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Diagnosis, treatment and prophylaxis of influenza virus infection. Consensus statement of the Spanish Society of Infectious Diseases and Clinical Microbiology (<span class="elsevierStyleItalic">SEIMC</span>), the Spanish Society of Pediatric Infectious Diseases (<span class="elsevierStyleItalic">SEIP</span>), the Spanish Association of Vaccinology (<span class="elsevierStyleItalic">AEV</span>), the Spanish Society of Family and Community Medicine (<span class="elsevierStyleItalic">SEMFYC</span>) and the Spanish Society of Preventive Medicine, Public Health and Health Management (<span class="elsevierStyleItalic">SEMPSPGS</span>)" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => array:2 [ 0 => "en" 1 => "es" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "111" "paginaFinal" => "122" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Resumen ejecutivo «Diagnóstico, tratamiento y profilaxis de la infección por el virus de la gripe. Documento de consenso de la Sociedad Española de Enfermedades Infecciosas y Microbiología Clínica (SEIMC), la Sociedad Española de Infectología Pediátrica (SEIP), la Asociación Española de Vacunología (AEV), la Sociedad Española de Medicina de Familia y Comunitaria (SEMFYC) y la Sociedad Española de Medicina Preventiva, Salud Pública y Gestión Sanitaria (SEMPSPGS)»" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1227 "Ancho" => 2508 "Tamanyo" => 305960 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Daily global mortality by any cause in Spain (2010–2019) and weekly incidence of influenza virus infection. Source: National Center of Epidemiology, Health Institute Carlos III, Ministry of Science, Spain.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">1</span></a> Footnote: red line: detected mortality; blue line: expected mortality; yellow line: incidence of influenza; <span class="elsevierStyleItalic">x</span>-axis: week/year; left <span class="elsevierStyleItalic">y</span>-axis: absolute number of deaths; right <span class="elsevierStyleItalic">y</span>-axis: number of cases of influenza infection per 100,000 inhabitants.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Francisco López-Medrano, Santiago Alfayate, Jordi Carratalà, Judith Chamorro-Camazón, Elisa Cordero, Marta Cruz-Cañete, María Fernández-Prada, Manuel García-Cenoz, María Ángeles Marcos, Santiago Melón, Nemesio Moreno-Millán, María Ángeles Onieva-García, Raúl Ortiz de Lejarazu, Jaime Jesús Pérez-Martín, Juan Rodríguez-García, Germán Schwarz-Chavarri, Alfredo Tagarro-García, Diego van Esso-Arbolave, Diego Viasus, Tomàs Pumarola" "autores" => array:20 [ 0 => array:2 [ "nombre" => "Francisco" "apellidos" => "López-Medrano" ] 1 => array:2 [ "nombre" => "Santiago" "apellidos" => "Alfayate" ] 2 => array:2 [ "nombre" => "Jordi" "apellidos" => "Carratalà" ] 3 => array:2 [ "nombre" => "Judith" "apellidos" => "Chamorro-Camazón" ] 4 => array:2 [ "nombre" => "Elisa" "apellidos" => "Cordero" ] 5 => array:2 [ "nombre" => "Marta" "apellidos" => "Cruz-Cañete" ] 6 => array:2 [ "nombre" => "María" "apellidos" => "Fernández-Prada" ] 7 => array:2 [ "nombre" => "Manuel" "apellidos" => "García-Cenoz" ] 8 => array:2 [ "nombre" => "María Ángeles" "apellidos" => "Marcos" ] 9 => array:2 [ "nombre" => "Santiago" "apellidos" => "Melón" ] 10 => array:2 [ "nombre" => "Nemesio" "apellidos" => "Moreno-Millán" ] 11 => array:2 [ "nombre" => "María Ángeles" "apellidos" => "Onieva-García" ] 12 => array:2 [ "nombre" => "Raúl Ortiz de" "apellidos" => "Lejarazu" ] 13 => array:2 [ "nombre" => "Jaime Jesús" "apellidos" => "Pérez-Martín" ] 14 => array:2 [ "nombre" => "Juan" "apellidos" => "Rodríguez-García" ] 15 => array:2 [ "nombre" => "Germán" "apellidos" => "Schwarz-Chavarri" ] 16 => array:2 [ "nombre" => "Alfredo" "apellidos" => "Tagarro-García" ] 17 => array:2 [ "nombre" => "Diego" "apellidos" => "van Esso-Arbolave" ] 18 => array:2 [ "nombre" => "Diego" "apellidos" => "Viasus" ] 19 => array:2 [ "nombre" => "Tomàs" "apellidos" => "Pumarola" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2529993X23000576?idApp=UINPBA00004N" "url" => "/2529993X/0000004100000002/v1_202302081247/S2529993X23000576/v1_202302081247/en/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Diagnosis at first sight</span>" "titulo" => "Pulmonary invasive fungal infection and rhinofacial cellulitis with paranasal sinus and orbital fossa invasion in an inmunocompromised patient" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "123" "paginaFinal" => "124" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Ana Gómez-Martínez, Beatriz de Rueda-Ciller, Concepción López, Pilar Delgado-Beltrán" "autores" => array:4 [ 0 => array:4 [ "nombre" => "Ana" "apellidos" => "Gómez-Martínez" "email" => array:1 [ 0 => "anago38@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" => "Beatriz" "apellidos" => "de Rueda-Ciller" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "Concepción" "apellidos" => "López" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] 3 => array:3 [ "nombre" => "Pilar" "apellidos" => "Delgado-Beltrán" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Servicio de Hematología, Hospital Universitario San Jorge, Huesca, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Hematología, Hospital Universitario Miguel Servet, Zaragoza, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Servicio de Microbiología, Hospital Miguel Servet, Zaragoza, Spain" "etiqueta" => "c" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Infección fúngica invasiva pulmonar y celulitis rinofacial con invasión de senos paranasales y fosa orbitaria en paciente inmunodeprimido." ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 568 "Ancho" => 755 "Tamanyo" => 67566 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Histologic examination of <span class="elsevierStyleItalic">C. coronatus</span>. Presence of wide, slightly septate hyphae.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Clinical description of the case</span><p id="par0005" class="elsevierStylePara elsevierViewall">This was a case of a 62-year-old patient with a medical history of diabetes mellitus, dyslipidaemia, ischaemic heart disease and no haematologic history of interest. He reported a stay in a country with a tropical climate (Costa Rica) more than 10 years previously, without recent travel. He was admitted in October 2020 for a study of pancytopoenia, constitutional syndrome of two months' evolution, fever of unknown origin and digital ulcer of torpid evolution. A bone marrow aspiration was performed, confirming the initial suspicion of acute leukaemia with dendritic differentiation: blastic plasmacytoid dendritic cell neoplasm. Cytogenetics and karyotype, normal. Molecular markers of adverse prognosis in a massive sequencing study.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Clinical course</span><p id="par0010" class="elsevierStylePara elsevierViewall">Following diagnostic confirmation, the patient presented clinical worsening, palpebral oedema and erythema, persistent fever despite broad-spectrum antibiotic therapy for gram-positive and -negative bacteria and coverage for filamentous fungus, with increasing parameters of severe infection and negative microbiological results (absence of germ growth documented in negative blood cultures, urine cultures and serial galactomannans). In view of the frank disease progression, and following a risk-benefit assessment with the absence of microbiological data at that time, the decision to initiate chemotherapy treatment was taken. After 24 h, the patient presented severe acute respiratory failure, septic shock, digital ulcer necrosis and proptosis of the right eyeball, requiring transfer to the Intensive Care Unit (ICU) for support with vasoactive drugs, continuous veno-venous haemofiltration and invasive mechanical ventilation by means of orotracheal intubation. In the bronchial aspirate performed during the intubation process, the Microbiology Service observed the growth of a filamentous fungus, probably of the mucorales family, informing a preliminary result. At that time, antifungal coverage was reinforced by administering dual therapy with intravenous and inhaled liposomal amphotericin B together with intravenous caspofungin. After six days in the ICU, the patient presented multiple organ failure and eventually died. <span class="elsevierStyleItalic">Post mortem</span>microbiological isolation of Zigomycete (subphylum entomophthoromycotina): <span class="elsevierStyleItalic">Conidiobolus coronatus was confirmed (</span><a class="elsevierStyleCrossRefs" href="#fig0005">Figs. 1 and 2</a>) in bronchial aspirate, probably causing invasive pulmonary fungal infection and rhinofacial cellulitis with invasion of paranasal sinuses and orbital fossa.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Closing remarks</span><p id="par0015" class="elsevierStylePara elsevierViewall">Conidiobolomycosis occurs in humans after the inhalation of spores that colonise the nasal mucosa and can penetrate the facial subcutaneous tissue and nasal sinuses in immunocompetent patients<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1,2</span></a>. It is typically a tropical disease that requires high levels of moisture for growth and development. However, the presence of this microorganism has been described in environmental samples from cold-climate countries in northern Europe. It predominates in male patients, 10 to 1<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a>.