array:24 [ "pii" => "S2529993X18300509" "issn" => "2529993X" "doi" => "10.1016/j.eimce.2018.02.014" "estado" => "S300" "fechaPublicacion" => "2018-04-01" "aid" => "1720" "copyright" => "Elsevier España, S.L.U. and Sociedad Española de Enfermedades Infecciosas y Microbiología Clínica" "copyrightAnyo" => "2017" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Enferm Infecc Microbiol Clin. 2018;36:252-3" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 482 "formatos" => array:2 [ "HTML" => 367 "PDF" => 115 ] ] "Traduccion" => array:1 [ "es" => array:19 [ "pii" => "S0213005X17302148" "issn" => "0213005X" "doi" => "10.1016/j.eimc.2017.07.004" "estado" => "S300" "fechaPublicacion" => "2018-04-01" "aid" => "1720" "copyright" => "Elsevier España, S.L.U. and Sociedad Española de Enfermedades Infecciosas y Microbiología Clínica" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Enferm Infecc Microbiol Clin. 2018;36:252-3" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1658 "formatos" => array:3 [ "EPUB" => 1 "HTML" => 1310 "PDF" => 347 ] ] "es" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Carta científica</span>" "titulo" => "Enfermedad pélvica inflamatoria por <span class="elsevierStyleItalic">Streptococcus pneumoniae</span>" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "252" "paginaFinal" => "253" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Pelvic inflammatory disease due to <span class="elsevierStyleItalic">Streptococcus pneumoniae</span>" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Marta Garrido-Jareño, Susana Monzó-Fabuel, Ana Gil-Brusola, Beatriz Acosta-Boga" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Marta" "apellidos" => "Garrido-Jareño" ] 1 => array:2 [ "nombre" => "Susana" "apellidos" => "Monzó-Fabuel" ] 2 => array:2 [ "nombre" => "Ana" "apellidos" => "Gil-Brusola" ] 3 => array:2 [ "nombre" => "Beatriz" "apellidos" => "Acosta-Boga" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2529993X18300509" "doi" => "10.1016/j.eimce.2018.02.014" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2529993X18300509?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0213005X17302148?idApp=UINPBA00004N" "url" => "/0213005X/0000003600000004/v1_201804040507/S0213005X17302148/v1_201804040507/es/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S2529993X18300492" "issn" => "2529993X" "doi" => "10.1016/j.eimce.2018.02.013" "estado" => "S300" "fechaPublicacion" => "2018-04-01" "aid" => "1719" "copyright" => "Elsevier España, S.L.U. and Sociedad Española de Enfermedades Infecciosas y Microbiología Clínica" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Enferm Infecc Microbiol Clin. 2018;36:253-5" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 931 "formatos" => array:2 [ "HTML" => 761 "PDF" => 170 ] ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Scientific letter</span>" "titulo" => "Candidemia and colonization by <span class="elsevierStyleItalic">Candida auris</span>, a diagnostic challenge" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "253" "paginaFinal" => "255" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Candidemia y colonización por <span class="elsevierStyleItalic">Candida auris</span>, un reto diagnóstico" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Lourdes Viñuela-Sandoval, Iker Falces-Romero, Julio García-Rodríguez, José María Eiros-Bouza" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Lourdes" "apellidos" => "Viñuela-Sandoval" ] 1 => array:2 [ "nombre" => "Iker" "apellidos" => "Falces-Romero" ] 2 => array:2 [ "nombre" => "Julio" "apellidos" => "García-Rodríguez" ] 3 => array:2 [ "nombre" => "José María" "apellidos" => "Eiros-Bouza" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0213005X17302136" "doi" => "10.1016/j.eimc.2017.07.003" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0213005X17302136?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2529993X18300492?idApp=UINPBA00004N" "url" => "/2529993X/0000003600000004/v2_201804060412/S2529993X18300492/v2_201804060412/en/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S2529993X18300832" "issn" => "2529993X" "doi" => "10.1016/j.eimce.2017.07.002" "estado" => "S300" "fechaPublicacion" => "2018-04-01" "aid" => "1724" "copyright" => "Elsevier España, S.L.U. and Sociedad Española de Enfermedades Infecciosas y Microbiología Clínica" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Enferm Infecc Microbiol Clin. 2018;36:251-2" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 273 "formatos" => array:2 [ "HTML" => 185 "PDF" => 88 ] ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Scientific letter</span>" "titulo" => "Really malaria-free Europe?" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "251" "paginaFinal" => "252" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "¿Es real una Europa libre de malaria?" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Aitor Olaso, María F. López-Ballero" "autores" => array:2 [ 0 => array:2 [ "nombre" => "Aitor" "apellidos" => "Olaso" ] 1 => array:2 [ "nombre" => "María F." "apellidos" => "López-Ballero" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2529993X18300832?idApp=UINPBA00004N" "url" => "/2529993X/0000003600000004/v2_201804060412/S2529993X18300832/v2_201804060412/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "Pelvic inflammatory disease due to <span class="elsevierStyleItalic">Streptococcus pneumoniae</span>" "tieneTextoCompleto" => true "saludo" => "Dear Editor," "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "252" "paginaFinal" => "253" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Marta Garrido-Jareño, Susana Monzó-Fabuel, Ana Gil-Brusola, Beatriz Acosta-Boga" "autores" => array:4 [ 0 => array:4 [ "nombre" => "Marta" "apellidos" => "Garrido-Jareño" "email" => array:1 [ 0 => "ma.garridoj@hotmail.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" => "Susana" "apellidos" => "Monzó-Fabuel" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "Ana" "apellidos" => "Gil-Brusola" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 3 => array:3 [ "nombre" => "Beatriz" "apellidos" => "Acosta-Boga" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Microbiología, Hospital Universitario y Politécnico La Fe, Valencia, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Ginecología, Hospital Universitario y Politécnico La Fe, Valencia, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Enfermedad pélvica inflamatoria por <span class="elsevierStyleItalic">Streptococcus pneumoniae</span>" ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Invasive pneumococcal disease is the most serious form of disease produced by <span class="elsevierStyleItalic">Streptococcus pneumoniae</span>, especially affecting those under 5 and over 65 years of age. It is considered an invasive pneumococcal disease to the isolation and detection of the antigen or nucleic acid of <span class="elsevierStyleItalic">S. pneumoniae</span> in a normally sterile location.<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">1</span></a> Pneumonia is the most frequent form of clinical presentation, with an incidence rate of around 6 cases out of 10<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">2</span></a> inhabitants in the Valencian Community,<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">3</span></a> followed by bacteraemia without focus and meningitis.<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">4</span></a> Other less frequent forms of clinical presentation are: spontaneous bacterial peritonitis, arthritis and pelvic inflammatory disease (PID), among others.<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">4</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">We present the case of a 37-year-old patient who went to A&E due to a 3-day history of abdominal pain and fever, without urinary syndrome or alterations of the intestinal rhythm. Her history included two pregnancies and two deliveries, the last of which was two years before with postpartum subtotal hysterectomy due to placenta accreta. On physical examination, the patient presented with a soft, depressible and painful abdomen on palpation. The gynaecological examination showed yellow, non-malodorous vaginal discharge and pain with pressure in the recto-uterine pouch. In the transvaginal ultrasound, a heterogeneous image of 54<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>33<span class="elsevierStyleHsp" style=""></span>mm, in “gear wheel”, compatible with right Fallopian tube, and another heterogeneous image of 57<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>27<span class="elsevierStyleHsp" style=""></span>mm in left appendage. Blood analysis showed elevated C-reactive protein (124.8<span class="elsevierStyleHsp" style=""></span>mg/l) and neutrophilia. The patient was admitted to the Gynaecology Department with empirical intravenous antibiotic therapy, including cefotaxime, metronidazole and doxycycline due to suspected PID. A CT scan was requested where suspicion of an abscess due to ovarian tube persisted, so a laparotomy was performed, confirming the findings and performing right salpingectomy and left adnexectomy. In addition, an intraoperative sample was obtained for a long incubation bacteriological culture. The DNA detection of <span class="elsevierStyleItalic">Chlamydia trachomatis</span> and <span class="elsevierStyleItalic">Neisseria gonorrhoeae</span> was negative, as well as the culture of genital mycoplasmas. After 24<span class="elsevierStyleHsp" style=""></span>hours of incubation, mucous alpha haemolytic colonies grew in the vaginal bacteriological culture in pure culture in the blood agar plate and in the chocolate agar plate, observing gram-positive