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Presentación de caso" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "e1" "paginaFinal" => "e3" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Ethmoid-orbital mycetoma caused by <span class="elsevierStyleItalic">Bipolaris</span> sp. Case report" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1965 "Ancho" => 2167 "Tamanyo" => 395078 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A y B) Imágenes de la tomografía computarizada coronal y axial que muestran velamiento significativo de los senos etmoidales y maxilares, con imagen de aspecto regular e de intensidad cálcica, que ocasionó una erosión de una porción de la lamina papirácea derecha y se insinúa dentro de la cavidad orbitaria, lateralizando de manera discreta el músculo recto medio ocular. C y D) Imágenes de la resonancia magnética coronal y axial en T2 que muestran velamiento de los senos etmoidales y maxilares con cambios de señal variables. Los cambios de señal variables en los senos paranasales afectados en este caso corresponden a la presencia de tejido inflamatorio con la presencia de secreciones con altas concentraciones de glicoproteínas y bajo contenido de agua libre (mucina alérgica). En el compartimento etmoidal derecho se aprecia una imagen hipointensa que se correlaciona con la apreciada en el estudio de TC. La baja señal captada en T2 o «señal de vacío» se debe a la alta concentración de diversos metales de hierro y manganeso concentrada por los microorganismos fúngicos. Esta imagen de baja señal es de forma regular y no se aprecian signos de repercusión infiltrativa a nivel del contenido intraorbitario.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Aderito de Sousa Fontes, Andreina Carmina de Sousa de Abreu" "autores" => array:2 [ 0 => array:2 [ "nombre" => "Aderito" "apellidos" => "de Sousa Fontes" ] 1 => array:2 [ "nombre" => "Andreina Carmina" "apellidos" => "de Sousa de Abreu" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2173573515000290" "doi" => "10.1016/j.otoeng.2013.10.018" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173573515000290?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001651913001957?idApp=UINPBA00004N" "url" => "/00016519/0000006600000002/v3_201506091213/S0001651913001957/v3_201506091213/es/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S2173573515000307" "issn" => "21735735" "doi" => "10.1016/j.otoeng.2013.11.015" "estado" => "S300" "fechaPublicacion" => "2015-03-01" "aid" => "530" "copyright" => "Elsevier España, S.L.U. and Sociedad Española de Otorrinolaringología y Patología Cérvico-Facial" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Acta Otorrinolaringol Esp. 2015;66:e4-6" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 2365 "formatos" => array:3 [ "EPUB" => 63 "HTML" => 1749 "PDF" => 553 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case study</span>" "titulo" => "Erdheim–Chester Disease in a Sinonasal Location" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "e4" "paginaFinal" => "e6" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Enfermedad de Erdheim-Chester de localización nasosinusal" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 525 "Ancho" => 1301 "Tamanyo" => 76094 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Images obtained during endoscopic surgery of the sphenoid sinus. Abundant inflammatory avascular soft tissue may be observed. This was easily removed on dissection.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Rodolfo Nazar, Gonzalo Ortega, Gonzalo Miranda, Alfredo Naser" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Rodolfo" "apellidos" => "Nazar" ] 1 => array:2 [ "nombre" => "Gonzalo" "apellidos" => "Ortega" ] 2 => array:2 [ "nombre" => "Gonzalo" "apellidos" => "Miranda" ] 3 => array:2 [ "nombre" => "Alfredo" "apellidos" => "Naser" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0001651914000065" "doi" => "10.1016/j.otorri.2013.11.004" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001651914000065?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173573515000307?idApp=UINPBA00004N" "url" => "/21735735/0000006600000002/v3_201506091413/S2173573515000307/v3_201506091413/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S2173573515000265" "issn" => "21735735" "doi" => "10.1016/j.otoeng.2013.09.002" "estado" => "S300" "fechaPublicacion" => "2015-03-01" "aid" => "518" "copyright" => "Elsevier España, S.L.U. and Sociedad Española de Otorrinolaringología y Patología Cérvico-Facial" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Acta Otorrinolaringol Esp. 2015;66:122-3" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 1902 "formatos" => array:3 [ "EPUB" => 55 "HTML" => 1399 "PDF" => 448 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case Study</span>" "titulo" => "Facial Paralysis Secondary to Single Metastasis to the Temporal Bone From Bladder Cancer" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "122" "paginaFinal" => "123" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Parálisis facial secundaria a metástasis única en hueso temporal de un cáncer vesical" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 551 "Ancho" => 1470 "Tamanyo" => 229185 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Anatomopathological imaging of the temporal bone biopsy. (A) Epithelial neoplasm infiltrating the bone (haematoxylin–eosin 200×). (B) Widespread expression of CK7 and focal expression of CK20, widespread expression of p63 nuclear, negative immunohistochemical staining of vimentin.