{"id":17203,"date":"2010-09-24T17:54:53","date_gmt":"2010-09-24T21:54:53","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=17203"},"modified":"2010-10-02T17:24:06","modified_gmt":"2010-10-02T21:24:06","slug":"caso-clinico-n%c2%ba-48-dermatomicosis","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/17203","title":{"rendered":"Caso cl\u00ednico N\u00ba 48. Dermatomicosis"},"content":{"rendered":"

Dr. Ra\u00fal Fach\u00edn Viso, Lcdo. Fernando G\u00f3mez Daza.
\n Consulta privada del Dr. Ra\u00fal Fach\u00edn Viso, Valencia, Venezuela<\/em><\/span><\/strong><\/p>\n

Enfermero jubilado de 74 a\u00f1os de edad.<\/p>\n

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


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


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


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


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


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\"\"<\/a>Fig. 6<\/p>\n


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\"\"<\/a>Fig. 7<\/p>\n


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\"\"<\/a>Fig. 8<\/p>\n


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\"\"<\/a>Fig. 9<\/p>\n


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\"\"<\/a>Fig. 10<\/p>\n


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\"\"<\/a>Fig. 11<\/p>\n


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\"\"<\/a>Fig. 12<\/p>\n


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\"\"<\/a>Fig. 13<\/p>\n


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<\/p>\n

Preguntas:<\/strong><\/p>\n

1.- \u00bfQu\u00e9 micosis padece el paciente?<\/p>\n

2.-\u00bfQu\u00e9 enfermedad oculta podr\u00eda tener el paciente?<\/p>\n

3.-\u00bfQu\u00e9 paracl\u00ednicos realizar\u00eda o indicar\u00eda para confirmar sus diagn\u00f3sticos?<\/p>\n

3.-\u00bfSeg\u00fan sus diagn\u00f3sticos qu\u00e9 tratamiento elegir\u00eda?<\/p>\n


<\/p>\n

Luego se presentar\u00e1n los paracl\u00ednicos y evoluci\u00f3n.<\/strong><\/p>\n

<\/strong><\/p>\n

\n

Actualizaci\u00f3n 02-OCTUBRE-2010<\/span><\/p>\n

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


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\n


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\"\"
\n<\/a>Fig. 14: Exposici\u00f3n a la luz de Wood donde se aprecia fluorescencia verde claro en las m\u00e1culas hipocr\u00f3micas del cuello<\/p>\n


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\"\"
\n<\/a>Fig. 15: Toma de muestra con cinta adhesiva transparente (CAT)<\/p>\n


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\n


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\"\"
\n<\/a>Fig. 16: Examen directo con azul de lactofenol (24 horas de exposici\u00f3n) (1000x)<\/p>\n


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\"\"
\n<\/a>Fig. 17: Examen directo con KOH 20% y tinta Parker\u00ae<\/sup> azul de las placas de t\u00f3rax anterior (400x)<\/p>\n


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\n


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\"\"
\n<\/a>Fig. 18: Examen directo con KOH 20% y tinta Parker\u00ae<\/sup> azul de la placa de gl\u00fateo (400x)<\/p>\n


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\n


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\"\"
\n<\/a>Fig. 19: Examen directo con KOH 20% y tinta Parker\u00ae<\/sup> azul de u\u00f1as de pie, se aprecia lo compacto de las hifas en la escama (100x y 400x)<\/p>\n


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\"\"
\n<\/a>Fig. 20: Cultivos a temperatura ambiente, 10 d\u00edas de incubaci\u00f3n<\/p>\n


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\"\"
\n<\/a>Fig. 21: Microcultivo a temperatura ambiente coloreado con azul de lactofenol (400x)<\/p>\n


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\"\"
\n<\/a>Fig. 22: Prueba de Ureasa (48 horas)<\/p>\n


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Tratamiento: <\/strong>Terbinafina 250 mg VO OD por 3 meses. Laca de Amorolfina 5% dos aplicaciones\/semana hasta nuevo aviso.<\/p>\n

Evoluci\u00f3n a los <\/strong>15 d\u00edas de tratamiento:<\/strong><\/p>\n


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\"\"
\n<\/a>Fig. 23<\/p>\n


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\"\"
\n<\/a>Fig. 24<\/p>\n


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\"\"
\n<\/a>Fig. 25<\/p>\n


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\"\"
\n<\/a>Fig. 26<\/p>\n


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\"\"
\n<\/a>Fig. 27<\/p>\n


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\"\"
\n<\/a>Fig. 28<\/p>\n


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\"\"
\n<\/a>Fig. 29<\/p>\n


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Preguntas:<\/strong><\/p>\n

1.- \u00bfCu\u00e1les son los agentes etiol\u00f3gicos?<\/p>\n

2.-\u00bfCu\u00e1les ser\u00edan las alternativas terap\u00e9uticas?<\/p>\n


<\/p>\n","protected":false},"excerpt":{"rendered":"

Dr. Ra\u00fal Fach\u00edn Viso, Lcdo. Fernando G\u00f3mez Daza. Consulta privada del Dr. Ra\u00fal Fach\u00edn Viso, Valencia, Venezuela Enfermero jubilado de 74 a\u00f1os de edad.<\/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":[516],"class_list":["post-17203","post","type-post","status-publish","format-standard","","category-micopiel","tag-dermatomicosis"],"_links":{"self":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/17203","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=17203"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/17203\/revisions"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=17203"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=17203"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=17203"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}