{"id":7442,"date":"2020-04-24T12:38:47","date_gmt":"2020-04-24T15:38:47","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/infecciones-bacterianas-de-la-piel\/"},"modified":"2020-04-27T16:20:32","modified_gmt":"2020-04-27T19:20:32","slug":"infeccoes-bacterianas-da-pele","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/pt\/wiki\/infecciones-bacterianas-de-la-piel\/","title":{"rendered":"Infec\u00e7\u00f5es bacterianas da pele"},"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\/infecciones-bacterianas-de-la-piel\/#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\/infecciones-bacterianas-de-la-piel\/#%C2%BFQue-bacterias-causan-infeccion-de-la-piel\" >Quais bact\u00e9rias causam infec\u00e7\u00e3o na pele?<\/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\/pt\/wiki\/infecciones-bacterianas-de-la-piel\/#%C2%BFQue-pruebas-deben-hacerse\" >Quais testes devem ser feitos?<\/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\/infecciones-bacterianas-de-la-piel\/#%C2%BFComo-se-tratan-las-infecciones-bacterianas\" >Como s\u00e3o tratadas as infec\u00e7\u00f5es bacterianas?<\/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>Alguns <span class=\"term\" data-term-id=\"935\">bact\u00e9rias<\/span> eles vivem na pele normal e n\u00e3o causam danos, como algumas esp\u00e9cies de Staphylococcus, Corynebacterium spp., Brevibacterium spp e Acinetobacter. Propionibact\u00e9rias vivem no <span class=\"term\" data-term-id=\"122\">cabelo<\/span> <span class=\"term\" data-term-id=\"1301\">fol\u00edculos<\/span> da pele adulta e contribuir para a acne. Veja a p\u00e1gina DermNet em <span class=\"term\" data-term-id=\"1702\">microrganismos<\/span> encontrado na pele.<\/p>\n<p>Algumas bact\u00e9rias invadem a pele normal, pele quebrada por <span class=\"term\" data-term-id=\"491\">eczema<\/span>\/ \/<span class=\"term\" data-term-id=\"53\">dermatite<\/span> ou feridas (causando feridas <span class=\"term\" data-term-id=\"145\">infec\u00e7\u00e3o<\/span>) Bact\u00e9rias, como v\u00edrus, tamb\u00e9m podem causar erup\u00e7\u00f5es cut\u00e2neas (erup\u00e7\u00f5es cut\u00e2neas).<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-bacterias-causan-infeccion-de-la-piel\"><\/span>Quais bact\u00e9rias causam infec\u00e7\u00e3o na pele? <span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Staphylococcus aureus <\/p>\n<ul>\n<li>Foliculite<\/li>\n<li>\n<p>Fur\u00fanculos (fur\u00fanculos) e abscessos\n<\/li>\n<li>\n<p>Impetigo (feridas na escola) e ectima\n<\/li>\n<li>Estafilococo resistente \u00e0 meticilina (meticilina). aureus<\/li>\n<li>Pele escaldada estafiloc\u00f3cica <span class=\"term\" data-term-id=\"350\">s\u00edndrome<\/span><\/li>\n<li><span class=\"term\" data-term-id=\"1159\">T\u00f3xico<\/span> s\u00edndrome de choque<\/li>\n<li>Piomiosite tropical<\/li>\n<li>Botriomicose<span class=\"term\" data-term-id=\"1626\">pioderma<\/span> vegetans)<\/li>\n<\/ul>\n<p>Streptococcus pyogenes<\/p>\n<ul>\n<li>Celulite<\/li>\n<li>Erisipela<\/li>\n<li>Impetigo<\/li>\n<li><span class=\"term\" data-term-id=\"1411\">Necrotizante<\/span> fasce\u00edte<\/li>\n<li>Infeccioso <span class=\"term\" data-term-id=\"1286\">gangrena<\/span><\/li>\n<li>Escarlate <span class=\"term\" data-term-id=\"1176\">febre<\/span><\/li>\n<li>Febre reum\u00e1tica, <span