Scientific letter
Foruncular myiasis. A biting tumor
Miasis foruncular. Un tumor mordiente
Read
2696
Timeswas read the article
297
Total PDF
2399
Total HTML
Share statistics
array:23 [ "pii" => "S2529993X19302060" "issn" => "2529993X" "doi" => "10.1016/j.eimce.2018.08.004" "estado" => "S300" "fechaPublicacion" => "2019-11-01" "aid" => "1916" "copyright" => "Elsevier España, S.L.U. and Sociedad Española de Enfermedades Infecciosas y Microbiología Clínica" "copyrightAnyo" => "2018" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Enferm Infecc Microbiol Clin. 2019;37:615-6" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "itemSiguiente" => array:18 [ "pii" => "S2529993X19302072" "issn" => "2529993X" "doi" => "10.1016/j.eimce.2018.09.009" "estado" => "S300" "fechaPublicacion" => "2019-11-01" "aid" => "1917" "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. 2019;37:618" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Scientific letter</span>" "titulo" => "Ocular toxocariasis in a pediatric patient undergoing a bone marrow transplantation" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "618" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Toxocariasis ocular en un paciente pediátrico sometido a trasplante de médula ósea" ] ] "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" => 1121 "Ancho" => 1333 "Tamanyo" => 204612 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Ocular toxocariasis: a white mass in the posterior pole of the right eye extending towards the macula.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Blanca Molina, Marta González-Vicent, Isabel Valls, Miguel Ángel Díaz" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Blanca" "apellidos" => "Molina" ] 1 => array:2 [ "nombre" => "Marta" "apellidos" => "González-Vicent" ] 2 => array:2 [ "nombre" => "Isabel" "apellidos" => "Valls" ] 3 => array:2 [ "nombre" => "Miguel Ángel" "apellidos" => "Díaz" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2529993X19302072?idApp=UINPBA00004N" "url" => "/2529993X/0000003700000009/v1_201911010649/S2529993X19302072/v1_201911010649/en/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S2529993X19302059" "issn" => "2529993X" "doi" => "10.1016/j.eimce.2018.07.020" "estado" => "S300" "fechaPublicacion" => "2019-11-01" "aid" => "1907" "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. 2019;37:614-5" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Scientific letter</span>" "titulo" => "<span class="elsevierStyleItalic">Clostridium colicanis</span> bacteraemia in an asthmatic patient diagnosed as acute respiratory infection" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "614" "paginaFinal" => "615" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Bacteriemia por <span class="elsevierStyleItalic">Clostridium colicanis</span> en una paciente asmática diagnosticada de infección respiratoria aguda" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "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" => 54273 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Gram stain of anaerobic blood culture (1000×): <span class="elsevierStyleBold">Gram positive</span> long and straight-ended bacilli.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Laura Barrado, Luis Torroba-Álvarez, Ana Navascués, Carmen Ezpeleta-Baquedano" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Laura" "apellidos" => "Barrado" ] 1 => array:2 [ "nombre" => "Luis" "apellidos" => "Torroba-Álvarez" ] 2 => array:2 [ "nombre" => "Ana" "apellidos" => "Navascués" ] 3 => array:2 [ "nombre" => "Carmen" "apellidos" => "Ezpeleta-Baquedano" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2529993X19302059?idApp=UINPBA00004N" "url" => "/2529993X/0000003700000009/v1_201911010649/S2529993X19302059/v1_201911010649/en/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Scientific letter</span>" "titulo" => "Foruncular myiasis. A biting tumor" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "615" "paginaFinal" => "616" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Ignacio Antonio Sigona-Giangreco, Elena García, Miguel Ángel García-Moreno, Ana Gil-Brusola" "autores" => array:4 [ 0 => array:4 [ "nombre" => "Ignacio Antonio" "apellidos" => "Sigona-Giangreco" "email" => array:1 [ 0 => "sinacio88@gmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Elena" "apellidos" => "García" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "Miguel Ángel" "apellidos" => "García-Moreno" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 3 => array:3 [ "nombre" => "Ana" "apellidos" => "Gil-Brusola" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Microbiología Clínica del Hospital Universitari i Politècnic La Fe, Valencia, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Cirugía Plástica del Hospital Universitari i Politècnic 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" => "Miasis foruncular. Un tumor mordiente" ] ] "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" => 2137 "Ancho" => 2500 "Tamanyo" => 459572 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Skin lesion in the scalp and parasite. (a) Lump with a hole. (b) <span class="elsevierStyleItalic">Dermatobia hominis</span> larva. (c) <span class="elsevierStyleItalic">D. hominis</span> posterior spiracle. (d) <span class="elsevierStyleItalic">D. hominis</span> hooks.