{"id":13720,"date":"2010-02-26T20:22:24","date_gmt":"2010-02-27T00:22:24","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=13720"},"modified":"2010-03-27T08:30:27","modified_gmt":"2010-03-27T12:30:27","slug":"botriomicosis","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/13720","title":{"rendered":"Botriomicosis"},"content":{"rendered":"<p><em><strong>Enviado por Dres Elisa Cubillas, Antonio Guzman, A. Gonzales, G Mendoza, L. Celias, G Aguilar. <br \/>\n <span style=\"font-size: x-small;\">Servicio de Dermatologia- HCIPS Villarica- Paraguay<\/span><\/strong><\/em><\/p>\n<p>Caso cl\u00ednico: Adolescente, Masculino, 13 a\u00f1os, Procedente de Asunci\u00f3n ( barrio marginal)<\/p>\n<p>Antecedentes personales: Desnutrici\u00f3n cal\u00f3rico proteica importante.    Traumatismo con una piedra en planta de pie.<\/p>\n<p><!--more--><\/p>\n<div id='gallery-1' class='gallery galleryid-13720 gallery-columns-2 gallery-size-thumbnail'><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/02\/Diapositiva01.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/02\/Diapositiva01-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/02\/Diapositiva02.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/02\/Diapositiva02-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/02\/Diapositiva03.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/02\/Diapositiva03-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/02\/Diapositiva04.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/02\/Diapositiva04-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/02\/Diapositiva05.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/02\/Diapositiva05-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/02\/Diapositiva06.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/02\/Diapositiva06-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/02\/Diapositiva07.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/02\/Diapositiva07-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/02\/Diapositiva08.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/02\/Diapositiva08-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/02\/Diapositiva09.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/02\/Diapositiva09-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/02\/Diapositiva10.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/02\/Diapositiva10-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/02\/Diapositiva11.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/02\/Diapositiva11-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/02\/Diapositiva12.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/02\/Diapositiva12-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/><\/a>\n\t\t\t<\/div><\/figure>\n\t\t<\/div>\n\n<p>Tumefacci\u00f3n eritematosa de aspecto granulomatoso, cubierta de costras melicericas;  drena sustancia purulenta por orificios m\u00faltiples.  Dolorosa, impotencia funcional.  Evoluci\u00f3n: 8 meses<\/p>\n<p>M\u00e9todos auxiliares de Dx:  Hemograma: Anemia.  Perfil proteico: D\u00e9ficit de alb\u00famina.  Radiograf\u00eda de pie y t\u00f3rax normal.  VDRL: negativo. Test de Elisa para HIV: negativo. Qu\u00edmica general: normal<\/p>\n<p>Plan de estudio:<\/p>\n<ul>\n<li>Biopsia cut\u00e1nea<\/li>\n<li>Cultivo y antibiograma de las lesiones.<\/li>\n<li>Frotis y cultivo de las lesiones para    hongos, g\u00e9rmenes comunes y at\u00edpicos<\/li>\n<li>Radiograf\u00eda de pie derecho.<\/li>\n<li>Hemograma y qu\u00edmica general.<\/li>\n<\/ul>\n<p>Diagn\u00f3sticos presuntivos:<\/p>\n<ul>\n<li>Micetoma<\/li>\n<li>Actinomicosis<\/li>\n<li>Botriomicosis <\/li>\n<\/ul>\n<p>Diagnostico: Botriomicosis<\/p>\n<p>Tratamiento<\/p>\n<ul>\n<li>Trimetroprim \u2013 sulfametoxazol 80-160 mg cada 12 hs.<\/li>\n<li>Curaciones diarias: soluci\u00f3n fisiol\u00f3gica y antibi\u00f3ticos t\u00f3picos<\/li>\n<li>Suplementos dietarios.<\/li>\n<li>Reposos relativo.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Enviado por Dres Elisa Cubillas, Antonio Guzman, A. Gonzales, G Mendoza, L. Celias, G Aguilar. Servicio de Dermatologia- HCIPS Villarica- Paraguay Caso cl\u00ednico: Adolescente, Masculino, 13 a\u00f1os, Procedente de Asunci\u00f3n ( barrio marginal) Antecedentes personales: Desnutrici\u00f3n cal\u00f3rico proteica importante. Traumatismo con una piedra en planta de pie.<\/p>\n","protected":false},"author":46,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[252],"tags":[],"class_list":["post-13720","post","type-post","status-publish","format-standard","","category-psicodermatosis"],"_links":{"self":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/13720","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/users\/46"}],"replies":[{"embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/comments?post=13720"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/13720\/revisions"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=13720"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=13720"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=13720"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}