{"id":14389,"date":"2010-04-09T20:25:21","date_gmt":"2010-04-10T00:25:21","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=14389"},"modified":"2010-04-10T08:13:48","modified_gmt":"2010-04-10T12:13:48","slug":"caso-clinico-micologico-4","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/14389","title":{"rendered":"Caso Clinico Micologico"},"content":{"rendered":"<p><em><strong>Dra.Patricia Chang<br \/>\n <span style=\"font-size: xx-small;\">Servicio Dermatolog\u00eda<br \/>\n Hospital General de Enfermedades IGSS<\/span><\/strong><\/em><\/p>\n<p>Femenina 58 a\u00f1os de edad. Insuficiencia renal cr\u00f3nica desde hace 2 a\u00f1os en tratamiento de di\u00e1lisis peritoneal, ingreso por infecci\u00f3n del cateter con vancomicina 1gr por semana a la unidad<br \/>\n Terapia intensiva con ventilaci\u00f3n mecanica.<\/p>\n<p><!--more--><\/p>\n<p>Dermatosis localizada a las ingles y gluteos constituida por ulceraciones y pustulas<\/p>\n<table style=\"width: 300px;\" border=\"0\" cellspacing=\"2\" cellpadding=\"2\">\n<tbody>\n<tr>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/04\/Diapositiva1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-14460\" title=\"Diapositiva1\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/04\/Diapositiva1-150x150.jpg\" alt=\"\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/04\/Diapositiva2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-14461\" title=\"Diapositiva2\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/04\/Diapositiva2-150x150.jpg\" alt=\"\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<\/tr>\n<tr>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/04\/Diapositiva3.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-14462\" title=\"Diapositiva3\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/04\/Diapositiva3-150x150.jpg\" alt=\"\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/04\/Diapositiva4.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-14463\" title=\"Diapositiva4\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/04\/Diapositiva4-150x150.jpg\" alt=\"\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Se hace el Dx. Cl\u00ednico: Candidosis Sist\u00e9mica<br \/>\n KOH + levaduras de Candida<br \/>\n Cultivo Cromagar Candida: se aisl\u00f3<br \/>\n Candida<br \/>\n Voriconazol 200 mg IV<br \/>\n Fallece 24 horas despu\u00e9s debido a falla  multiorg\u00e1nica.<\/p>\n<table style=\"width: 300px; height: 26px;\" border=\"0\" cellspacing=\"2\" cellpadding=\"2\">\n<tbody>\n<tr>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/04\/Diapositiva5.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-14464\" title=\"Diapositiva5\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/04\/Diapositiva5-150x150.jpg\" alt=\"\" width=\"150\" height=\"150\" \/><\/a><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/04\/Diapositiva6.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-14465\" title=\"Diapositiva6\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/04\/Diapositiva6-150x150.jpg\" alt=\"\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<td><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Sospechar candidosis sist\u00e9mica en pacientes en Unidad de Terapia Intensiva<br \/>\n con tratamientos de  antibi\u00f3ticos  y peque<br \/>\n \u00f1as lesiones p\u00e1pulo-pustulosas.<br \/>\n Realizar hemocultivos para hongos<br \/>\n Examen directo, cultivo de biopsia de<br \/>\n piel y biopsia de piel con tinciones especiales de PAS y Groccot<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Dra.Patricia Chang Servicio Dermatolog\u00eda Hospital General de Enfermedades IGSS Femenina 58 a\u00f1os de edad. Insuficiencia renal cr\u00f3nica desde hace 2 a\u00f1os en tratamiento de di\u00e1lisis peritoneal, ingreso por infecci\u00f3n del cateter con vancomicina 1gr por semana a la unidad Terapia intensiva con ventilaci\u00f3n mecanica.<\/p>\n","protected":false},"author":47,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[258],"tags":[],"class_list":["post-14389","post","type-post","status-publish","format-standard","","category-los-casos-de-patricia"],"_links":{"self":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/14389","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\/47"}],"replies":[{"embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/comments?post=14389"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/14389\/revisions"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=14389"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=14389"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=14389"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}