{"id":6784,"date":"2020-04-23T03:49:31","date_gmt":"2020-04-23T06:49:31","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/botriomicosis-2\/"},"modified":"2020-04-27T16:53:15","modified_gmt":"2020-04-27T19:53:15","slug":"botryomycosis-2","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/en\/wiki\/botriomicosis-2\/","title":{"rendered":"Botryomycosis"},"content":{"rendered":"<p><\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_89 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/botriomicosis-2\/#%C2%BFQue-es-la-botriomicosis\" >What is botryomycosis?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/botriomicosis-2\/#%C2%BFQue-causa-la-botriomicosis\" >What causes botryomycosis?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/botriomicosis-2\/#%C2%BFCuales-son-las-caracteristicas-clinicas-de-la-botriomicosis\" >What are the clinical features of botryomycosis?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/botriomicosis-2\/#%C2%BFComo-se-hace-el-diagnostico-de-botriomicosis\" >How is the diagnosis of botryomycosis made?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/botriomicosis-2\/#%C2%BFCual-es-el-tratamiento-para-la-botriomicosis\" >What is the treatment for botryomycosis?<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-es-la-botriomicosis\"><\/span>What is botryomycosis?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Botryomycosis is a <span class=\"term\" data-term-id=\"319\">chronic<\/span> <span class=\"term\" data-term-id=\"490\">inflammatory<\/span> answer to a <span class=\"term\" data-term-id=\"937\">bacterial<\/span> <span class=\"term\" data-term-id=\"145\">infection<\/span> involving the skin and sometimes the internal organs.<\/p>\n<p>Botryomycosis is a rare condition, with few cases reported worldwide. Because it is so rare, there is confusion in the literature about the classification and definition of the disease. Some authors have suggested that <span class=\"term\" data-term-id=\"47\">cutaneous<\/span> botryomycosis is a subtype of <span class=\"term\" data-term-id=\"1626\">pyoderma<\/span> vegetans, and propose these two conditions should be classified together.<\/p>\n<p>The name is misleading; Botryomycosis is a bacterial infection rather than a fungal infection. &quot;Botryo&quot; is a Latin term for &quot;bunch of grapes&quot;. Other authors have suggested that actinomycosis and botryomycosis should be classified under the single term &quot;granular bacteriosis&quot;.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-causa-la-botriomicosis\"><\/span>What causes botryomycosis?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><em>Staphylococcus aureus<\/em> is the most commonly implicated, followed by <em>Pseudomonas aeruginosa<\/em>. Various others <span class=\"term\" data-term-id=\"935\">bacteria<\/span> how <em>Proteus<\/em> or <em>Escherichia coli<\/em> They have also been isolated.<\/p>\n<p>Some form of <span class=\"term\" data-term-id=\"1365\">trauma<\/span>, surgery, or the presence of a foreign body generally precedes infection. Botryomycosis is more likely to occur in immunodeficient patients, such as those with <span class=\"term\" data-term-id=\"127\">HIV<\/span> infection, alcoholism, <span class=\"term\" data-term-id=\"1306\">cystic<\/span> <span class=\"term\" data-term-id=\"102\">fibrosis<\/span>, prolonged use of corticosteroids and diabetes mellitus.<\/p>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\">\n<div class=\"box-placement square-placement\">\n<div class=\"advert__frame\">\n<div id=\"dermnet-dermnet-mobbox\">\n<\/div><\/div><\/div><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCuales-son-las-caracteristicas-clinicas-de-la-botriomicosis\"><\/span>What are the clinical features of botryomycosis?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Botryomycosis most commonly affects the skin and occurs as <span class=\"term\" data-term-id=\"900\">subcutaneous<\/span> <span class=\"term\" data-term-id=\"367\">nodules<\/span>large abscesses <span class=\"term\" data-term-id=\"299\">warty<\/span> injuries <span class=\"term\" data-term-id=\"1279\">ulcers<\/span>, <span class=\"term\" data-term-id=\"509\">fistulas<\/span> and breasts with <span class=\"term\" data-term-id=\"1182\">purulent<\/span> <span class=\"term\" data-term-id=\"840\">download<\/span>. Lesions generally develop over several months and can drain pus. The pus may contain small yellow sulfur-like &quot;grains&quot; <span class=\"term\" data-term-id=\"520\">granules<\/span> actinomycosis.<\/p>\n<p>The infection can spread to subcutaneous tissues, muscles, and bones.<\/p>\n<p>Botryomycosis rarely affects the internal organs. The lungs are the most commonly infected and there is generally a predisposing factor such as surgery or impaired immunity.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFComo-se-hace-el-diagnostico-de-botriomicosis\"><\/span>How is the diagnosis of botryomycosis made?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Botryomycosis can be difficult to diagnose. Diagnosis depends on high clinical suspicion along with <span class=\"term\" data-term-id=\"867\">microscopy<\/span>\/ \/<span class=\"term\" data-term-id=\"837\">culture<\/span> to identify typical bacteria and pimples on swabs taken from pus or on the skin <span class=\"term\" data-term-id=\"24\">biopsy<\/span>.<\/p>\n<p>The sulfur granules seen in botryomycosis contain bacteria surrounded by a <span class=\"term\" data-term-id=\"449\">eosinophilic<\/span> matrix with club-type projections. This histological appearance is commonly known as the Splendore-Hoeppli phenomenon and can be seen using Gram stain, Giemsa stain, or silver stain.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCual-es-el-tratamiento-para-la-botriomicosis\"><\/span>What is the treatment for botryomycosis?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Botryomycosis is treated with:<\/p>\n<ul>\n<li>Long-term antibiotics, depending on the bacteria identified, include trimethoprim-sulfamethoxazole, oral clindamycin, cephalexin, doxycycline, and erythromycin.<\/li>\n<li>Surgical drainage and <span class=\"term\" data-term-id=\"606\">debridement<\/span>\n<\/li>\n<li>\n<span class=\"term\" data-term-id=\"1617\">To be<\/span> vaporization<\/li>\n<\/ul>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>\u00bfQu\u00e9 es la botriomicosis? La botriomicosis es un cr\u00f3nico inflamatorio respuesta a un bacteriano infecci\u00f3n involucrando la piel y, a veces, los \u00f3rganos internos. La botriomicosis es una condici\u00f3n rara,&#8230;<\/p>","protected":false},"author":8,"featured_media":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","format":"standard","meta":{"footnotes":""},"categories":[204],"tags":[],"class_list":["post-6784","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/6784","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki"}],"about":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/types\/wiki"}],"author":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/comments?post=6784"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/6784\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/media?parent=6784"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/categories?post=6784"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/tags?post=6784"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}