class=\"term\" data-term-id=\"90\">eritema<\/span> marginatum<\/li>\n<\/ul>\n<p>Esp\u00e9cies de Corynebacterium <\/p>\n<ul>\n<li>Eritrasma<\/li>\n<li>Cerat\u00f3lise desossada<\/li>\n<li>Tricomicose axilar<\/li>\n<\/ul>\n<p>Bact\u00e9rias menos comuns tamb\u00e9m podem causar infec\u00e7\u00e3o com sinais na pele. Esses incluem:<\/p>\n<ul>\n<li>Esp\u00e9cies de Neisseria, causa de gonorr\u00e9ia e doen\u00e7a meningoc\u00f3cica\n<\/li>\n<li>\n<em>Erysipelothrix insidiosa<\/em>, a causa do erisipeloide (geralmente uma infec\u00e7\u00e3o animal)<\/li>\n<li>Esp\u00e9cies de Haemophilus, a causa de cancr\u00f3ide e celulite em crian\u00e7as pequenas<\/li>\n<li>\n<em>Helicobacter pylori<\/em>, uma infec\u00e7\u00e3o no est\u00f4mago, que pode estar associada a alguns casos de <span class=\"term\" data-term-id=\"319\">cr\u00f4nica<\/span> <span class=\"term\" data-term-id=\"1646\">urtic\u00e1ria<\/span> e ros\u00e1cea\n<\/li>\n<li>\n<em>Klebsiella rhinoscleromatis<\/em>, a causa do rinoscleroma\n<\/li>\n<li>\n<em>Mycoplasma pneumoniae<\/em>, uma causa de pneumonia, causa eritema inespec\u00edfico, <span class=\"term\" data-term-id=\"498\">bolhoso<\/span> <span class=\"term\" data-term-id=\"1015\">erup\u00e7\u00f5es cut\u00e2neas<\/span>, <span class=\"term\" data-term-id=\"293\">urtic\u00e1ria<\/span> erup\u00e7\u00f5es cut\u00e2neas, eritema multiforme, <span class=\"term\" data-term-id=\"1805\">mucosite<\/span> e raramente SJS \/ RTE\n<\/li>\n<li>\n<em>Pseudomonas aeruginosa<\/em> causa infec\u00e7\u00f5es de feridas, p\u00e9 de atleta, cr\u00f4nico, negativo, foliculite <span class=\"term\" data-term-id=\"220\">paron\u00edquia<\/span> (s\u00edndrome das unhas verdes), foliculite da piscina do spa e ectima gangrenoso\n<\/li>\n<li>\n<em>Calymmatobacterium granulomatis<\/em>, A causa de <span class=\"term\" data-term-id=\"113\">granuloma<\/span> gemido\n<\/li>\n<li>\n<em>Bacillus anthracis<\/em>, a causa do antraz\n<\/li>\n<li>\n<em>Clostridium perfringens<\/em> e outras esp\u00e9cies causam gangrena gasosa\n<\/li>\n<li>\n<em>Listeria monocytogenes<\/em> raramente causa <span class=\"term\" data-term-id=\"47\">cut\u00e2neo<\/span> listeriose<\/li>\n<li>Esp\u00e9cies de Treponema causam s\u00edfilis, guinadas e pinta\n<\/li>\n<li>Esp\u00e9cies de Bartonella causam febre de arranh\u00f5es em gatos, <span class=\"term\" data-term-id=\"1347\">angiomatose<\/span>, Doen\u00e7a de Carrion e bartonelose<\/li>\n<li>As esp\u00e9cies de Mycobacterium causam tuberculose, hansen\u00edase e <span class=\"term\" data-term-id=\"1395\">at\u00edpico<\/span> infec\u00e7\u00f5es micobacterianas, incluindo Buruli <span class=\"term\" data-term-id=\"290\">\u00falcera<\/span>\n<\/li>\n<li>Leptospira, a causa da leptospirose, que pode causar sangramento na pele (<span class=\"term\" data-term-id=\"250\">roxa<\/span>)<\/li>\n<li>\n<p>Nocardia, a causa da nocardiose.<\/li>\n<li>\n<em>Yersinia pestis<\/em>, a causa da peste bub\u00f4nica, que causa inflama\u00e7\u00e3o dos g\u00e2nglios linf\u00e1ticos e <span class=\"term\" data-term-id=\"1016\">p\u00fastulas<\/span>, <span class=\"term\" data-term-id=\"1279\">\u00falceras<\/span> e crostas na pele<\/li>\n<li>\n<em>Serratia marcescens<\/em>, praticante <span class=\"term\" data-term-id=\"1181\">anaer\u00f3bico<\/span> bacilos gram-negativos que raramente podem causar infec\u00e7\u00f5es de pele como celulite, abscessos e \u00falceras; geralmente em pacientes com imunodefici\u00eancia.