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Patricia García-García, Pedro Laguna-del-Estal, Carmen González-Lois, Beatriz Brea-Álvarez" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Patricia" "apellidos" => "García-García" ] 1 => array:2 [ "nombre" => "Pedro" "apellidos" => "Laguna-del-Estal" ] 2 => array:2 [ "nombre" => "Carmen" "apellidos" => "González-Lois" ] 3 => array:2 [ "nombre" => "Beatriz" "apellidos" => "Brea-Álvarez" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0001651913001878" "doi" => "10.1016/j.otorri.2013.09.002" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001651913001878?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173573515000265?idApp=UINPBA00004N" "url" => "/21735735/0000006600000002/v3_201506091413/S2173573515000265/v3_201506091413/en/main.assets" ] "en" => array:17 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case study</span>" "titulo" => "Ethmoid-Orbital Mycetoma Caused by <span class="elsevierStyleItalic">Bipolaris</span> sp. Case Report" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "e1" "paginaFinal" => "e3" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Aderito de Sousa Fontes, Andreina Carmina de Sousa de Abreu" "autores" => array:2 [ 0 => array:4 [ "nombre" => "Aderito" "apellidos" => "de Sousa Fontes" "email" => array:1 [ 0 => "aderitodesousa@gmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Andreina Carmina" "apellidos" => "de Sousa de Abreu" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Unidad del Fellow de Cirugía Endoscópica Rinosinusal, Instituto Médico La Floresta, Unidad Interdisciplinaria de Cirugía Endoscópica de base de Cráneo, Unidad de Neurocirugía, Hospital Militar “Dr. Carlos Arvelo”, Caracas, Venezuela" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Medical student, Universidad Central de Venezuela, Escuela “José María Vargas”, Caracas, Venezuela" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Micetoma etmoidal-orbitario por <span class="elsevierStyleItalic">Bipolaris</span> sp. Presentación de caso" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 810 "Ancho" => 1800 "Tamanyo" => 399540 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">(A) Histologic cross-section (haematoxyline–eosin) imaging in it in which the infiltrated respiratory epithelium stroma with numerous eosinophils, lymphocytes, plasmatic cells, mastocytes and neutrophils with Charcot–Leyden crystals is appreciated. (B) Grocott's Methanamine Silver stain with septated structures and yeast infected black stained corpuscles. (C) Culture in Sabouraud agar inhibiting agent showing a growth of colonies with black velvety and dark grey spores.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">In February 2013, a male patient aged 44 presented at the surgery with a bilateral nasal obstruction, thick nasal discharge and anosimia, with no ophthalmologic symptoms. He mentioned previous episodes of bronchospasms caused by taking aspirin prescribed as prophylaxis for ischaemic heart disease. The nasal cavity endoscopy study findings showed severe bilateral nasal polyposis with abundant, thick endonasal secretion.</p><p id="par0010" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleItalic">Paraclinical tests</span>: X-rays showed significant opacification of all paranasal sinuses with imaging of calcium intensity at right ethmoid recess level, which had eroded the ethmoidal sinus and had invaded the orbital cavity, causing a slight displacement of the medial rectus muscle (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A and B). The CT and MRI scans showed no signs of infiltration or spread of this inside the orbital contents (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a><span class="elsevierStyleSmallCaps">C</span> and D).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">Findings from laboratory tests showed an increase in the number of eosinophils in peripheral blood of 600 per mm<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">3</span></a> and high IgE levels of 980<span class="elsevierStyleHsp" style=""></span>ng/ml.