{"id":15803,"date":"2020-11-22T11:26:07","date_gmt":"2020-11-22T11:26:07","guid":{"rendered":"https:\/\/dermatly.com\/ulcera-tropical\/"},"modified":"2026-03-10T16:43:27","modified_gmt":"2026-03-10T16:43:27","slug":"ulcera-tropical","status":"publish","type":"glossary","link":"https:\/\/dermatly.com\/en\/ulcera-tropical\/","title":{"rendered":"Tropical Ulcer"},"content":{"rendered":"<p>\u00ab`html<\/p>\n<section class=\"textBlock\">\n<p>La <dfn>\u00falcera tropical<\/dfn>, tambi\u00e9n conocida como \u00falcera tropical fageda\u00e9nica, se caracteriza por ser una llaga de r\u00e1pida progresi\u00f3n y muy dolorosa. Generalmente se localiza en las extremidades inferiores de individuos que residen en regiones <span class=\"term\" data-term-id=\"710\">h\u00famedas<\/span> y tropicales. El t\u00e9rmino \u00abfageda\u00e9nica\u00bb alude a su apariencia destructiva, como si el tejido estuviera siendo ro\u00eddo.<\/p>\n<h2>Causas de la \u00dalcera Tropical<\/h2>\n<p>El desarrollo de <span class=\"term\" data-term-id=\"1279\">\u00falceras<\/span> tropicales es multifactorial. Varios elementos contribuyen a su aparici\u00f3n:<\/p>\n<ul>\n<li>Inicialmente, se requiere alguna forma de <span class=\"term\" data-term-id=\"1365\">trauma<\/span> o lesi\u00f3n cut\u00e1nea, que puede ser tan leve como un rasgu\u00f1o superficial o la picadura de un insecto. Los trabajadores agr\u00edcolas que carecen de calzado y ropa de protecci\u00f3n adecuada enfrentan un riesgo significativamente mayor.<\/li>\n<li>Factores sist\u00e9micos como la mala nutrici\u00f3n, la higiene deficiente y la presencia de enfermedades <span class=\"term\" data-term-id=\"319\">cr\u00f3nicas<\/span>, tales como la malaria o infecciones parasitarias intestinales, incrementan la predisposici\u00f3n a que una \u00falcera tropical comience a <span class=\"term\" data-term-id=\"2344\">desarrollarse<\/span>.<\/li>\n<li>Diversas <span class=\"term\" data-term-id=\"935\">bacterias<\/span> se identifican en el sitio. Las especies de <em>Fusobacterium<\/em> casi siempre est\u00e1n presentes en las fases iniciales, mientras que <em>Bacillus fusiformis<\/em> y <em>Treponema vincenti<\/em> se encuentran frecuentemente en etapas avanzadas. Tambi\u00e9n pueden aislarse otros microorganismos como <em>Escherichia coli<\/em> y especies de <em>Enterococcus<\/em>.<\/li>\n<\/ul>\n<h2>Caracter\u00edsticas Cl\u00ednicas y Progresi\u00f3n de la \u00dalcera<\/h2>\n<p>Cl\u00ednicamente, la lesi\u00f3n comienza como una figura circular, superficial y extremadamente dolorosa, a menudo exhibiendo bordes de color viol\u00e1ceo. Esta \u00falcera se expande velozmente a trav\u00e9s de la epidermis, erosionando hacia tejidos m\u00e1s profundos como el m\u00fasculo o incluso el periostio (la membrana que recubre los huesos). En el transcurso de un par de semanas, puede alcanzar di\u00e1metros de varios cent\u00edmetros. Conforme progresa, los bordes se vuelven m\u00e1s engrosados y elevados, y el cr\u00e1ter central puede tornarse <span class=\"term\" data-term-id=\"770\">necr\u00f3tico<\/span> (oscurecido por la muerte del tejido) y exudar un olor f\u00e9tido.<\/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                <!