{"id":7390,"date":"2009-04-17T23:08:47","date_gmt":"2009-04-18T03:08:47","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=7390"},"modified":"2009-04-18T03:09:04","modified_gmt":"2009-04-18T07:09:04","slug":"231-consulta-a-un-colega-n3-lesion-verrugosa-de-cromoblastomicosis-hasta-cuando-el-tratamiento","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/7390","title":{"rendered":"231 &#8211; Consulta a un Colega N\u00ba3: Lesi\u00f3n verrugosa de cromoblastomicosis hasta cuando el tratamiento"},"content":{"rendered":"<p><strong><em>Presentado por Rolando Hern\u00e1ndez P\u00e9rez (m\u00e9dico dermat\u00f3logo), Carmen J.  Bastidas Montilla (m\u00e9dico dermat\u00f3logo), Lendy Paredes de Vega (bionalista  mic\u00f3logo)<br \/>\n Cl\u00ednica Ntra. Se\u00f1ora del Pilar. Barinas\/Venezuela<\/em><\/strong><\/p>\n<p>Paciente de 59 a\u00f1os de edad, oficios del hogar, natural y procedente de  Santa B\u00e1rbara de Barinas, lim\u00edtrofe con Edo. T\u00e1chira; consulta por placa  verrugosa, ovalada de 14 cm longitud mayor, mal olor, localizada en cara  posterior de pierna y tobillo derecho, con 8 a\u00f1os de evoluci\u00f3n  aproximadamente,\u00a0 sin tratamiento.<\/p>\n<p><!--more--><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/04\/13.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-7391\" title=\"13\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/04\/13-168x300.jpg\" alt=\"13\" width=\"168\" height=\"300\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/04\/13-168x300.jpg 168w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/04\/13.jpg 432w\" sizes=\"auto, (max-width: 168px) 100vw, 168px\" \/><\/a><\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/04\/13.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-7391\" title=\"13\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/04\/13-168x300.jpg\" alt=\"13\" width=\"168\" height=\"300\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/04\/13-168x300.jpg 168w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/04\/13.jpg 432w\" sizes=\"auto, (max-width: 168px) 100vw, 168px\" \/><\/a><\/p>\n<p>Diagnostico micol\u00f3gico e histopatol\u00f3gico: CROMOBLASTOMICOSIS<\/p>\n<p>Laboratorio convencional dentro de la normalidad<\/p>\n<p>Laboratorio micol\u00f3gico (KOH y cultivo).<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-7394\" title=\"cromomicosis\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/04\/cromomicosis.jpg\" alt=\"cromomicosis\" width=\"391\" height=\"296\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/04\/cromomicosis.jpg 391w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/04\/cromomicosis-300x227.jpg 300w\" sizes=\"auto, (max-width: 391px) 100vw, 391px\" \/><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<p><strong>Cultivo: <\/strong><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/04\/cromo-cultivo-copy.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-7393\" title=\"cromo-cultivo-copy\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/04\/cromo-cultivo-copy-300x200.jpg\" alt=\"cromo-cultivo-copy\" width=\"300\" height=\"200\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/04\/cromo-cultivo-copy-300x200.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/04\/cromo-cultivo-copy.jpg 768w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/04\/fonsecaea3.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-7395\" title=\"fonsecaea3\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/04\/fonsecaea3-300x200.jpg\" alt=\"fonsecaea3\" width=\"300\" height=\"200\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/04\/fonsecaea3-300x200.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/04\/fonsecaea3.jpg 768w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/04\/fonsecaea9.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-7396\" title=\"fonsecaea9\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/04\/fonsecaea9-300x214.jpg\" alt=\"fonsecaea9\" width=\"300\" height=\"214\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/04\/fonsecaea9-300x214.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/04\/fonsecaea9.jpg 350w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p>Fonsecaea pedrosoi<\/p>\n<p>RX de la zona: dentro de la normalidad.<\/p>\n<p><strong>TRATAMIENTO: <\/strong>Itraconazol 200 mg\/d\u00eda ; actualmente con 17 meses de  tratamiento.(Favor ver foto cl\u00ednica post  17 meses de tratamiento:<\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/04\/dsc01808.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-7397\" title=\"dsc01808\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/04\/dsc01808-168x300.jpg\" alt=\"dsc01808\" width=\"168\" height=\"300\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/04\/dsc01808-168x300.jpg 168w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/04\/dsc01808.jpg 432w\" sizes=\"auto, (max-width: 168px) 100vw, 168px\" \/><\/a><\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/04\/dsc01809.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-7398\" title=\"dsc01809\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/04\/dsc01809-168x300.jpg\" alt=\"dsc01809\" width=\"168\" height=\"300\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/04\/dsc01809-168x300.jpg 168w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/04\/dsc01809.jpg 432w\" sizes=\"auto, (max-width: 168px) 100vw, 168px\" \/><\/a><\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/04\/dsc01811.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-7399\" title=\"dsc01811\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/04\/dsc01811-168x300.jpg\" alt=\"dsc01811\" width=\"168\" height=\"300\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/04\/dsc01811-168x300.jpg 168w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/04\/dsc01811.jpg 432w\" sizes=\"auto, (max-width: 168px) 100vw, 168px\" \/><\/a><\/p>\n<p>Laboratorio micol\u00f3gico (KOH y cultivo) permanecen positivo. <br \/>\n Fonsecaea pedrosoi<\/p>\n<p><strong>Preguntamos:<\/strong><\/p>\n<p><strong> <\/strong><\/p>\n<ol><strong> <\/strong><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<li><strong>\u00bfCuanto tiempo debemos  mantener el tratamiento con Itraconazol?<\/strong><\/li>\n<p><strong> <\/strong><\/p>\n<li><strong>Si queremos cambiar el  tratamiento a Terbinafina\/Lamisil (m\u00e1s econ\u00f3mico) como hacemos el cambio?<\/strong><\/li>\n<p><strong> <\/strong><\/p>\n<li><strong>Existe alguna prueba  (inmunofluorescerncia indirecta) para evaluar la mejor\u00eda del paciente.<\/strong><\/li>\n<p><strong> <\/strong><\/p>\n<\/ol>\n<p><strong> <\/strong><\/p>\n<p><strong>Gracias<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Presentado por Rolando Hern\u00e1ndez P\u00e9rez (m\u00e9dico dermat\u00f3logo), Carmen J. Bastidas Montilla (m\u00e9dico dermat\u00f3logo), Lendy Paredes de Vega (bionalista mic\u00f3logo) Cl\u00ednica Ntra. Se\u00f1ora del Pilar. Barinas\/Venezuela Paciente de 59 a\u00f1os de edad, oficios del hogar, natural y procedente de Santa B\u00e1rbara de Barinas, lim\u00edtrofe con Edo. T\u00e1chira; consulta por placa verrugosa, ovalada de 14 cm longitud &hellip;<\/p>\n","protected":false},"author":16,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[309],"class_list":["post-7390","post","type-post","status-publish","format-standard","","category-generales","tag-cromoblastomicosis"],"_links":{"self":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/7390","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=7390"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/7390\/revisions"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=7390"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=7390"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=7390"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}