{"id":7626,"date":"2020-04-25T05:59:22","date_gmt":"2020-04-25T08:59:22","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/candidiasis-patologia-2\/"},"modified":"2020-04-30T21:09:03","modified_gmt":"2020-05-01T00:09:03","slug":"candidiasis-patologia-2","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/en\/wiki\/candidiasis-patologia-2\/","title":{"rendered":"Candidiasis pathology"},"content":{"rendered":"<p><\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_88 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\/candidiasis-patologia-2\/#Histologia-de-candidiasis\" >Candidiasis histology<\/a><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/candidiasis-patologia-2\/#Candidiasis-patologia\" >Candidiasis pathology<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/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\/candidiasis-patologia-2\/#Manchas-especiales-para-candidiasis\" >Special spots for candidiasis.<\/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\/candidiasis-patologia-2\/#Diagnostico-diferencial-de-candidiasis-patologia\" >Differential diagnosis of candidiasis pathology<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<p>Candida albicans is the most frequent Candida species that infects humans. Is <span class=\"term\" data-term-id=\"882\">organism<\/span> it is a yeast-like fungus with budding and filamentous forms (pseudohyphal and hyphal). It can cause a wide range of clinical manifestations ranging from mild <span class=\"term\" data-term-id=\"349\">acute<\/span> superficial to fatal infections <span class=\"term\" data-term-id=\"67\">disseminated<\/span> disease. Disseminated candidiasis is seen almost exclusively in acquired or inherited immunodeficiencies. Superficial candidiasis is the most common form.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Histologia-de-candidiasis\"><\/span>\n<span class=\"term\" data-term-id=\"128\">Histology<\/span> of yeast infection<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>In candidiasis, sections show predominantly <span class=\"term\" data-term-id=\"528\">spongy<\/span> changes in the <span class=\"term\" data-term-id=\"85\">epidermis<\/span> with irregular <span class=\"term\" data-term-id=\"2\">acanthosis<\/span>mild <span class=\"term\" data-term-id=\"269\">spongiosis<\/span> and <span class=\"term\" data-term-id=\"490\">inflammatory<\/span> changes (figure 1). In the superficial epidermis, the characteristic feature is the presence of <span class=\"term\" data-term-id=\"196\"><span class=\"term\" data-term-id=\"442\">neutrophils<\/span><\/span>  at <span class=\"term\" data-term-id=\"273\">stratum corneum<\/span> and upper layers of the epidermis. Neutrophils can form small collections (spongiform postulation) that resembles impetigo or psoriasis (Figure 2).<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Candidiasis-patologia\"><\/span>Candidiasis pathology<span class=\"ez-toc-section-end\"><\/span><\/h5>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='candidiasis-figure-1__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-8475206-9324388' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/candidiasis-figure-1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-8475206.jpg'>\n<\/div>\n<p class=\"p-small\">Figure 1<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='candidiasis-figure-2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-7217879-5745375' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/candidiasis-figure-2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-7217879.jpg'>\n<\/div>\n<p class=\"p-small\">Figure 2<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='candidiasis-figure-3__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-5401945-9392180' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/candidiasis-figure-3__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-5401945.jpg'>\n<\/div>\n<p class=\"p-small\">figure 3<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<h2><span class=\"ez-toc-section\" id=\"Manchas-especiales-para-candidiasis\"><\/span>Special spots for candidiasis.<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Special stains to demonstrate the yeast forms are essential in yeast infection.<\/p>\n<ul>\n<li>Silver staining with Gomori methanamine (GMS). The stain highlights the pseudohyphal or hyphal forms (figure 3, arrows) that penetrate the keratinized. <span class=\"term\" data-term-id=\"87\">epithelium<\/span>. In addition, there are yeast forms in the superficial stratum corneum (Figure 3, red arrowhead).<\/li>\n<li>PAS staining can also be used to highlight <span class=\"term\" data-term-id=\"883\">organisms<\/span>.<\/li>\n<\/ul>\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=\"Diagnostico-diferencial-de-candidiasis-patologia\"><\/span>\n<span class=\"term\" data-term-id=\"813\">Differential diagnosis<\/span> of yeast infection <span class=\"term\" data-term-id=\"223\">pathology<\/span><br \/>\n<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span class=\"term\" data-term-id=\"792\">Pustular<\/span> psoriasis, <span class=\"term\" data-term-id=\"1056\">subcorneal<\/span> generalized subcorneal acute pustolosis <span class=\"term\" data-term-id=\"1130\">pustulosis<\/span> - Spongiform postulation can also be seen under these conditions. Special spots should be carefully examined in cases of psoriasis to exclude a fungus <span class=\"term\" data-term-id=\"1544\">etiology<\/span>.<\/p>\n<p>Impetigo: Spongiform postulation is a hallmark of impetigo. Gram stain can highlight <span class=\"term\" data-term-id=\"937\">bacterial<\/span> impetigo colonies that GMS and PAS stains will not reveal fungal forms.<\/p>\n<p>Dermatofitosis: la postulaci\u00f3n espongiforme es un sello distintivo de tinea cruris y corporis. Las manchas especiales muestran hifas septadas sin las levaduras en ciernes de candida. La distinci\u00f3n a veces puede ser dif\u00edcil. Candida a menudo penetra el epitelio queratinizado (figura 3) en lugar de la dermatofitosis, que generalmente afecta solo al estrato c\u00f3rneo.<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>Candida albicans es la especie m\u00e1s frecuente de Candida que infecta a humanos. Esta organismo es un hongo similar a la levadura con formas incipientes y filamentosas (pseudohyphal e hifal)&#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":[205],"class_list":["post-7626","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones","tag-patologia"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/7626","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=7626"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/7626\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/media?parent=7626"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/categories?post=7626"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/tags?post=7626"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}