{"id":6534,"date":"2020-04-22T03:28:03","date_gmt":"2020-04-22T06:28:03","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/patologia-de-coccidioidomicosis\/"},"modified":"2020-05-03T18:25:07","modified_gmt":"2020-05-03T21:25:07","slug":"patologia-da-coccidioidomicose","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/pt\/wiki\/patologia-de-coccidioidomicosis\/","title":{"rendered":"Patologia da coccidioidomicose"},"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\">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-coccidioidomicosis\/#Introduccion\" >Introdu\u00e7\u00e3o<\/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\/pt\/wiki\/patologia-de-coccidioidomicosis\/#Histologia-de-coccidioidomicosis\" >Histologia da coccidioidomicose<\/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-3\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/patologia-de-coccidioidomicosis\/#Patologia-de-coccidioidomicosis\" >Patologia da coccidioidomicose<\/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-4\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/patologia-de-coccidioidomicosis\/#Manchas-especiales-para-coccidioidomicosis\" >Pontos especiais para coccidioidomicose.<\/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\/pt\/wiki\/patologia-de-coccidioidomicosis\/#Diagnostico-diferencial-de-coccidioidomicosis-patologia\" >Diagn\u00f3stico diferencial da patologia da coccidioidomicose<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<h2><span class=\"ez-toc-section\" id=\"Introduccion\"><\/span>Introdu\u00e7\u00e3o<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><em>Coccidioidomicose immitis<\/em> \u00c9 um fungo dim\u00f3rfico que ocorre quase exclusivamente em residentes ou visitantes do sudoeste dos Estados Unidos. <span class=\"term\" data-term-id=\"47\">Cut\u00e2neo<\/span> les\u00f5es contendo o <span class=\"term\" data-term-id=\"883\">organismos<\/span> no <span class=\"term\" data-term-id=\"24\">bi\u00f3psia<\/span> pode ser a apresenta\u00e7\u00e3o <span class=\"term\" data-term-id=\"899\">placa<\/span> do <span class=\"term\" data-term-id=\"67\">disseminado<\/span> coccidioidomicose. A difus\u00e3o \u00e9 tipicamente vista no <span class=\"term\" data-term-id=\"1699\">imunossuprimido<\/span>.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Histologia-de-coccidioidomicosis\"><\/span>\n<span class=\"term\" data-term-id=\"128\">Histologia<\/span> coccidioidomicose<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Na coccidioidomicose, h\u00e1 grande quantidade de <span class=\"term\" data-term-id=\"247\">pseudoepiteliomatoso<\/span> <span class=\"term\" data-term-id=\"136\">hiperplasia<\/span> e <span class=\"term\" data-term-id=\"1076\">granulomatoso<\/span> <span class=\"term\" data-term-id=\"52\">d\u00e9rmico<\/span> <span class=\"term\" data-term-id=\"148\">inflama\u00e7\u00e3o<\/span> (Figura 1). Muitas vezes, \u00e9 necess\u00e1ria uma pesquisa cuidadosa para encontrar esf\u00e9rulas (100 \u00b5m) contendo endosporos (at\u00e9 5 \u00b5m) em alta pot\u00eancia (Figuras 2, 3, a seta indica esferulas). A volta <span class=\"term\" data-term-id=\"541\">infiltrar<\/span> muitas vezes \u00e9 rico em <span class=\"term\" data-term-id=\"319\">cr\u00f4nica<\/span> <span class=\"term\" data-term-id=\"490\">inflamat\u00f3rio<\/span> c\u00e9lulas <span class=\"term\" data-term-id=\"448\">eosin\u00f3filos<\/span>, <span class=\"term\" data-term-id=\"196\"><span class=\"term\" data-term-id=\"442\">neutr\u00f3filos<\/span><\/span>  e inflama\u00e7\u00e3o granulomatosa.<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Patologia-de-coccidioidomicosis\"><\/span>Patologia da coccidioidomicose<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='coccidioidomicose-figura-1__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-4257064-4822726' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/coccidioidomycosis-figure-1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-4257064.jpg'>\n<\/div>\n<p class=\"p-small\">figura 1<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='coccidioidomicose-figura-2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-9243708-1104227' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/coccidioidomycosis-figure-2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-9243708.jpg'>\n<\/div>\n<p class=\"p-small\">Figura 2<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='coccidioidomicose-figura-3__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-5605572-9703040' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/coccidioidomycosis-figure-3__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-5605572.jpg'>\n<\/div>\n<p class=\"p-small\">Figura 3<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\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=\"Manchas-especiales-para-coccidioidomicosis\"><\/span>Pontos especiais para coccidioidomicose.<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>As prepara\u00e7\u00f5es de colora\u00e7\u00e3o com prata destacam os organismos da coccidioidomicose. Os endosporos s\u00e3o PAS positivos, mas as esf\u00e9rulas s\u00e3o negativas.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Diagnostico-diferencial-de-coccidioidomicosis-patologia\"><\/span>\n<span class=\"term\" data-term-id=\"813\">Diagn\u00f3stico diferencial<\/span> coccidioidomicose <span class=\"term\" data-term-id=\"223\">patologia<\/span><br \/>\n<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Blastomicose ou Paracoccidioidomicose: A coccidioidomicose fragmentada ou imatura pode se assemelhar a essas outras infec\u00e7\u00f5es. <span class=\"term\" data-term-id=\"837\">Cultura<\/span> ou <span class=\"term\" data-term-id=\"942\">PCR<\/span> Pode ser \u00fatil em casos dif\u00edceis.<\/p>\n<p><span class=\"term\" data-term-id=\"270\">Escamoso<\/span> c\u00e9lula <span class=\"term\" data-term-id=\"32\">carcinoma<\/span>, halogenoderma, micobact\u00e9rias <span class=\"term\" data-term-id=\"145\">infec\u00e7\u00e3o<\/span> - O enorme <span class=\"term\" data-term-id=\"846\">epid\u00e9rmico<\/span> A hiperplasia que frequentemente acompanha a coccidioidomicose pode causar confus\u00e3o diagn\u00f3stica com esses outros processos patol\u00f3gicos.<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>Introducci\u00f3n Coccidioidomicosis immitis es un hongo dimorfo que ocurre casi exclusivamente en residentes o visitantes del suroeste de los Estados Unidos. Cut\u00e1neo lesiones que contienen el organismos en biopsia puede&#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-6534","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones","tag-patologia"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/wiki\/6534","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=6534"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/wiki\/6534\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/media?parent=6534"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/categories?post=6534"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/tags?post=6534"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}