EL HEMOGRAMA COMO PREDICTOR EN LA INFECCIÓN POR SARS-CoV-2

  • Germán Campuzano Maya Universidad de Antioquia
Palabras clave: SARS-CoV-2, Covid-19, hematología, hemograma, predictores

Resumen

La pandemia del nuevo coronavirus, iniciada a finales de diciembre de 2019 en Wuhan, provincia de Hubei, China, como una neumonía causada por un nuevo virus, ha creado un pandemónium en la atención médica y tiene los sistemas de salud desbordados en todo el mundo. El hemograma, una de las pruebas más solicitadas al laboratorio clínico, imprescindible en la práctica médica del día a día, en el contexto del paciente infectado por SARS-CoV-2 suministra predictores o biomarcadores que han demostrado ser eficientes como la neutrofilia, la linfopenia, la trombocitopenia, el índice neutrófilos/ linfocitos, el ancho de distribución de los eritrocitos y el ancho de distribución de los monocitos para predecir la evolución del COVID-19. Además de los predictores, el hemograma provee parámetros de utilidad clínica como la hemoglobina reticulocitaria, el índice de plaquetas inmaduras y la morfología en los extendidos de sangre periférica que permiten un manejo más eficiente de la enfermedad. Se presenta una revisión de la literatura médica indexada, orientada a identificar en el hemograma predictores y herramientas de diagnóstico de utilidad en el curso de la infección por SARS-CoV-2.

Biografía del autor/a

Germán Campuzano Maya, Universidad de Antioquia
MD. Médico especialista en Hematología y Patología Clínica. Profesor, Ad honorem, Facultad de Medicina, Universidad de Antioquia. Expresidente y Miembro Honorario Academia de Medicina de Medellín.

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Publicado
2022-04-28
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