{"id":37710,"date":"2014-10-17T14:10:05","date_gmt":"2014-10-17T18:40:05","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=37710"},"modified":"2014-10-17T15:05:41","modified_gmt":"2014-10-17T19:35:41","slug":"caso-clinico-no-69-paracoccidioidomicosis-diagnostico-por-imagenes","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/37710","title":{"rendered":"Caso cl\u00ednico N\u00ba 69. Paracoccidioidomicosis, Diagn\u00f3stico por Im\u00e1genes"},"content":{"rendered":"<p><em><strong>Fernando G\u00f3mez Daza.<\/strong><br \/>\nValencia, Venezuela<\/em><\/p>\n<figure id=\"attachment_37711\" aria-describedby=\"caption-attachment-37711\" style=\"width: 390px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2014\/10\/01.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-37711 size-medium\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2014\/10\/01-390x292.jpg\" alt=\"Fig. 1\" width=\"390\" height=\"292\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2014\/10\/01-390x292.jpg 390w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2014\/10\/01.jpg 900w\" sizes=\"auto, (max-width: 390px) 100vw, 390px\" \/><\/a><figcaption id=\"caption-attachment-37711\" class=\"wp-caption-text\">Fig. 1: Caso presentado previo consentimiento informado del paciente<\/figcaption><\/figure>\n<figure id=\"attachment_37712\" aria-describedby=\"caption-attachment-37712\" style=\"width: 390px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2014\/10\/02.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-37712\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2014\/10\/02-390x292.jpg\" alt=\"Fig. 2\" width=\"390\" height=\"292\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2014\/10\/02-390x292.jpg 390w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2014\/10\/02.jpg 900w\" sizes=\"auto, (max-width: 390px) 100vw, 390px\" \/><\/a><figcaption id=\"caption-attachment-37712\" class=\"wp-caption-text\">Fig. 2<\/figcaption><\/figure>\n<figure id=\"attachment_37713\" aria-describedby=\"caption-attachment-37713\" style=\"width: 390px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2014\/10\/03.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-37713\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2014\/10\/03-390x292.jpg\" alt=\"Fig. 3\" width=\"390\" height=\"292\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2014\/10\/03-390x292.jpg 390w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2014\/10\/03.jpg 900w\" sizes=\"auto, (max-width: 390px) 100vw, 390px\" \/><\/a><figcaption id=\"caption-attachment-37713\" class=\"wp-caption-text\">Fig. 3<\/figcaption><\/figure>\n<figure id=\"attachment_37714\" aria-describedby=\"caption-attachment-37714\" style=\"width: 390px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2014\/10\/04.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-37714\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2014\/10\/04-390x292.jpg\" alt=\"Fig. 4\" width=\"390\" height=\"292\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2014\/10\/04-390x292.jpg 390w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2014\/10\/04.jpg 900w\" sizes=\"auto, (max-width: 390px) 100vw, 390px\" \/><\/a><figcaption id=\"caption-attachment-37714\" class=\"wp-caption-text\">Fig. 4<\/figcaption><\/figure>\n<figure id=\"attachment_37715\" aria-describedby=\"caption-attachment-37715\" style=\"width: 390px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2014\/10\/05.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-37715\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2014\/10\/05-390x292.jpg\" alt=\"Fig. 5\" width=\"390\" height=\"292\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2014\/10\/05-390x292.jpg 390w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2014\/10\/05.jpg 900w\" sizes=\"auto, (max-width: 390px) 100vw, 390px\" \/><\/a><figcaption id=\"caption-attachment-37715\" class=\"wp-caption-text\">Fig. 5<\/figcaption><\/figure>\n<figure id=\"attachment_37716\" aria-describedby=\"caption-attachment-37716\" style=\"width: 390px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2014\/10\/06.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-37716\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2014\/10\/06-390x292.jpg\" alt=\"Fig. 6:  Examen directo con KOH 20% levadura o blastoconidio multibrotante\" width=\"390\" height=\"292\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2014\/10\/06-390x292.jpg 390w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2014\/10\/06.jpg 900w\" sizes=\"auto, (max-width: 390px) 100vw, 390px\" \/><\/a><figcaption id=\"caption-attachment-37716\" class=\"wp-caption-text\">Fig. 6: Examen directo con KOH 20% levadura o blastoconidio multibrotante<\/figcaption><\/figure>\n<figure id=\"attachment_37717\" aria-describedby=\"caption-attachment-37717\" style=\"width: 390px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2014\/10\/07.