cocci in chains in the long incubation culture stain. Growth of <span class="elsevierStyleItalic">S. pneumoniae</span> was reported, identified with VITEK MS (bioMérieux, Marcy-l’Étoile, France). The sensitivity study was carried out by disk diffusion, being sensitive to cotrimoxazole, erythromycin, levofloxacin, vancomycin and imipenem and with E-test an MIC of 0.008<span class="elsevierStyleHsp" style=""></span>μg/ml of ceftriaxone and 0.016<span class="elsevierStyleHsp" style=""></span>μg/ml of penicillin was observed. After agglutination with antisera (Statens Serum Institut, Copenhagen), serotype 3 was obtained, which fits with the macroscopic characteristics of the colony. The patient was discharged 24<span class="elsevierStyleHsp" style=""></span>hours after admission with oral levofloxacin.</p><p id="par0015" class="elsevierStylePara elsevierViewall">The natural microhabitat of pneumococcus is the human nasopharynx, transmitted mainly through respiratory droplets. Infants and young children are the main reservoir of this agent, although colonised adults may also be used.<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">5</span></a><span class="elsevierStyleItalic">S. pneumoniae</span> is not part of the usual vaginal microbiota, being isolated in the vaginal discharge in less than 1% of women,<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">2</span></a> meaning that cases of PID by pneumococcus are anecdotal. However, pneumococcus can access the vaginal mucosa due to contamination from the hands or oral-genital sexual practice.<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">6</span></a> Some of the factors that favour colonisation are: having an intrauterine device, use of tampons, recent gynaecological surgery and the postpartum, post-abortion and puerperium periods.<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">7</span></a> These conditions produce changes in the vaginal pH, temporarily allowing pneumococcus to exist as a commensal microbiota, although it can sometimes be complicated and evolve to peritonitis.<a class="elsevierStyleCrossRef" href="#bib0085"><span class="elsevierStyleSup">8</span></a> Other possible routes of access of pneumococcus to the genital tract may be the haematogenous spread and transmural infection through the gastrointestinal tract, which is infrequent since pneumococcus is rarely intestinal commensal. The clinical cases described in the literature agree that the most common form of clinical presentation is abdominal pain with predominance in the hypogastrium, increased vaginal discharge and fever. When PID is suspected, empirical antibiotic treatment based on levofloxacin, ceftriaxone, doxycycline and/or metronidazole should be given to cover the most frequently involved pathogens, and to avoid significant sequelae, as was done in this patient. The detection of pneumococcus and early treatment is necessary, since in many cases it can lead to a serious, complicated and potentially fatal septic event.<a class="elsevierStyleCrossRef" href="#bib0090"><span class="elsevierStyleSup">9</span></a></p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Garrido-Jareño M, Monzó-Fabuel S, Gil-Brusola A, Acosta-Boga B. Enfermedad pélvica inflamatoria por <span class="elsevierStyleItalic">Streptococcus pneumoniae</span>. Enferm Infecc Microbiol Clin. 2018;36:252–253.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:9 [ 0 => array:3 [ "identificador" => "bib0050" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:3 [ "comentario" => "Available from: <a class="elsevierStyleInterRef" target="_blank" id="intr0010" href="http://www.uptodate.com/">www.uptodate.com</a> [accessed 27.10.13]" "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Invasive pneumococcal (<span class="elsevierStyleItalic">Streptococcus pneumoniae</span>) infections and bacteremia" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "J. Daniel" 1 => "D.J. Sexton" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:3 [ "fecha" => "2013" "editorial" => "UpToDate" "editorialLocalizacion" => "Waltham, MA" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0055" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Dynamics of nasopharyngeal colonization by <span class="elsevierStyleItalic">Streptococcus pneumoniae</span>" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "F. Ghaffar" 1 => "I. Friedland" 2 => "G.H. Mccracken" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Pediatr Infect Dis" "fecha" => "1999" "volumen" => "18" "paginaInicial" => "638" "paginaFinal" => "646" ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0060" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Enfermedad neumocócica invasiva en la Comunitat Valenciana. Seis años de vigilancia (2007–2012)" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "L. Ciancotti" 1 => "I. Huertas" 2 => "E. Pérez" 3 => "E. Carmona" 4 => "R. Carbó" 5 => "A. Gil" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.eimc.2014.05.011" "Revista" => array:6 [ "tituloSerie" => "Enferm Infecc Microbiol Clin" "fecha" => "2015" "volumen" => "33" "paginaInicial" => "149" "paginaFinal" => "155" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25124486" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0065" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "<span class="elsevierStyleItalic">Streptococcus pneumoniae</span>" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "D.M. Musher" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "LibroEditado" => array:5 [ "titulo" => "Principles and practice of infectious diseases" "paginaInicial" => "2623" "paginaFinal" => "2642" "edicion" => "7th ed." "serieFecha" => "2010" ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0070" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:3 [ "comentario" => "Available from: <a class="elsevierStyleInterRef" target="_blank" id="intr0015" href="http://www.saludcastillayleon.es/profesionales/es/infepidemiologicos/informesepidemiologicos-castilla-leon/enfermedad-invasora-neumococo-ein">http://www.saludcastillayleon.es/profesionales/es/infepidemiologicos/informesepidemiologicos-castilla-leon/enfermedad-invasora-neumococo-ein</a> [accessed 13.2.17]" "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Red de Vigilancia Epidemiológica de Castilla y León. Informe sobre la enfermedad invasora por neumococo en Castilla y León" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "Servicio de Vigilancia Epidemiológica y Enfermedades Transmisibles" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:3 [ "fecha" => "2011" "editorial" => "Portal de Salud de la Junta de Castilla y León [Internet]. Dirección General de Salud Pública. Consejería de Sanidad. Junta de Castilla y León" "editorialLocalizacion" => "Valladolid" ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib0075" "etiqueta" => "6" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Isolation of <span class="elsevierStyleItalic">Streptococcus pneumoniae</span> from genital samples: discussion of its pathogenic role" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "H. Darbas" 1 => "G. Boyer" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Pathol Biol" "fecha" => "1987" "volumen" => "35" "paginaInicial" => "177" "paginaFinal" => "180" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3550628" "web" => "Medline" ] ] ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib0080" "etiqueta" => "7" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Perimenopausal pneumococcal tubo-ovarian abscess: a case report and review" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "S. Seshadri" 1 => "J. Kirwan" 2 => "T. Neal" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1080/1064744042000210366" "Revista" => array:6 [ "tituloSerie" => "Infect Dis Obstet Gynecol" "fecha" => "2004" "volumen" => "12" "paginaInicial" => "27" "paginaFinal" => "30" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15460193" "web" => "Medline" ] ] ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib0085" "etiqueta" => "8" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "<span class="elsevierStyleItalic">Streptococcus pneumoniae</span> peritonitis secondary to genital tract infection in a previously healthy woman" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "J. Gómez-Rodrigo" 1 => "B. Padilla" 2 => "A. Delgado-Iribarren" 3 => "J.L. Dargallo" 4 => "C. Pedroviejo" 5 => "J. Elviro" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Clin Infect Dis" "fecha" => "1992" "volumen" => "15" "paginaInicial" => "1060" "paginaFinal" => "1061" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1457650" "web" => "Medline" ] ] ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib0090" "etiqueta" => "9" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Puerperal primary pneumococcal peritonitis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "D. Nunns" 1 => "R. Harkett" 2 => "A. Oppenheimer" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1080/01443619867281" "Revista" => array:6 [ "tituloSerie" => "J Obstet Gynaecol" "fecha" => "1998" "volumen" => "18" "paginaInicial" => "395" "paginaFinal" => "398" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15512125" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/2529993X/0000003600000004/v2_201804060412/S2529993X18300509/v2_201804060412/en/main.assets" "Apartado" => array:4 [ "identificador" => "63562" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Scientific letters" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/2529993X/0000003600000004/v2_201804060412/S2529993X18300509/v2_201804060412/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2529993X18300509?idApp=UINPBA00004N" ]
Journal Information