</p><p id="par0020" class="elsevierStylePara elsevierViewall">Diagnoses of inflammatory disease of the upper respiratory tracts, induced by salicylates (Samter and Beers triad, Fernand Widal syndrome) and ethmoid mycetoma with intraorbital compromise were suggested.</p><p id="par0025" class="elsevierStylePara elsevierViewall">The patient received topical nasal steroids (Triamcinolone Acetonide) and bronchial steroids (Budesonide/Formoterol), fluidisers (Carbocisteine), anti-leukotrienes (Montelukast) and antibiotic therapy (clarithromycin).</p><p id="par0030" class="elsevierStylePara elsevierViewall">The patient was scheduled for elective endoscopic resection of the nasal polyposis in the outpatient department. During the right endoscopic ethmoidectomy, we extracted abundant detritus of dark grey necrotic material, along with the resected polypoid mucosa. Part of the thick discharge suctioned along with the polypoid tissue and fungal material was referred for histopathological and microbiological testing respectively.</p><p id="par0035" class="elsevierStylePara elsevierViewall">During the right ethmoidectomy, ocular “bouncing” indicated a major defective area in the external ethmoid wall (lamina papyracea), 1<span class="elsevierStyleHsp" style=""></span>cm in diameter, without infiltration or rupture of the fibrotic membrane surrounding the intraorbital contents. Subsequent to endoscopic resection, the sinus cavities were carefully irrigated with a saline solution and carboxymethylcellulose dressings were applied (Sinu-Knit<span class="elsevierStyleSup">®</span> Nasal Dressing, ArthroCare ENT) between the nasal conchae and the lateral nasal wall of each side, to prevent post-operative middle meatal adhesions.</p><p id="par0040" class="elsevierStylePara elsevierViewall">The histopathological study findings showed the presence of polypoidal fragments which presented a mucous epithelium with a stroma infiltrated with numerous eosinophils, lymphocytes, plasmatic cells, mastocytes and neutrophils and Charcot–Leyden crystals (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>A). Grocott's Methanamine Silver stain showed up multiple fungal spores with septated structures and yeast infected elements inside the polypoid epithelium stroma.</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0045" class="elsevierStylePara elsevierViewall">A culture of the necrotic material referred to as mycetoma was made in Sabouraud agar with dextrose and chloramphenicol, showing a growth of colonies with black velvety and dark grey spores. Findings under the microscope were consistent with <span class="elsevierStyleItalic">Bipolaris spicifera</span>.</p><p id="par0050" class="elsevierStylePara elsevierViewall">Post-operative progress of the patient was satisfactory. The patient did not receive anti-fungal treatment but from week 3 after surgery he began to receive immunotherapy. Up to the 6th post-operative month the patient did not present recurrent polyposis, or bronchial asthma episodes and recovered some olfactory function which had been impaired prior to surgery.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Discussion</span><p id="par0055" class="elsevierStylePara elsevierViewall">Due to their ubiquitous nature, fungal spores are continuously inhaled and come into contact with the upper respiratory system's mucosa. The reason why fungus may be found in the upper respiratory system of immunocompetent patients without causing any disease whilst in other patients the opposite occurs, is unclear. However, several authors<a class="elsevierStyleCrossRefs" href="#bib0055"><span class="elsevierStyleSup">1–3</span></a> have shown that in allergic fungal rhinosinusitis (AFRS) the individual becomes hypersensitive to the fungus.</p><p id="par0060" class="elsevierStylePara elsevierViewall">Marple<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">4</span></a> reviewed the different physiopathological theories in AFRS, showing that the eosinophilic response of the host to the presence of fungi inside the nose and paranasal sinuses is what leads to clinical presentations of disease (nasal polypops, formation of expansive mucocele, allergic fungal mucine, etc.). In this case, activation would stem from the inflammatory cascade and be accompanied almost simultaneously by other factors such as: IgE mediated sensitivity (atopy), HLA T cell specific receptor expression, exposure to specific fungi and aberration of the local defence mechanisms of the mucosa.</p><p id="par0065" class="elsevierStylePara elsevierViewall">According to Fokkens et al.<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">5</span></a> there are 5 known forms of fungal disease which affects the nose and the paranasal sinuses: acute invasive AFRS (including rhinocerebral mucormycosis), chronic invasive RHA, invasive granulomatous AFRS, mycetoma (fungal ball) and non-invasive AFRS.