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-37717\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2014\/10\/07-390x292.jpg\" alt=\"Fig. 7: Entendido con tinci\u00f3n de Giemsa, macr\u00f3fagos y blastoconidios multibrotaantes\" width=\"390\" height=\"292\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2014\/10\/07-390x292.jpg 390w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2014\/10\/07.jpg 900w\" sizes=\"auto, (max-width: 390px) 100vw, 390px\" \/><\/a><figcaption id=\"caption-attachment-37717\" class=\"wp-caption-text\">Fig. 7: Entendido con tinci\u00f3n de Giemsa, macr\u00f3fagos y blastoconidios multibrotaantes<\/figcaption><\/figure>\n<figure id=\"attachment_37718\" aria-describedby=\"caption-attachment-37718\" style=\"width: 390px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2014\/10\/08.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-37718\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2014\/10\/08-390x292.jpg\" alt=\"Fig. 8: Cultivo en agar coco, 30 d\u00edas de incubaci\u00f3n a temperatura ambiente, colonias compatibles de Paracoccidioides brasiliensis\" width=\"390\" height=\"292\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2014\/10\/08-390x292.jpg 390w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2014\/10\/08.jpg 900w\" sizes=\"auto, (max-width: 390px) 100vw, 390px\" \/><\/a><figcaption id=\"caption-attachment-37718\" class=\"wp-caption-text\">Fig. 8: Cultivo en agar coco, 30 d\u00edas de incubaci\u00f3n a temperatura ambiente, colonias compatibles de Paracoccidioides brasiliensis<\/figcaption><\/figure>\n<figure id=\"attachment_37719\" aria-describedby=\"caption-attachment-37719\" style=\"width: 390px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2014\/10\/09.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-37719\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2014\/10\/09-390x292.jpg\" alt=\"Fig.9: Microscop\u00eda del cultivo en agar coco con tinci\u00f3n de lactofenol, clamidoconidios caracter\u00edsticos de Paracoccidioides brasiliensis\" width=\"390\" height=\"292\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2014\/10\/09-390x292.jpg 390w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2014\/10\/09.jpg 900w\" sizes=\"auto, (max-width: 390px) 100vw, 390px\" \/><\/a><figcaption id=\"caption-attachment-37719\" class=\"wp-caption-text\">Fig.9: Microscop\u00eda del cultivo en agar coco con tinci\u00f3n de lactofenol, clamidoconidios caracter\u00edsticos de Paracoccidioides brasiliensis<\/figcaption><\/figure>\n<figure id=\"attachment_37720\" aria-describedby=\"caption-attachment-37720\" style=\"width: 390px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2014\/10\/10.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-37720\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2014\/10\/10-390x292.jpg\" alt=\"Fig. 10: Cultivo en agar coco, 30 d\u00edas de incubaci\u00f3n a 37\u00baC, colonias compatibles de Paracoccidioides brasiliensis\" width=\"390\" height=\"292\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2014\/10\/10-390x292.jpg 390w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2014\/10\/10.jpg 900w\" sizes=\"auto, (max-width: 390px) 100vw, 390px\" \/><\/a><figcaption id=\"caption-attachment-37720\" class=\"wp-caption-text\">Fig. 10: Cultivo en agar coco, 30 d\u00edas de incubaci\u00f3n a 37\u00baC, colonias compatibles de Paracoccidioides brasiliensis<\/figcaption><\/figure>\n<figure id=\"attachment_37721\" aria-describedby=\"caption-attachment-37721\" style=\"width: 390px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2014\/10\/11.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-37721\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2014\/10\/11-390x292.jpg\" alt=\"Fig. 11 Microscop\u00eda del cultivo en agar coco con tinci\u00f3n de lactofenol, blastoconidios multibrotantes caracter\u00edsticos de Paracoccidioides brasiliensis\" width=\"390\" height=\"292\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2014\/10\/11-390x292.jpg 390w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2014\/10\/11.jpg 900w\" sizes=\"auto, (max-width: 390px) 100vw, 390px\" \/><\/a><figcaption id=\"caption-attachment-37721\" class=\"wp-caption-text\">Fig. 11 Microscop\u00eda del cultivo en agar coco con tinci\u00f3n de lactofenol, blastoconidios multibrotantes caracter\u00edsticos de Paracoccidioides brasiliensis<\/figcaption><\/figure>\n<figure id=\"attachment_37722\" aria-describedby=\"caption-attachment-37722\" style=\"width: 390px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2014\/10\/12.