,@. J85_19P8891P86151`98~8H895H1P`5KP1`P8 156P89P868P86£¢FD6{ __£JD6|{ ;;XZy9.(V.<A.<A<TW?>T@?S>Z?@;@.B<.@Y?<TS@[email protected];@Z<V. U<.wA>s]<>.T>;YA<W>.U<.?@;@.U<?<T¤@9.,@B.Y?]<w@B. _P~PJP8518PL8H85D8`9PJ1`KP85DK9P25H1 156K9Dc1_K9P2515K98``1J89P285FG`JPG| H198v8K51`P8H19_~1_~P5_D`H18_1 YA<][email protected]<?<T¤>..R@[email protected]<BS>V<B.V>U]A@?<B.<V.A:w]q P`b1PH11cDH1`585`~H15~P1`H1`PH5 s]<.}]<?>V.SV}>?;@[email protected]>;>.Y>BSwA<B.<;w>ASB;>B. BYWST>B.>.;<W¥BW@BSB9 01P~PHH1_8rH1FG1698HH1`2P1_~1H1F ,][B.*:;<=.0>?@A<B ~J_¦c9_8PF_  M1P`598K9898_P1`9`9PPH155P59u_P5D ~198P`c88H5DvPJ1`9186P8r12§v8P`D861q 58H1K8812KP`15H15b828~1r885¢ ¤>[email protected]<.B].SVZ?<B>.B<.Y?>U]¡>.]V.U<W<?S>?>.TA[VST>.. J85_u9PD5KbP1`HK`8688H8156P89P86 s]<.B<.Y?>T<U<[email protected]]w@TS:V.>?>W?@s]<@A9.&<.;@VWS<V<. SV<BW@wA<.¤<;>USV¥;ST@;<VW<.Y?<TSB@VU>..@;[email protected]@q B>@TWSR@B9.%];<[email protected]@.A<]T>TSW>BSB..A>B.?<@TW@VW<B.U<. b8518JKH8F¨8116b885_K9PJ©`PHI85 U<BY]B.U<.B].SVZ?<B>9. . &<.B>ASTSW:.<BW]US>.V<T?:YBST>.T>V.A>B.BSZ]S<VW<B. ¤@AA@=Z>Bª.%BY<?ZSA>BSB.']A;>V@?.+VR@[email protected]<?;<V. @SBA@U>.<V.;]<[email protected]]A;>V@?.efghijkllmfnm«kjmfD` ;tAWSYA<B.V:U]A>B.<V.Y]A;:V.U<?<T¤>..<W?@R@B@TS:V. H1_891P8`19P882PH8H61K8Drb58~515Pq 8`915H1_598H51`8L`r9PPH15a_8J1`F M1P`98`52158H18L`1`8pK151PH1`9P8` U>B.A<BS>V<B.?<U>VU<@U@B.<V.<A.<BY<B>?.U<.R<VW?[T]A>. PLpKP1Hr_5K686P88`91P§1c85`1J85D s]<.B<.T>??<BY>VU<V.¤SBW>A:ZST@;<VW<.T>V.@wBT<B>B. <VU>q;S>T¥?UST>B.T>V.;@W<[email protected]<T?:WST>..@w]VU@VW<B. ¤S}@B.WSY>.%BY<?ZSAA]By9 . (V.A>B.tAWS;>B.@\>[email protected]<[email protected]<.A@.%'+.<V.<A. T>VW<W>.U<.A@.<V}<?;<[email protected]]A;>V@?.>wBW?][email protected]?:q `P847{|681115988K_1`98`HDr6151`9©`q U>B<.U<.}>?;@B.@W[YST@B  F^88b198P`8~515P8`91 U<A.;S>T@?US>..U<A.WS?>SU<B.<B.SV]B]@A.<V.Y@TS<VW<B.V>. SV;]V>U<Y?S;SU>B9.(SBW<V.;].Y>T>B.T@B>B.U<BT?SW>B. 1`8P9189K85P_P8Dr98`5K``8b198P` _P©HP8D1`68P1`915`698H15H12PK5H18 P`_K`H1P1`P8cK_8`8a£F4`1595D5c8r 855HK_1`98H5H18561JP5P58HI88c8598 18D9H51`1598HPMaGMI`H_1H1a`q _K`H1P1`P8GHpKPPH8r`1K1`95H1| P`b1P158_KF^88561JP5P58HI8815K98 H18G7aDr85186HP51_P`8P`c1_89J1`86 SVR@BS:V.US?<TW@9.,@.;@>?[@.U<.A>B.T@B>B.U<.@BY<?ZSA>BSB. T@?U[@[email protected]<.US@ZV>BWST@?>V.<V.A@.@]W>YBS@9.(A.Y?>V:BWST>. H188b198P`_P©HP8158HI8H1crb898D5P1`H 8_98PH8HH1z 9 . (A.US@ZV:BWST>.U<.A@.%'+.