</p><p id="par0070" class="elsevierStylePara elsevierViewall">The <span class="elsevierStyleItalic">dematiaceous</span> fungi (black yeasts) belonging to the <span class="elsevierStyleItalic">Bipolaris</span> sp. genre and its taxonomy was established in 1986 by McGinnis et al.,<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">6</span></a> after studying multiple cultures. del Palacio et al.<a class="elsevierStyleCrossRef" href="#bib0085"><span class="elsevierStyleSup">7</span></a> states that in several works published previously, many cultures processed by infections produced by <span class="elsevierStyleItalic">Bipolaris</span> sp., had been reported as displaying growth of a “contaminating fungus”, and as a result many infections from this fungus and other <span class="elsevierStyleItalic">dematiaceous</span> species were not recognized.</p><p id="par0075" class="elsevierStylePara elsevierViewall">This fungus has been pointed out in literature<a class="elsevierStyleCrossRefs" href="#bib0090"><span class="elsevierStyleSup">8,9</span></a> as the aetiological agent of mycotic infections in children and adults infected by the human immunodeficiency virus and in atopic immunocompetent patients with nasal polyps who do not respond to conventional medical treatment. Several authors<a class="elsevierStyleCrossRef" href="#bib0100"><span class="elsevierStyleSup">10</span></a> state that <span class="elsevierStyleItalic">Bipolaris</span> sp. is an opportunist pathogen, characteristic of warm, wet climates and is frequently related to immunocompetent patients with mycetomas and AFRS.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Conflict of Interest</span><p id="par0080" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Discussion" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Conflict of Interest" ] 2 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2013-10-04" "fechaAceptado" => "2013-10-06" "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: de Sousa Fontes A, de Sousa de Abreu AC. Micetoma etmoidal-orbitario por <span class="elsevierStyleItalic">Bipolaris</span> sp. Presentación de caso. Acta Otorrinolaringol Esp. 2015;66:e1–e3.</p>" ] ] "multimedia" => array:2 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1179 "Ancho" => 1300 "Tamanyo" => 213203 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A and B) Coronal and axial CT scans which show significant opacification of the ethmoid and maxillary sinuses, with imaging of regular appearance and calcium intensity, which led to the erosion of a part of the right ethmoidal sinus and had invaded the orbital cavity causing a slight displacement of the medial rectus. (C and D) Coronal and axial MRI imaging in T2 which show opacification of the ethmoid maxillary sinuses with variable type changes. The variable changes in the paranasal sinuses affected in this case relate to the presence of inflammatory tissues with discharges of high glycoproteins concentrations and low concentration of free water (allergic mucine). In the right ethmoid recess there is a hypointense image which correlates with that present in the CT scan. The low signal capture in T2 or “empty signal” is due to the high concentration of different iron and manganese metals concentrated by fungal microorganisms. This low signalling imaging is regular and no infiltration signs of repercussion are noted on intraorbitrary content level.</p>" ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 810 "Ancho" => 1800 "Tamanyo" => 399540 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">(A) Histologic cross-section (haematoxyline–eosin) imaging in it in which the infiltrated respiratory epithelium stroma with numerous eosinophils, lymphocytes, plasmatic cells, mastocytes and neutrophils with Charcot–Leyden crystals is appreciated. (B) Grocott's Methanamine Silver stain with septated structures and yeast infected black stained corpuscles. (C) Culture in Sabouraud agar inhibiting agent showing a growth of colonies with black velvety and dark grey spores.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:10 [ 0 => array:3 [ "identificador" => "bib0055" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Allergic fungal rhinosinusitis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "M.W. 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Case study
Ethmoid-Orbital Mycetoma Caused by Bipolaris sp. Case Report
Micetoma etmoidal-orbitario por Bipolaris sp. Presentación de caso
a Unidad del Fellow de Cirugía Endoscópica Rinosinusal, Instituto Médico La Floresta, Unidad Interdisciplinaria de Cirugía Endoscópica de base de Cráneo, Unidad de Neurocirugía, Hospital Militar “Dr. Carlos Arvelo”, Caracas, Venezuela
b Medical student, Universidad Central de Venezuela, Escuela “José María Vargas”, Caracas, Venezuela