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-37722\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2014\/10\/12-390x292.jpg\" alt=\"Fig. 12: Intradermoreacci\u00f3n con Paracoccidioidina\" width=\"390\" height=\"292\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2014\/10\/12-390x292.jpg 390w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2014\/10\/12.jpg 900w\" sizes=\"auto, (max-width: 390px) 100vw, 390px\" \/><\/a><figcaption id=\"caption-attachment-37722\" class=\"wp-caption-text\">Fig. 12: Intradermoreacci\u00f3n con Paracoccidioidina<\/figcaption><\/figure>\n<figure id=\"attachment_37723\" aria-describedby=\"caption-attachment-37723\" style=\"width: 390px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2014\/10\/13.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-37723\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2014\/10\/13-390x292.jpg\" alt=\"Fig. 13 Intradermoreacci\u00f3n con Paracoccidioidina, p\u00e1pula de 13 mm a las 48 horas\" width=\"390\" height=\"292\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2014\/10\/13-390x292.jpg 390w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2014\/10\/13.jpg 900w\" sizes=\"auto, (max-width: 390px) 100vw, 390px\" \/><\/a><figcaption id=\"caption-attachment-37723\" class=\"wp-caption-text\">Fig. 13 Intradermoreacci\u00f3n con Paracoccidioidina, p\u00e1pula de 13 mm a las 48 horas<\/figcaption><\/figure>\n<figure id=\"attachment_37724\" aria-describedby=\"caption-attachment-37724\" style=\"width: 390px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2014\/10\/14.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-37724\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2014\/10\/14-390x442.jpg\" alt=\"Fig. 14: Serolog\u00eda de hongos con la t\u00e9cnica de inmunodifusi\u00f3n doble contra el ant\u00edgeno de Paracoccidioides brasiliensis contributorio (t\u00edtulo 1:16)\" width=\"390\" height=\"442\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2014\/10\/14-390x442.jpg 390w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2014\/10\/14.jpg 793w\" sizes=\"auto, (max-width: 390px) 100vw, 390px\" \/><\/a><figcaption id=\"caption-attachment-37724\" class=\"wp-caption-text\">Fig. 14: Serolog\u00eda de hongos con la t\u00e9cnica de inmunodifusi\u00f3n doble contra el ant\u00edgeno de Paracoccidioides brasiliensis contributorio (t\u00edtulo 1:16)<\/figcaption><\/figure>\n<figure id=\"attachment_37725\" aria-describedby=\"caption-attachment-37725\" style=\"width: 390px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2014\/10\/15.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-37725\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2014\/10\/15-390x292.jpg\" alt=\"Fig. 15: Estudio histopatol\u00f3gico con tinci\u00f3n de Hematoxilina-Eosina\" width=\"390\" height=\"292\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2014\/10\/15-390x292.jpg 390w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2014\/10\/15.jpg 900w\" sizes=\"auto, (max-width: 390px) 100vw, 390px\" \/><\/a><figcaption id=\"caption-attachment-37725\" class=\"wp-caption-text\">Fig. 15: Estudio histopatol\u00f3gico con tinci\u00f3n de Hematoxilina-Eosina<\/figcaption><\/figure>\n<figure id=\"attachment_37726\" aria-describedby=\"caption-attachment-37726\" style=\"width: 390px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2014\/10\/16.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-37726\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2014\/10\/16-390x292.jpg\" alt=\"Fig. 16: Estudio histopatol\u00f3gico con tinci\u00f3n de metalamina arg\u00e9ntica de Grocott\" width=\"390\" height=\"292\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2014\/10\/16-390x292.jpg 390w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2014\/10\/16.jpg 900w\" sizes=\"auto, (max-width: 390px) 100vw, 390px\" \/><\/a><figcaption id=\"caption-attachment-37726\" class=\"wp-caption-text\">Fig. 16: Estudio histopatol\u00f3gico con tinci\u00f3n de metalamina arg\u00e9ntica de Grocott<\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Fernando G\u00f3mez Daza. Valencia, Venezuela &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;<\/p>\n","protected":false},"author":7,"featured_media":37711,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11,13],"tags":[],"class_list":["post-37710","post","type-post","status-publish","format-standard","has-post-thumbnail","","category-secciones-de-colaboradores","category-micopiel"],"_links":{"self":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/37710","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=37710"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/37710\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media\/37711"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=37710"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=37710"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=37710"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}