{"id":7804,"date":"2020-04-25T22:58:08","date_gmt":"2020-04-26T01:58:08","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/patologia-de-la-criptococosis-2\/"},"modified":"2020-04-30T21:09:02","modified_gmt":"2020-05-01T00:09:02","slug":"patologia-de-la-criptococosis-2","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/pt\/wiki\/patologia-de-la-criptococosis-2\/","title":{"rendered":"Patologia da criptococose"},"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-la-criptococosis-2\/#Histologia-de-la-criptococosis\" >Histolog\u00eda de la criptococosis<\/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-la-criptococosis-2\/#Patologia-de-la-criptococosis\" >Patologia da criptococose<\/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-la-criptococosis-2\/#Manchas-especiales-para-la-criptococosis\" >Manchas especiales para la criptococosis.<\/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-la-criptococosis-2\/#Diagnostico-diferencial-de-la-criptococosis-patologia\" >Diagn\u00f3stico diferencial de la criptococosis patolog\u00eda<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<p>La criptococosis es un <span class=\"term\" data-term-id=\"380\">sist\u00eamico<\/span> enfermedad causada por el hongo levadura Cryptococcus neoformans. Es un <span class=\"term\" data-term-id=\"1705\">encapsulado<\/span> levadura que tiene cinco serotipos, A, B, C, D y AD, de dos variedades llamadas neoformans (A, D y AD) y gatii (B y C). Este \u00faltimo es m\u00e1s <span class=\"term\" data-term-id=\"1676\">predominante<\/span> en Australasia<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Histologia-de-la-criptococosis\"><\/span>\n<span class=\"term\" data-term-id=\"128\">Histologia<\/span> de la criptococosis<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Las formas de levadura de la criptococosis generalmente est\u00e1n rodeadas de gelatinosas masivas <span class=\"term\" data-term-id=\"201\">edema<\/span> (figura 1, flecha). El alrededor <span class=\"term\" data-term-id=\"490\">inflamat\u00f3rio<\/span> la reacci\u00f3n depende de la etapa de la cl\u00ednica <span class=\"term\" data-term-id=\"164\">ferimentos<\/span> y sobre el estado inmune del paciente. Los pacientes inmunocompetentes pueden provocar un r\u00e1pido <span class=\"term\" data-term-id=\"1076\">granulomatoso<\/span> respuesta en la que el <span class=\"term\" data-term-id=\"883\">organismos<\/span> puede ser dif\u00edcil de ver sin manchas especiales, mientras que <span class=\"term\" data-term-id=\"1695\">imunocomprometido<\/span> los pacientes muestran m\u00ednimos <span class=\"term\" data-term-id=\"148\">inflama\u00e7\u00e3o<\/span> y edema alrededor de las numerosas formas de levadura como se ve en el caso ilustrado aqu\u00ed (figura 2). Las formas de levadura de la criptococosis suelen estar ampliamente separadas por sus gruesas c\u00e1psulas mucoides. La mancha PAS decora las levaduras (figura 3) y la mancha de mucicarmina decora la c\u00e1psula gelatinosa altamente caracter\u00edstica de un rosa brillante (figura 4).<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Patologia-de-la-criptococosis\"><\/span>Patologia da criptococose<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='cryptococcus-figure-1__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildi1xq-4051191-7841041' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/cryptococcus-figure-1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDI1XQ-4051191.jpg'>\n<\/div>\n<p class=\"p-small\">figura 1<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='crypto-figure-2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-5389779-6245023' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/crypto-figure-2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-5389779.jpg'>\n<\/div>\n<p class=\"p-small\">Figura 2<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='cryptococcus-figure-3__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildbd-1499516-2622447' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/cryptococcus-figure-3__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDBd-1499516.jpg'>\n<\/div>\n<p class=\"p-small\">Figura 3<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='cryptococcus-figure-4__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-6957040-3252258' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/cryptococcus-figure-4__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-6957040.jpg'>\n<\/div>\n<p class=\"p-small\">Figura 4<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<h2><span class=\"ez-toc-section\" id=\"Manchas-especiales-para-la-criptococosis\"><\/span>Manchas especiales para la criptococosis.<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>La c\u00e1psula de cryptococcus se ti\u00f1e intensamente con la mancha de mucicarmina (figura 4). Grocott, mucicarm\u00edn, plata de metanamina, azul de toluidina o azul de metileno a veces se requieren para ayudar a ilustrar las levaduras en ciernes caracter\u00edsticas. Esto es especialmente \u00fatil en inmunocompetentes <span class=\"term\" data-term-id=\"1314\">Anfitri\u00f5es<\/span> con una r\u00e1pida respuesta inflamatoria<\/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-la-criptococosis-patologia\"><\/span>\n<span class=\"term\" data-term-id=\"813\">Diagn\u00f3stico diferencial<\/span> de la criptococosis <span class=\"term\" data-term-id=\"223\">patologia<\/span><br \/>\n<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Histoplasmosis y blastomicosis: la positividad de la mucicarmina discrimina al criptococo de estos otros organismos. La situaci\u00f3n puede complicarse con la rara cepa criptoc\u00f3cica que carece de una c\u00e1psula. En caso de duda criptoc\u00f3cica <span class=\"term\" data-term-id=\"411\">ant\u00edgenos<\/span> puede identificarse con la aglutinaci\u00f3n de l\u00e1tex de <span class=\"term\" data-term-id=\"863\">no lugar<\/span> Se puede usar hibridaci\u00f3n.<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>La criptococosis es un sist\u00e9mico enfermedad causada por el hongo levadura Cryptococcus neoformans. Es un encapsulado levadura que tiene cinco serotipos, A, B, C, D y AD, de dos variedades&#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-7804","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones","tag-patologia"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/wiki\/7804","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=7804"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/wiki\/7804\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/media?parent=7804"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/categories?post=7804"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/tags?post=7804"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}