{"id":6598,"date":"2020-11-13T13:24:04","date_gmt":"2020-11-13T13:24:04","guid":{"rendered":"https:\/\/dermatly.com\/patologia-de-la-coccidioidomicosis\/"},"modified":"2026-03-10T14:59:58","modified_gmt":"2026-03-10T14:59:58","slug":"patologia-della-coccidioidomicosi","status":"publish","type":"glossary","link":"https:\/\/dermatly.com\/it\/patologia-de-la-coccidioidomicosis\/","title":{"rendered":"Patologia della coccidioidomicosi"},"content":{"rendered":"<section class=\"textBlock\">\n<h1>Coccidioidomicosis: Aspectos Histopatol\u00f3gicos y Diagn\u00f3stico<\/h1>\n<p>La <em>Coccidioides immitis<\/em> es un hongo dim\u00f3rfico end\u00e9mico casi exclusivamente en el suroeste de Estados Unidos para residentes y visitantes. Una manifestaci\u00f3n clave de la coccidioidomicosis diseminada puede presentarse como <span class=\"term\" data-term-id=\"47\">lesiones cut\u00e1neas<\/span> que alojan el <span class=\"term\" data-term-id=\"883\">organismo<\/span> en una <span class=\"term\" data-term-id=\"24\">biopsia<\/span>. La diseminaci\u00f3n de la infecci\u00f3n se observa m\u00e1s frecuentemente en pacientes <span class=\"term\" data-term-id=\"1699\">inmunosuprimidos<\/span>.<\/p>\n<h2>Histolog\u00eda de la Coccidioidomicosis<\/h2>\n<p>El estudio histopatol\u00f3gico de la coccidioidomicosis revela una <span class=\"term\" data-term-id=\"136\">hiperplasia<\/span> <span class=\"term\" data-term-id=\"247\">pseudoepiteliomatosa<\/span> acompa\u00f1ada de <span class=\"term\" data-term-id=\"148\">inflamaci\u00f3n<\/span> <span class=\"term\" data-term-id=\"52\">d\u00e9rmica<\/span> de tipo <span class=\"term\" data-term-id=\"1076\">granulomatoso<\/span> (Figura 1). Es fundamental realizar una b\u00fasqueda minuciosa utilizando aumentos elevados para identificar las esf\u00e9rulas (aproximadamente 100 \u00b5m), que contienen endosporas (hasta 5 \u00b5m) (figuras 2 y 3, donde la flecha se\u00f1ala las esf\u00e9rulas). El <span class=\"term\" data-term-id=\"541\">infiltrado<\/span> circundante es t\u00edpicamente rico en c\u00e9lulas <span class=\"term\" data-term-id=\"319\">cr\u00f3nicas<\/span> <span class=\"term\" data-term-id=\"490\">inflamatorias<\/span>, <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> y evidencia de inflamaci\u00f3n granulomatosa.<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h3 class=\"colour--primary\">Patolog\u00eda de la coccidioidomicosis<\/h3>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<figure>\n<div class=\"imageLinkBlock__item__image\">\n                    <img decoding=\"async\" src=\"https:\/\/dermatly.com\/wp-content\/uploads\/2020\/11\/coccidioidomycosis-figure-1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd.jpg\" alt=\"Figura 1: Patolog\u00eda de la coccidioidomicosis mostrando hiperplasia pseudoepiteliomatosa e inflamaci\u00f3n d\u00e9rmica.\">\n                <\/div><figcaption class=\"p-small\">Figura 1<\/figcaption><\/figure>\n<figure>\n<div class=\"imageLinkBlock__item__image\">\n                    <img decoding=\"async\" src=\"https:\/\/dermatly.com\/wp-content\/uploads\/2020\/11\/coccidioidomycosis-figure-2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd.jpg\" alt=\"Figura 2: Esf\u00e9rulas de Coccidioidomicosis, con endosporas visibles a alta potencia.