<\/li>\n<li>Esp\u00e9cies de Fusobacterium, <em>Bacilo <\/em>fusiformis, <em>Treponema vincenti<\/em> e outras bact\u00e9rias podem causar \u00falcera tropical\n<\/li>\n<li>Esp\u00e9cies de Burkholderia, causa de melioidose e gl\u00e2ndulas, nas quais os abscessos podem estar associados a <span class=\"term\" data-term-id=\"380\">sist\u00eamico<\/span> sintomas<\/li>\n<li>Actinomyces, a causa da actinomicose, na qual ocorre bacteriose granular, com abscessos e <span class=\"term\" data-term-id=\"267\">seio<\/span> setores que drenam amarelo enxofre <span class=\"term\" data-term-id=\"520\">gr\u00e2nulos<\/span>.<\/li>\n<li>\n<em>Vibrio vulnificus<\/em>, uma causa de <span class=\"term\" data-term-id=\"1164\">s\u00e9ptico<\/span> choque caracterizado por bolhas cheias de sangue.<\/li>\n<li>Esp\u00e9cies de Brucella, a causa da brucelose, uma <span class=\"term\" data-term-id=\"1050\">febril<\/span> doen\u00e7a capturada em animais n\u00e3o vacinados ou no leite n\u00e3o pasteurizado.<\/li>\n<li>Esp\u00e9cies de Salmonella, particularmente <em>S. typhi<\/em> (febre tifoide)<\/li>\n<li>\n<p>As esp\u00e9cies de Aeromonas, encontradas na \u00e1gua, raramente causam pele e <span class=\"term\" data-term-id=\"1183\">Tecido macio<\/span> infec\u00e7\u00f5es<\/li>\n<\/ul>\n<p>Transmitido por carrapato <span class=\"term\" data-term-id=\"937\">bacteriano<\/span> infec\u00e7\u00f5es incluem:<\/p>\n<ul>\n<li>\n<p>Doen\u00e7a de Lyme, devido a <em>Borrelia burgdorferi<\/em>\n<\/li>\n<li>\n<p>Febre recorrente devido a <em>Babesia microti<\/em>\n<\/li>\n<li>\n<p>Tularemia, devido a <em>Francisella tularensis<\/em>\n<\/li>\n<li>\n<p>Doen\u00e7as Rickettsiais (algumas tamb\u00e9m transmitidas por piolhos, pulgas, mosquitos e <span class=\"term\" data-term-id=\"1312\">\u00c1caros<\/span>)<\/li>\n<li>\n<p>Erliquiose e anaplasmose.<\/li>\n<\/ul>\n<p>Outras condi\u00e7\u00f5es \u00e0s vezes causadas ou associadas a uma infec\u00e7\u00e3o bacteriana incluem:<\/p>\n<ul>\n<li>\n<p>Doen\u00e7a de Kawasaki (<span class=\"term\" data-term-id=\"1019\">mucocut\u00e2neo<\/span> <span class=\"term\" data-term-id=\"1774\">linfonodo<\/span> s\u00edndrome)<\/li>\n<li>\n<p>Pseudofolliculite da barba (incha\u00e7os de barbear)<\/li>\n<li>Sarcoidose<\/li>\n<li>Foliculite do couro cabeludo<\/li>\n<li>\n<p>N\u00f3dulos de Osler e les\u00f5es de Janeway (bact\u00e9rias <span class=\"term\" data-term-id=\"547\">endocardite<\/span>)<\/li>\n<li>\n<p>Vaginite e vaginose bacteriana.<\/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=\"%C2%BFQue-pruebas-deben-hacerse\"><\/span>Quais testes devem ser feitos?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Os exames laboratoriais para infec\u00e7\u00f5es bacterianas podem incluir:<\/p>\n<ul>\n<li>Hemograma completo: a infec\u00e7\u00e3o bacteriana geralmente aumenta a contagem de gl\u00f3bulos brancos com um aumento <span class=\"term\" data-term-id=\"196\"><span class=\"term\" data-term-id=\"442\">neutr\u00f3filos<\/span><\/span>\n<\/li>\n<li>\n<span class=\"term\" data-term-id=\"946\">prote\u00edna C-reativa<\/span> (<span class=\"term\" data-term-id=\"947\">CRP<\/span>): elevado&gt; 50 em infec\u00e7\u00f5es bacterianas graves<\/li>\n<li>Procalcitonina: marcador de exame de sangue para <span