<B.T>;YA<¡>9.(VW?<.A@B. Y?]<[email protected]<.S;@Z<[email protected]%3.<[email protected]]<.WS<V<.;@>?.B<Vq BSwSASU@U9.,@B.V]<R@B.<BW?@W<ZS@B.@Y]VW@[email protected]@ZV:BWST>. B<?>A:ZST>  9.(VW?<.A>B.Y?>U]TW>B.T<A]A@?<B.U<.efghijk¬ llmfD1J889_8`8`NOc85PH1_©5159KHP8Hr B<.¤@.U<;>BW?@U>.B].Y?<B<VTS@.<V.<A.B]<?>.U<.Y@TS<VW<B.. 0124567898   !"#$%&' () *&+#,-%"&-& +.%"/$# -/0$&-0$ 1"/ $213$1-/ -"14#5-1$) 6789:;< = >9?89@7A9B@CDE7A9FG7A9AH9IF89JHAFKK7@@FJ79CL6M 8D6FA9NFKF9@F9JHCH66DO89JH9:PQ9JH9*&+#,-%%.& EHJDF8CH9 7R0S61515T98U51V68W1V91547XR5V28M KDFY@HA Z > 9 ?89KH@F6DO89F@9CKFCFEDH8C79IF[9\89Y\H89]KFJ79JH9 H^DJH86DF9NFKF9KH67EH8JFK967E79F8CD_B8]D679JH9NKDM `1811WaV12WV8bS6T159cT11dW591V15M 9TUW5`6889W25e1V9188Ve91WWV8fScT1g8V U1`598U5T5T61WWU8U68898988h7iSV \8F9EF[7K9NK7N7K6DO89JH9KHAN\HACFA9_F^7KFY@HA9[9\8F9 EF[7K9A\NHK^D^H86DF jk l4m1V1nWU19898`W1V9 6789F8CD_B8]D67A967EYD8FJ7A96FKH6H9JH9NK\HYFA9A\M nW1V915g85988g8S616Uo851V5WU18U1V NF6DH8CHA96789D8_H66D78HA9D8CHK6\KKH8CHA979H8_HKEHM JFJ9KH_KF6CFKDF p > qrqsrtuvwxyw l01zS458VUW{4S{8W58|S}81~{S|M `WV~RS85zliV285W216T`V88561~W5W5 D89NFCDH8CA9DCI96IK78D697YACK\6CD^H9N\@E78FK[9JDM AHFAH9KHN7KC97_9HD]IC96FAHA9F8J9KH^DH>9@D89<8_H6C9 |W5kZjl l8UgW0S1`T8Sf1VW1{S|1VTdS|WM m1{Sf8~WVhRl{8UW8WV221`1V9WVWV28M 5W21h561~W5W5lhVV789glkl l71e19z0SRd}{S11zS198lg1W`689e 6\@C\KH9DA7@FCD7897_9*&+#,-%%.& ANH6DHA9:9I7ANDCF@M m851U5T21e8561~W5W5lRWViVe19|W5l kkl l85gzShV8W55W14zS|1VVWV~|S198l KHFCEH8C97_9FANHK]D@@7ADA6@D8D6F@9NKF6CD6H9]\DJH@DM 8HA97_9CIH9<8_H6CD7\A9PDAHFAHA976DHC[97_99:EHKDM 6F>9@D89<8_H6C9PDA)kZjZl l1m89Se1zS{1W5V1Rl48U1919WV 7_9*&+#,-%%.&9D8_H6CD789F_CHK9F@@7]H8HD69ACHE96H@@9 CKF8AN@F8CFCD789Y[9N7@DEHKFAF96IFD89KHF6CD789A6KHHM VWV~lziVe19|W5kjl Zl|o8bVg1bRSa61bW8hl*&+#,-%%.&9[9N\@M `aVlhgfVV1T`l jl91WVm8gzS9121V5|hl012W1eV118V9WM _\8]F@9F8J9DEE\87E7J\@FC7K[9ACKFCH]DHA9_7K9D8^FM 5W218561~W5W5lRWViVe19|W5jT66l jkjl kl|1VVWV~|S0Wm8TU7S{W6W1US198l4en8 7_9^7KD678F7@H9D89CIH9CKHFCEH8C97_9F6\CH9D8^FAD^H9 8561~W5W5lRWViVe19|W5Zjl l1m1g90S|1VVWV~|S789915VS198lM KD678F7@H9^HKA\A9FENI7CHKD6D899_7K9NKDEFK[9CIHM 86eWV285W218561~W5W5l4V~z{1U jkl 9 D]\KF99  1WaV98V52158U18baV1V8cT151WU1V9Wn8VU5 @HAD78HA9KHJ78JHFJFA9H89H@9HANHA7K9JH9^H8CK6\@79D\DHKJ79[9 `5T686W88V91W1g85V1~85ScT151156VU1V IDAC7@O]D6FEH8CH96789FYA6HA7A9H8J7MED76KJD67A96789EFCHKDF@9 V1a9W8mTVU8V915gWe859W6h561~WT54Sdl