\">\n                <\/div><figcaption class=\"p-small\">Figura 2<\/figcaption><\/figure>\n<figure>\n<div class=\"imageLinkBlock__item__image\">\n                    <img decoding=\"async\" src=\"https:\/\/dermatly.com\/wp-content\/uploads\/2020\/11\/coccidioidomycosis-figure-3__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd.jpg\" alt=\"Figura 3: Esf\u00e9rulas de Coccidioidomicosis; flecha indica la presencia de organismos.\">\n                <\/div><figcaption class=\"p-small\">Figura 3<\/figcaption><\/figure>\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                <!-- \/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>Tinciones Especiales para Coccidioidomicosis<\/h2>\n<p>Las tinciones a base de plata son sumamente \u00fatiles para resaltar los organismos de la coccidioidomicosis en las muestras. Mientras que las endosporas mostrar\u00e1n positividad con la tinci\u00f3n PAS (Periodic Acid-Schiff), las esf\u00e9rulas en s\u00ed mismas suelen ser negativas.<\/p>\n<h2>Diagn\u00f3stico Diferencial de la Patolog\u00eda por Coccidioidomicosis<\/h2>\n<p>La morfolog\u00eda de la coccidioidomicosis inmadura o fragmentada puede generar similitudes notables con la blastomicosis o la paracoccidioidomicosis. En estos casos diagn\u00f3sticos complejos, la realizaci\u00f3n de una <span class=\"term\" data-term-id=\"837\">cultura<\/span> o una prueba de <span class=\"term\" data-term-id=\"942\">PCR<\/span> resulta esencial para la confirmaci\u00f3n.<\/p>\n<p>Adem\u00e1s, la intensa <span class=\"term\" data-term-id=\"846\">hiperplasia<\/span> <span class=\"term\" data-term-id=\"270\">escamosa<\/span> o epid\u00e9rmica que a menudo acompa\u00f1a a la coccidioidomicosis puede complicar el diagn\u00f3stico, obligando a diferenciarla de otras afecciones patol\u00f3gicas como el <span class=\"term\" data-term-id=\"32\">carcinoma<\/span> de c\u00e9lulas escamosas, las dermatosis inducidas por hal\u00f3genos o las <span class=\"term\" data-term-id=\"145\">infecciones<\/span> micobacterianas.<\/p>\n<p>La correcta identificaci\u00f3n de las caracter\u00edsticas histopatol\u00f3gicas y el uso de pruebas auxiliares para la coccidioidomicosis son fundamentales para establecer el manejo terap\u00e9utico adecuado, especialmente en pacientes con compromiso inmunitario.<\/p>\n<\/section>\n","protected":false},"excerpt":{"rendered":"<p>Coccidioidomicosis: Aspectos Histopatol\u00f3gicos y Diagn\u00f3stico La Coccidioides immitis es un hongo dim\u00f3rfico end\u00e9mico casi exclusivamente en el suroeste de Estados Unidos para residentes y visitantes. Una manifestaci\u00f3n clave de la coccidioidomicosis diseminada puede presentarse como lesiones cut\u00e1neas que alojan el organismo en una biopsia. La diseminaci\u00f3n de la infecci\u00f3n se observa m\u00e1s frecuentemente en pacientes [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":6602,"parent":0,"template":"","glossary-cat":[],"class_list":["post-6598","glossary","type-glossary","status-publish","has-post-thumbnail","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>Patolog\u00eda de la coccidioidomicosis - 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\/it\/patologia-della-coccidioidomicosi\/\" \/>\n<meta property=\"og:locale\" content=\"it_IT\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Patolog\u00eda de la coccidioidomicosis\" \/>\n<meta property=\"og:description\" content=\"Coccidioidomicosis: Aspectos Histopatol\u00f3gicos y Diagn\u00f3stico La Coccidioides immitis es un hongo dim\u00f3rfico end\u00e9mico casi exclusivamente en el suroeste de Estados Unidos para residentes y visitantes. 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