</p><p id="par0020" class="elsevierStylePara elsevierViewall">Clinically, it is characterised by the appearance of progressive submucosal or subcutaneous nodular lesions predominantly located in the nostrils, orbit and face. In more severe cases, and particularly in immunocompromised patients, it can course with disseminated infection symptoms<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a>.</p><p id="par0025" class="elsevierStylePara elsevierViewall">The diagnosis of <span class="elsevierStyleItalic">C. coronatus</span> infection is performed by histological examination of a biopsy of the lesion and culture<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a>. The most characteristic finding, while not pathognomonic, is the visualisation of wide and transparent hyphae, which are poorly septated and enveloped in eosinophilic material (<a class="elsevierStyleCrossRefs" href="#fig0005">Figs. 1 and 2</a>). The isolation of this fungus in the culture on Sabouraud dextrose agar with chloramphenicol confirms the diagnosis<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a>.</p><p id="par0030" class="elsevierStylePara elsevierViewall">Optimal treatment in severe cases is based on the use of intravenous liposomal amphotericin B or the combination of terbinafine with a triazole for 12 months and assessment of exeresis of the affected tissue<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a>.</p><p id="par0035" class="elsevierStylePara elsevierViewall">In many cases, microbiological identification takes 1–4 weeks to culture, which in immunocompromised patients can involve a particular relevance and higher mortality derived from a late start of treatment in cases in which diagnostic suspicion is low, so an adequate clinical history is necessary in which to ask about possible stays in areas of high incidence (Asia, Africa and South America especially)<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a>. In our case, the only notable epidemiological antecedent was the stay in Costa Rica.</p><p id="par0040" class="elsevierStylePara elsevierViewall">About 10 cases of invasive infection caused by this microorganism in immunosuppressed patients have been reported in the literature, none of them in Spain. Most of them presented disseminated infections with multiple organ involvement, hence it is important to conclude that minimising the time elapsed between suspicion and diagnostic confirmation is very important in reducing mortality resulting from delayed targeted treatment<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a>.</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Funding</span><p id="par0045" class="elsevierStylePara elsevierViewall">No funding was received for this study.</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conflicts of interest</span><p id="par0050" class="elsevierStylePara elsevierViewall">The authors declare that they have no conflicts of interest.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:6 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Clinical description of the case" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Clinical course" ] 2 => array:2 [ "identificador" => "sec0015" "titulo" => "Closing remarks" ] 3 => array:2 [ "identificador" => "sec0020" "titulo" => "Funding" ] 4 => array:2 [ "identificador" => "sec0025" "titulo" => "Conflicts of interest" ] 5 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:2 [ 0 => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 568 "Ancho" => 755 "Tamanyo" => 67566 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Histologic examination of <span class="elsevierStyleItalic">C. coronatus</span>. Presence of wide, slightly septate hyphae.</p>" ] ] 1 => array:8 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 568 "Ancho" => 755 "Tamanyo" => 63238 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0010" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Histologic examination of <span class="elsevierStyleItalic">C. coronatus</span>. Characteristic hyphae.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:5 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "A rhinofacial <span class="elsevierStyleItalic">Conidiobolus coronatus</span> fungal infection presenting as intranasal tumour" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "L. Deak" 1 => "S. Mudalagiriyappa" 2 => "A. Ballin" 3 => "A. 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Diagnosis at first sight
Pulmonary invasive fungal infection and rhinofacial cellulitis with paranasal sinus and orbital fossa invasion in an inmunocompromised patient
Infección fúngica invasiva pulmonar y celulitis rinofacial con invasión de senos paranasales y fosa orbitaria en paciente inmunodeprimido.