{"id":181,"date":"2007-02-22T23:57:08","date_gmt":"2007-02-23T03:57:08","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=181"},"modified":"2007-02-22T23:57:08","modified_gmt":"2007-02-23T03:57:08","slug":"paracoccidioidomicosis-cronica-del-adulto","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/181","title":{"rendered":"Paracoccidioidomicosis cr\u00f3nica del adulto"},"content":{"rendered":"<p><strong>Presentado por:&nbsp; Crespo L, Rodr\u00edguez Z,&nbsp; Cavallera E, Valecillo S Instituto de Biomedicina Hospital Vargas Caracas Venezuela<\/strong><\/p>\n<p> Se trata de paciente masculino de 54 a\u00f1os de edad de profesi\u00f3n agricultor, quien refiere inicio de enfermedad actual hace 4 meses con placa verrugosa en cara, por lo que acude a facultativo y tras realizar Biopsia de la lesi\u00f3n sugestiva de granuloma por agente vivo, es referido a nuestro centro para estudio.<\/p>\n<p><!--more--><\/p>\n<p> Rx de t\u00f3rax: infiltrado parahiliar bilateral con radioopacidad homogenea derecha.<\/p>\n<p> Pruebas intrad\u00e9rmicas: PPD 0 mm, esporotriquina 0 mm leishmanina 0 mm, paracoccidioidina 0 mm.<\/p>\n<p> Directo micol\u00f3gico: visualizaci\u00f3n de levadura multigemante en tim\u00f3n de barco, sugestiva de paracoccidioidomicosis.<\/p>\n<p> Biopsia de piel: sugestiva de granuloma por agente vivo, con visualizaci\u00f3n de levaduras.<\/p>\n<p> Idx: paracoccidioidomicosis, cr\u00f3nica del adulto.<\/p>\n<p> Tratamiento: itraconazol 100mg\/d\u00eda<\/p>\n<p> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; IC neumonolog\u00eda para tratamiento.<\/p>\n<table border=\"0\" cellspacing=\"2\" cellpadding=\"2\" width=\"400\" align=\"center\">\n<tr>\n<td>&nbsp;<a href=\"\/blog\/wp-content\/uploads\/2007\/02\/144\/pd1.jpg\" target=\"_blank\"><img loading=\"lazy\" decoding=\"async\" src=\"\/blog\/wp-content\/uploads\/2007\/02\/144\/pd1p.jpg\" alt=\"caso\" width=\"200\" height=\"149\" \/><\/a><\/td>\n<td><a href=\"\/blog\/wp-content\/uploads\/2007\/02\/144\/pd2.jpg\" target=\"_blank\"><img loading=\"lazy\" decoding=\"async\" src=\"\/blog\/wp-content\/uploads\/2007\/02\/144\/pd2p.jpg\" alt=\"caso\" width=\"200\" height=\"148\" \/><\/a> <\/td>\n<\/tr>\n<tr>\n<td>&nbsp;<a href=\"\/blog\/wp-content\/uploads\/2007\/02\/144\/pd3.jpg\" target=\"_blank\"><img loading=\"lazy\" decoding=\"async\" src=\"\/blog\/wp-content\/uploads\/2007\/02\/144\/pd3p.jpg\" alt=\"caso\" width=\"200\" height=\"152\" \/><\/a><\/td>\n<td>&nbsp;<a href=\"\/blog\/wp-content\/uploads\/2007\/02\/144\/pd4.jpg\" target=\"_blank\"><img loading=\"lazy\" decoding=\"async\" src=\"\/blog\/wp-content\/uploads\/2007\/02\/144\/pd4p.jpg\" alt=\"caso\" width=\"200\" height=\"149\" \/><\/a><\/td>\n<\/tr>\n<tr>\n<td>&nbsp;<a href=\"\/blog\/wp-content\/uploads\/2007\/02\/144\/pd5.jpg\" target=\"_blank\"><img loading=\"lazy\" decoding=\"async\" src=\"\/blog\/wp-content\/uploads\/2007\/02\/144\/pd5p.jpg\" alt=\"caso\" width=\"200\" height=\"148\" \/><\/a><\/td>\n<td>&nbsp;<a href=\"\/blog\/wp-content\/uploads\/2007\/02\/144\/pd6.jpg\" target=\"_blank\"><img loading=\"lazy\" decoding=\"async\" src=\"\/blog\/wp-content\/uploads\/2007\/02\/144\/pd6p.jpg\" alt=\"caso\" width=\"200\" height=\"150\" \/><\/a><\/td>\n<\/tr>\n<tr>\n<td>&nbsp;<a href=\"\/blog\/wp-content\/uploads\/2007\/02\/144\/pd7.jpg\" target=\"_blank\"><img loading=\"lazy\" decoding=\"async\" src=\"\/blog\/wp-content\/uploads\/2007\/02\/144\/pd7p.jpg\" alt=\"caso\" width=\"200\" height=\"148\" \/><\/a><\/td>\n<td>&nbsp;<\/td>\n<\/tr>\n<\/table>\n","protected":false},"excerpt":{"rendered":"<p>Presentado por:&nbsp; Crespo L, Rodr\u00edguez Z,&nbsp; Cavallera E, Valecillo S Instituto de Biomedicina Hospital Vargas Caracas Venezuela Se trata de paciente masculino de 54 a\u00f1os de edad de profesi\u00f3n agricultor, quien refiere inicio de enfermedad actual hace 4 meses con placa verrugosa en cara, por lo que acude a facultativo y tras realizar Biopsia de &hellip;<\/p>\n","protected":false},"author":16,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2],"tags":[],"class_list":["post-181","post","type-post","status-publish","format-standard","","category-caso-clinico-reto-terapeutico"],"_links":{"self":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/181","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\/16"}],"replies":[{"embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/comments?post=181"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/181\/revisions"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=181"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=181"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=181"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}