Clase4 dermatofitosis
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Transcript of Clase4 dermatofitosis
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DERMATOFITOSIS
Micología Clínica
DAISY JANETH CARVAJAL BARRERA
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Dermatofitosis (Tineas)
Piel, uñas Y
cabello
Hongos dermatofitos : únicos hongos que
dependen
del hombre o los animales infectados para
sobrevivir
e infectar.Queratinofílicos
Queratinolìticos
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Respuesta inmuneRespuesta inmune:Respuesta inmuneRespuesta inmune:
• La presencia del hongo y sus productos
metabólicos generalmente inducen una
respuesta alérgica e inflamatoria en el
hospedero.
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HONGOS DERMATOFITOS
Los principales géneros involucrados son
Microsporum sp, Trichophytom y
Epidermophytom.
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• Según el habitat: geofílicos, antropofílicos y zoofílicos
HONGOS DERMATOFITOS
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• Microsporum: M. canis, M. gypseum
• Trichophyton: T. mentagrophytes var menatagrophytes, T. mentagrophytes variedad interdigitalis, T, rubrum, T. tonsurans
• Epidermophyton: E. floccosum
Especies de Dermatofitos Especies de Dermatofitos frecuentemente frecuentemente
aisladas en el hombreaisladas en el hombre
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• Las dermatofitosis incluyen varias entidades clínicamente diferentes según el sitio anatómico y agente.
• Se adquieren por contacto directo con personas, animales o fómites contaminados
DERMATOFITIDES…
DERMATOFITOSIS O DERMATOFITOMICOSISDERMATOFITOSIS O DERMATOFITOMICOSIS
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• Ocupación• Hacinamiento• Maceración de los tejidos• Humedad• El calor• Fallas anatómicas
• Contacto con tierra, animales, fómites infectados
FACTORES QUE FAVORECENFACTORES QUE FAVORECENLAS DERMATOFITOSISLAS DERMATOFITOSIS
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•Tinea capitis•Tinea
corporis•Tinea cruris•Tinea pedis
FORMAS CLINICASFORMAS CLINICAS
Tinea unguiumTinea manuumTiena barbae
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• Cabello, cejas, pestañas• Vesicular• Costras• Alopecia
• LESIONES TIPO:• Endotrix• Ectotrix• Endo-ectorix
Tinea capitis
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Endótrix:Formación de artroconidias dentro del tallo
piloso sin destrucción de la cutícula, los limites del
cabello permanecen conservados.
Ectótrix: Conidios pequeños que forman una masa en un
patrón de mosaico en la superficie del pelo.
Endo- Ectótrix: Tanto dentro como por fuera.
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• Placa grisPlaca gris: :
• Puntos negros:Puntos negros:
• Favus: Favus:
• Kerion:
Formas de Tinea capitis
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Placa grisPlaca gris: : Semialopécica, seca, ectothrixSemialopécica, seca, ectothrix M. canisM. canis
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Puntos negros: Puntos negros: Endotrix, quiebre a rasEndotrix, quiebre a ras. . T. tonsuransT. tonsurans
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Favus: Favus: costras levantadas, amarillas ,malolientes,costras levantadas, amarillas ,malolientes,alopecia definitiva. Ectotrix alopecia definitiva. Ectotrix T. shoenleiniiT. shoenleinii
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Kerion: inflamación, supuración, ectothrix M. gypseum, T. mentagrophytes, M. canis
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• Piel libre de pelo (glabra).
• Lesiones
• Estrato corneo de la epidermis.
• Anulares, bordes infiltrados y definidos, secas descamativas, eritematosas .
• Pruriginosas
• Múltiples, mapiformes
Tinea corporisTinea corporis
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M. gypseumM. gypseum
M. canisM. canis
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T. T. corporiscorporis
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Angulo superior interno del muslo, y áreas peri-genital y peri-anal escroto y pene.
Prurito intenso, ardor, lesión es bien definida, bordes ligeramente levantados, algunas veces vesículas.
Agentes:E. floccosum, T. rubrum. Cualquiera
Tinea cruris
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T. cruris
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T. crurisT. cruris
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• Forma intertriginosa• Hiperqueratótica o
papuloescamosa crónica• Vesicular subaguda• Aguda ulcerativa
• Prurito, ardor, fisuras• Agentes: ppalmente• T. rubrum y T.
mentagrophytes
Tinea pedis o “Pie de AtletaTinea pedis o “Pie de Atleta”
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Forma hiperqueratótica
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Tipo vesicular
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• Candidiasis
Diagnóstico diferencial
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• Manos
• Crónica
• Hiperqueratotica en dorso
• Unilateral
• Dermatofitides
T. manuumT. manuum
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Tinea UnguiumTinea Unguium
• Uñas• Agentes etiológicos:
variados• Onicomicosis distal
subungueal
• Onicomicosis superficial blanca
• Onicomicosis proximal subungueal (Cándida)
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• Área de la barba y bigote hay descamación, eritema y foliculitis
• Complica: nódulos eritematosos foliculitis postulosa, exudativa y formación de costras, compromiso del vello
Tinea barbaeTinea barbae
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• Edad, sexo, raza educación
• Niños: T capitis
• Adultos:» Hombres: T. pedis, T. cruris» Mujeres: T. unguium
EPIDEMIOLOGIAEPIDEMIOLOGIA
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DIAGNÓSTICO DE DERMATOFITOSIS
1. Clínico2. Laboratorio
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• Toma de Muestras• Examen directo
• Cultivo• Identificación
LABORATORIO
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• Escamas
• Detrito subungueal
• Fragmento de uñas
• Cabellos
• Vellos
MuestrasMuestras
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Examen directoExamen directo
•En: T.corporis, cruris, pedis, unguium, manuun
Hallazgos: Hifas hialinas septadas, yRamificadas con o sin artroconidias
Informe: Piel glabra: Se observan fragmentos de micelio compatibles con dermatofitos.
Area crural, uñas, pies: Se observan Fragmentos de micelio
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• En uñas y pies las estructuras observadas al micro no permiten diferenciar entre dermatofitos y levaduras o dematiaceos poco
pigmentados.
• Solo se afirma el origen micótico.
Ejemplo: Al examen directo con KOH se observan estructuras micóticas
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Examen directoExamen directo
•En: Tinea capitis, barbae
Hallazgos: Endotrix: interior del cabello hifas conArtroconidias.Ectotrix: hifas envuelven el cabello,artroconidias
Informe: .Invasión tipo endotrix./ invasión tipo endo-ectotrix
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CULTIVO
Se realiza para identificar el género y especie del agente
Etiológico
Sabouraud y Sabouraud Modificado
Incubar 2-3 sem a temp. ambiente
2 cajas por cada paciente
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Microsporum canis
Un dermatofito zoofílico, es causa frecuente de
tiñas en humanos, especialmente niños. Invade
cabello, piel. Perros y gatos son las fuentes de
infección. Invade cabello mostrando infección
tipo ectótrix
Distribution: mundial.
Caracteristicas clave: macroconidia distintiva y
cultivo característico. Abundante crecimiento y
esporulación sobre arroz.
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Microsporum gypseum
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Trichophyton rubrum
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Trichophyton tonsurans
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Trichophyton mentagrophytes var. interdigitale
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Trichophyton mentagrophytes var. mentagrophytes.
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Trichophyton schoenleinii
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Epidermophyton floccosum
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151
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CLASE No. 5 DERMATOMICOSIS
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Fotografías tomadas de :www.mycology.adelaide.edu.auMicología medica: Rodrigo ArenasMicología medica: RipponMicosis Humanas: Arango Mirta