El análisis de orina como herramienta diagnóstica en casos de malaria grave

Sebastián Barrera, Alberto Tobón-Castaño, .

Palabras clave: malaria, proteinuria, hematuria

Resumen

La malaria produce complicaciones y muerte especialmente en poblaciones con acceso limitado a la atención en salud. La malaria grave puede reconocerse tempranamente mediante la detección en la orina de hallazgos como la hematuria, la coluria y la proteinuria.
Se hizo una revisión narrativa basada en estudios sobre malaria grave y el empleo del análisis de orina mediante la consulta de 91 publicaciones.
Mediante el análisis de la orina, se pueden detectar alteraciones metabólicas y lesiones en distintos órganos. En estudios recientes en Colombia se ha confirmado su utilidad como apoyo en el diagnóstico de la disfunción renal, la disfunción hepática y la anemia asociada con hemólisis, las cuales son complicaciones frecuentes en la malaria.
El examen constituye una herramienta de fácil aplicación en la consulta ambulatoria y en pacientes hospitalizados para reconocer tempranamente casos complicados, y permite la detección oportuna de diferentes lesiones en el paciente con malaria, contribuyendo así a la reducción de la morbilidad grave y la mortalidad.

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  • Sebastián Barrera Grupo Malaria, Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia
  • Alberto Tobón-Castaño Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia. Grupo Malaria, Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia

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Cómo citar
1.
Barrera S, Tobón-Castaño A. El análisis de orina como herramienta diagnóstica en casos de malaria grave. biomedica [Internet]. 1 de diciembre de 2017 [citado 28 de marzo de 2024];37(4):590-9. Disponible en: https://revistabiomedica.org/index.php/biomedica/article/view/3416

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