{"id":14964,"date":"2010-04-30T21:17:31","date_gmt":"2010-05-01T01:17:31","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=14964"},"modified":"2010-05-01T00:40:44","modified_gmt":"2010-05-01T04:40:44","slug":"caso-clinico-n%c2%ba-45-tinea-corporis","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/14964","title":{"rendered":"Caso cl\u00ednico N\u00ba 45. Tinea corporis"},"content":{"rendered":"

Presentado por:
\n Dra. Lesbia Michelangeli,
\n Lcdo. Fernando G\u00f3mez Daza.
\n Consulta privada de la<\/span> Dra. Lesbia Michelangeli,
\n Centro M\u00e9dico Guerra M\u00e9ndez, Valencia, Venezuela<\/span><\/strong><\/em><\/p>\n

Motivo de consulta: <\/strong>Lesiones pruriginosas en cara, cuello y antebrazo izquierdo.<\/p>\n


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\n Fig. 1<\/p>\n


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\n Fig. 2<\/p>\n


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\n Fig. 3<\/p>\n


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\n Fig. 4<\/p>\n


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\n Fig. 5<\/p>\n


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Estudio micol\u00f3gico:<\/strong><\/p>\n


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\n Fig. 6: : Examen directo con KOH 20% y tinta Parker\u00ae<\/sup> azul, (100x)<\/p>\n


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\n Fig. 7: Examen directo con KOH 20% y tinta Parker\u00ae<\/sup> azul, (400x)<\/p>\n


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\n Fig. 8: Cultivo en agar Sabouraud y Mycosel\u00ae<\/sup> a temperatura ambiente, 15 d\u00edas de incubaci\u00f3n<\/p>\n


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\n Fig. 9: Microcultivo a temperatura ambiente coloreado con azul de lactofenol (400x)<\/p>\n


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\n Fig. 10: Prueba de Ureasa<\/p>\n


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Evoluci\u00f3n:<\/strong><\/p>\n


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\n Fig. 11: 10 d\u00edas de tratamiento<\/p>\n


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\n Fig. 12: 10 d\u00edas de tratamiento<\/p>\n


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\n Fig. 13: 10 d\u00edas de tratamiento<\/p>\n


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Tratamiento: <\/strong>Terbinafina 250 mg VO OD por 3 semanas.<\/p>\n


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Preguntas:<\/p>\n

1.- \u00bfCu\u00e1l es el agente etiol\u00f3gico?<\/strong><\/p>\n

2.-\u00bfPor qu\u00e9 este dermatofito no invadi\u00f3 la piel cabelluda?<\/strong><\/p>\n

3.-\u00bfQu\u00e9 utilidad representa la prueba de ureasa en la identificaci\u00f3n de los dermatofitos?<\/strong><\/p>\n

3.-\u00bfC\u00f3mo se le denomina esa distribuci\u00f3n de los microconidios en el microcultivo?<\/strong><\/p>\n

4.-\u00bfCu\u00e1les ser\u00edan las alternativas terap\u00e9uticas<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

Presentado por: Dra. Lesbia Michelangeli, Lcdo. Fernando G\u00f3mez Daza. Consulta privada de la Dra. Lesbia Michelangeli, Centro M\u00e9dico Guerra M\u00e9ndez, Valencia, Venezuela Motivo de consulta: Lesiones pruriginosas en cara, cuello y antebrazo izquierdo.<\/p>\n","protected":false},"author":7,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[13],"tags":[481],"class_list":["post-14964","post","type-post","status-publish","format-standard","","category-micopiel","tag-tinea-corporis"],"_links":{"self":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/14964","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\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/comments?post=14964"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/14964\/revisions"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=14964"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=14964"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=14964"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}