Infecciones fúngicas cutáneas profundas: Revisión de la literatura

Deep dermal fungal Infections: Review of the literature

  • Maria Olivera Cardozo Universidad Técnica de Manabí - Ecuador
  • Viorkis Pérez Ortiz Universidad Técnica de Manabí - Ecuador
  • Aimee Piñón Gámez Universidad Técnica de Manabí - Ecuador
  • Jorly Mejia Montilla Universidad del Zulia - Venezuela
  • Eduardo Javier Reyna Hospital Central Dr. Urquinaona. Maracaibo. Venezuela

Resumen

 
Las infecciones fúngicas cutáneas profundas son cada vez más comunes debido tanto a la inmunosupresión como a la dispersión global. Comprender estas infecciones, requiere no solo leer muchos informes de casos y verificar las imágenes clínicas típicas de las lesiones cutáneas, sino también manejar adecuadamente a los pacientes para evitar diagnósticos erróneos. Esta revisión se realizó en PubMed, MEDLINE, EMBASE, con las palabras clave: Infecciones fúngicas cutáneas profundas, micosis, dermatomicosis, diagnóstico e histopatología micótica. El total de artículos consultados fueron 151 y se seleccionaron 81 para esta revisión. Se encontró la descripción de las micosis cutáneas profundas realizadas por varios autores y se resumen los hallazgos histopatológicos de estas infecciones fúngicas que se observan comúnmente en la práctica clínica diaria. El reconocimiento precoz de este tipo de infecciones es importante, ya que estas patologías se asocian frecuentemente con una alta morbilidad, en especial en sujetos con alteraciones de la inmunidad.
 
Palabras clave: Infecciones fúngicas, profundo cutáneo, micosis, histopatología, diagnóstico.
 
Abstract
 
Deep cutaneous fungal infections are becoming more common due to both immunosuppression and global dispersion. Understanding these fungal infections requires not only reading many case reports and verifying typical clinical images of skin lesions but also properly managing patients to avoid misdiagnosis. This systematic review was made on PubMed, MEDLINE, EMBASE, with the key words: Deep cutaneous fungal infections, mycosis, dermatomycosis, diagnosis and mycotic histopathology. The total number of the articles consulted for it, was 151 and 81 articles were selected for this review. On those, the deep cutaneous mycoses were described for some authors and the histopathological findings of those fungal infections that are commonly observed in daily clinical practice are summarized. Early recognition of this type of infection is important since these pathologies are frequently associated with high morbidity, especially in subjects with impaired immunity.
 
Keywords: Fungal infections, deep cutaneous, mycosis, histopathology, diagnosis.

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Publicado
2018-12-13