{"id":10284,"date":"2020-04-28T06:10:31","date_gmt":"2020-04-28T09:10:31","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/wiki\/patologia-de-histoplasmosis\/"},"modified":"2020-04-30T21:25:32","modified_gmt":"2020-05-01T00:25:32","slug":"patologia-de-histoplasmosis","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/pt\/wiki\/patologia-de-histoplasmosis\/","title":{"rendered":"Patologia da histoplasmose"},"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\">Conte\u00fado<\/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=\"Alternar tabela de conte\u00fado\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Alternar<\/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\/pt\/wiki\/patologia-de-histoplasmosis\/#Histologia-de-histoplasmosis\" >Histolog\u00eda de histoplasmosis<\/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\/pt\/wiki\/patologia-de-histoplasmosis\/#Patologia-de-histoplasmosis\" >Patologia da histoplasmose<\/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\/pt\/wiki\/patologia-de-histoplasmosis\/#Manchas-especiales-para-histoplasmosis\" >Manchas especiales para histoplasmosis.<\/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\/pt\/wiki\/patologia-de-histoplasmosis\/#Diagnostico-diferencial-de-histoplasmosis-patologia\" >Diagn\u00f3stico diferencial de histoplasmosis patolog\u00eda<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<p>La histoplasmosis es causada por Histoplasma capsulatum, un hongo dimorfo. Se distribuye en todo el mundo y <span class=\"term\" data-term-id=\"1676\">predominante<\/span> en ciertas regiones de Am\u00e9rica del Norte y Central. <span class=\"term\" data-term-id=\"47\">Cut\u00e2neo<\/span> Se informa que las manifestaciones ocurren en 10% a 25% de los pacientes con SIDA con <span class=\"term\" data-term-id=\"67\">disseminado<\/span> histoplasmosis<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Histologia-de-histoplasmosis\"><\/span>\n<span class=\"term\" data-term-id=\"128\">Histologia<\/span> de histoplasmosis<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>El examen histopatol\u00f3gico de histoplasmosis revela un denso <span class=\"term\" data-term-id=\"52\">d\u00e9rmico<\/span> <span class=\"term\" data-term-id=\"541\">infiltrar<\/span> bajo un atenuado o sin complicaciones <span class=\"term\" data-term-id=\"85\">epiderme<\/span> (Figura 1). En el poder superior, se revela que el infiltrado contiene numerosos <span class=\"term\" data-term-id=\"1513\">plasma<\/span> c\u00e9lulas <span class=\"term\" data-term-id=\"858\">histi\u00f3citos<\/span> e <span class=\"term\" data-term-id=\"421\">linf\u00f3citos<\/span> (Figura 2). Dependiendo del estado de la <span class=\"term\" data-term-id=\"1313\">hospedeiro<\/span> y la etapa de las lesiones puede ser extensa <span class=\"term\" data-term-id=\"1718\">granulomas<\/span>. Acompa\u00f1ando al infiltrado hay numerosas formas de levadura en ciernes, predominantemente dentro de los histiocitos, y pocas <span class=\"term\" data-term-id=\"883\">organismos<\/span> residiendo extracelularmente Un espacio despejado o &#8220;halo&#8221; artificial puede ser evidente debido a la retracci\u00f3n de la <span class=\"term\" data-term-id=\"446\">basof\u00edlico<\/span> c\u00e9lula f\u00fangica <span class=\"term\" data-term-id=\"838\">citoplasma<\/span> de la pared celular mal te\u00f1ida (figura 2, flecha). GMS confirma la presencia de numerosas esporas f\u00fangicas de 2\u20134 \u03bcm compatibles con Histoplasma capsulatum (figura 3).<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Patologia-de-histoplasmosis\"><\/span>Patologia da histoplasmose<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='histoplasmosis-figure-1__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildgyxq-3980329-6548873' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/histoplasmosis-figure-1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDgyXQ-3980329.jpg'>\n<\/div>\n<p class=\"p-small\">figura 1<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='histoplasmosis-figure-2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-1000608-9558203' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/histoplasmosis-figure-2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-1000608.jpg'>\n<\/div>\n<p class=\"p-small\">Figura 2<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='histoplasmosis-figure-3__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-5424303-5677644' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/histoplasmosis-figure-3__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-5424303.jpg'>\n<\/div>\n<p class=\"p-small\">Figura 3<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<h2><span class=\"ez-toc-section\" id=\"Manchas-especiales-para-histoplasmosis\"><\/span>Manchas especiales para histoplasmosis.<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>En histoplasmosis, a menudo se requieren GMS y PAS para ayudar a ilustrar las levaduras caracter\u00edsticas. Esto es especialmente \u00fatil en inmunocompetentes <span class=\"term\" data-term-id=\"1314\">Anfitri\u00f5es<\/span> con un r\u00e1pido <span class=\"term\" data-term-id=\"490\">inflamat\u00f3rio<\/span> resposta.<\/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=\"Diagnostico-diferencial-de-histoplasmosis-patologia\"><\/span>\n<span class=\"term\" data-term-id=\"813\">Diagn\u00f3stico diferencial<\/span> de histoplasmosis <span class=\"term\" data-term-id=\"223\">patologia<\/span><br \/>\n<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Cryptococcus y blastomicosis: la positividad de la mucicarmina discrimina al crytococcus de estos otros organismos. La blastomicosis es mucho m\u00e1s grande <span class=\"term\" data-term-id=\"882\">organismo<\/span> y carece del halo t\u00edpico visto alrededor de las formas de histoplasmosis. La blastomicosis generalmente provoca un r\u00e1pido <span class=\"term\" data-term-id=\"846\">epid\u00e9rmico<\/span> resposta.<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>La histoplasmosis es causada por Histoplasma capsulatum, un hongo dimorfo. Se distribuye en todo el mundo y predominante en ciertas regiones de Am\u00e9rica del Norte y Central. Cut\u00e1neo Se informa&#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-10284","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones","tag-patologia"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/wiki\/10284","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/wiki"}],"about":[{"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/types\/wiki"}],"author":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/comments?post=10284"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/wiki\/10284\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/media?parent=10284"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/categories?post=10284"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/tags?post=10284"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}