-- \/340621630\/dermnet_mobile_afterfirstsection_300x250 --><\/p>\n<div style=\"display: none;\" id=\"hidden-div-gpt-ad-1484122037505-8\" class=\"[ js-hideable ]\"><\/div>\n<p>                <script>\n                    if (ads_screenwidth < 780 ) {\n                        var inline = document.createElement(\"div\");\n                        var ad = document.createElement(\"div\");\n\n                        ad.id = 'div-gpt-ad-1484122037505-8';\n                        ad.style.height=\"250px\";\n                        ad.style.width=\"300px;\";\n\n                        inline.appendChild(ad);\n                        inline.className = \"inline\";\n                        var placeholder = document.getElementById(\"hidden-div-gpt-ad-1484122037505-8\");\n                        placeholder.parentNode.replaceChild(inline, placeholder);\n                        (function () {\n                            googletag.cmd.push(function () {\n                                googletag.display('div-gpt-ad-1484122037505-8');\n                            });\n                        })();\n                    }\n                <\/script>\n            <\/div>\n<\/p><\/div>\n<\/p><\/div>\n<h2>Diagn\u00f3stico Diferencial de la \u00dalcera Tropical<\/h2>\n<p>Es fundamental establecer un diagn\u00f3stico diferencial preciso, descartando otras afecciones que tambi\u00e9n causan \u00falceras significativas, incluyendo la leishmaniasis <span class=\"term\" data-term-id=\"47\">cut\u00e1nea<\/span>, infecciones por micobacterias <span class=\"term\" data-term-id=\"1395\">at\u00edpicas<\/span>, pioderma gangrenoso y patolog\u00edas de origen <span class=\"term\" data-term-id=\"1178\">venoso<\/span>. La identificaci\u00f3n del tipo exacto de bacteria involucrada generalmente se realiza mediante el cultivo de muestras tomadas de los bordes y el lecho de la \u00falcera.<\/p>\n<h2>Opciones de Tratamiento para la \u00dalcera Tropical<\/h2>\n<p>El tratamiento principal implica la administraci\u00f3n de antibi\u00f3ticos espec\u00edficos, como la tetraciclina y el metronidazol. Adem\u00e1s, los procedimientos quir\u00fargicos, como el <span class=\"term\" data-term-id=\"606\">desbridamiento<\/span> quir\u00fargico (la remoci\u00f3n exhaustiva del tejido muerto y desvitalizado) y los injertos de piel, desempe\u00f1an un papel importante en la resoluci\u00f3n de estas lesiones complejas.<\/p>\n<\/section>\n<p>```<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00ab`html La \u00falcera tropical, tambi\u00e9n conocida como \u00falcera tropical fageda\u00e9nica, se caracteriza por ser una llaga de r\u00e1pida progresi\u00f3n y muy dolorosa. Generalmente se localiza en las extremidades inferiores de individuos que residen en regiones h\u00famedas y tropicales. El t\u00e9rmino \u00abfageda\u00e9nica\u00bb alude a su apariencia destructiva, como si el tejido estuviera siendo ro\u00eddo. Causas de [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"template":"","glossary-cat":[],"class_list":["post-15803","glossary","type-glossary","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v26.2 (Yoast SEO v27.1.1) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>\u00dalcera tropical - Dermatly.com - El sitio de tu piel<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/dermatly.com\/en\/ulcera-tropical\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"\u00dalcera tropical\" \/>\n<meta property=\"og:description\" content=\"\u00ab`html La \u00falcera tropical, tambi\u00e9n conocida como \u00falcera tropical fageda\u00e9nica, se caracteriza por ser una llaga de r\u00e1pida progresi\u00f3n y muy dolorosa. Generalmente se localiza en las extremidades inferiores de individuos que residen en regiones h\u00famedas y tropicales. El t\u00e9rmino \u00abfageda\u00e9nica\u00bb alude a su apariencia destructiva, como si el tejido estuviera siendo ro\u00eddo. 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