class=\"term\" data-term-id=\"308\">generalizado<\/span> <span class=\"term\" data-term-id=\"263\"><span class=\"term\" data-term-id=\"1165\">septicemia<\/span><\/span>  devido a infec\u00e7\u00e3o bacteriana<\/li>\n<li>\n<span class=\"term\" data-term-id=\"621\">Sorologia<\/span>: testes com dez dias de intervalo para determinar a resposta imune a um determinado <span class=\"term\" data-term-id=\"882\">organismo<\/span>\n<\/li>\n<li>\n<span class=\"term\" data-term-id=\"941\">Rea\u00e7\u00e3o em cadeia da polimerase<\/span> (<span class=\"term\" data-term-id=\"942\">PCR<\/span>) e testes ELISA para certos <span class=\"term\" data-term-id=\"883\">organismos<\/span>\n<\/li>\n<li>Sangue <span class=\"term\" data-term-id=\"837\">cultura<\/span>: se febre alta&gt; 38C<\/li>\n<li>Uma amostra do local inflamado, como garganta, les\u00f5es de pele para cultura.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFComo-se-tratan-las-infecciones-bacterianas\"><\/span>Como s\u00e3o tratadas as infec\u00e7\u00f5es bacterianas?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Infec\u00e7\u00f5es bacterianas menores podem resolver sem tratamento. No entanto, infec\u00e7\u00f5es bacterianas graves e persistentes s\u00e3o tratadas com antibi\u00f3ticos. Estes est\u00e3o dispon\u00edveis para <span class=\"term\" data-term-id=\"324\">localizado<\/span> <span class=\"term\" data-term-id=\"1330\">atual<\/span> uso (cremes, g\u00e9is, solu\u00e7\u00f5es), como antibi\u00f3ticos para acne ou como tratamento sist\u00eamico como comprimidos, c\u00e1psulas e inje\u00e7\u00f5es intramusculares ou intravenosas.<\/p>\n<p>\u00c9 melhor coletar amostras para avaliar qual organismo \u00e9 respons\u00e1vel por uma infec\u00e7\u00e3o antes de iniciar os antibi\u00f3ticos. Se a infec\u00e7\u00e3o for grave (por exemplo, se houver suspeita de doen\u00e7a meningoc\u00f3cica), voc\u00ea poder\u00e1 iniciar o tratamento imediato com um antibi\u00f3tico de amplo espectro. Uma vez determinado o organismo espec\u00edfico que causa a infec\u00e7\u00e3o, o antibi\u00f3tico pode ser alterado para um antibi\u00f3tico de espectro estreito direcionado contra esse organismo.<\/p>\n<p>Os antibi\u00f3ticos t\u00eam riscos individuais significativos e impacto social e n\u00e3o devem ser prescritos ou tomados se n\u00e3o forem necess\u00e1rios ou se \u00e9 improv\u00e1vel que sejam ben\u00e9ficos, por exemplo, se a infec\u00e7\u00e3o for de origem viral. <span class=\"term\" data-term-id=\"1333\">Rea\u00e7\u00f5es adversas<\/span> incluem efeitos na pele.<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>Introducci\u00f3n Algunos bacterias viven en la piel normal y no causan da\u00f1o, como algunas especies de Staphylococcus, Corynebacterium spp., Brevibacterium spp y Acinetobacter. Las propionibacterias viven en el cabello fol\u00edculos&#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-7442","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/wiki\/7442","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=7442"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/wiki\/7442\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/media?parent=7442"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/categories?post=7442"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/tags?post=7442"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}