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Foruncular myiasis is a rare entity in our environment and, as it is usually an imported disease, it is poorly known and suspected in our country. Hence the importance of reporting the very few cases that come across in our health system.</p><p id="par0010" class="elsevierStylePara elsevierViewall">We report the case of a 24-year-old female who presented with a frontal scalp tumor that had grown gradually during the month prior to her admission. She had traveled to Peru a month before and denied fever or other symptoms, except for itching within the lesion. She was assessed by a plastic surgeon showing a lump with a hole which resembled an epidermoid cyst and was scheduled for surgical excision of the mass (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>a). After incision, a maggot was found (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>b), and resection was performed without incidents. It was directly sent to the Microbiology Department where it was identified as a <span class="elsevierStyleItalic">Dermatobia hominis</span> larva, based on the characteristics of its posterior spiracle (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>c), with three spiracular slits, each spiracular plate has three split curves directed toward the belly and slightly toward the middle.<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">1</span></a> After extraction, patient was discharged with amoxicilin/clavulanic acid as preemptive treatment of secondary bacterial infection of the wound, presenting no further complications.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">Myaisis means invasion of organs and tissues by fly maggots.<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">2</span></a> The most common fly species that cause these affection are <span class="elsevierStyleItalic">Cordylobia anthropophaga</span>, original of the African continent, and <span class="elsevierStyleItalic">D. hominis</span>, from Central and South America.<a class="elsevierStyleCrossRefs" href="#bib0055"><span class="elsevierStyleSup">3,4</span></a> The number of cases of myaisis in countries from continents different to these is increasing due to rise on migration to tropical regions.<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">5</span></a> To our knowledge, there are less than 30 cases of myiasis caused by <span class="elsevierStyleItalic">D. hominis</span> reported in Spain.<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">6</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleItalic">D. hominis</span> has three forms on its cycle: adult fly, pupa and larva. Only larvae are parasites,<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">7</span></a> and present three different stages. It is interesting that <span class="elsevierStyleItalic">D. hominis</span> is unable of biting because of its poorly developed buccal apparatus. Female adult flies capture hematophagous insects of other species and deposit their eggs on them (around 15–20 eggs at a time).<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">5</span></a> As the hematophagous vector bites a mammal, the eggs hatch and larvae fall onto the mammal's skin, where after penetrating and reaching the epidermis, remain growing for 33–41 days. When a 3<span class="elsevierStyleSup">rd</span> stage larva is under the skin, it fixes its hooks (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>d) in soft tissue and orientates its respiratory organ, located in its last segment, toward the surface. This respiratory organ is used for species identification,<a class="elsevierStyleCrossRefs" href="#bib0045"><span class="elsevierStyleSup">1,4</span></a> based on the morphology of this posterior spiracle (peritrem, button and spiracular slit).<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">7</span></a></p><p id="par0025" class="elsevierStylePara elsevierViewall">Clinically, in the first 24<span class="elsevierStyleHsp" style=""></span>h, a bug-bite lesion usually appears at the inoculation site, which grows wider and deeper within days, producing pruritus at first and then pain, even referring patients a sense of movement.<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">5</span></a> Treatment consists in removal of the maggot. First stage larvae can be removed by expression, but in late stages the tail portion of the larvae is wider than the anterior portion and the presence of spines make the extraction very difficult, resulting in the need of surgical removal.<a class="elsevierStyleCrossRefs" href="#bib0070"><span class="elsevierStyleSup">6,8</span></a></p><p id="par0030" class="elsevierStylePara elsevierViewall">In conclusion, it is important to report the study of these cases, because of their increasing number, to make an accurate treatment. It is also important to instruct travelers about using protective clothing and insect repellent to prevent possible infestations.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 2137 "Ancho" => 2500 "Tamanyo" => 459572 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Skin lesion in the scalp and parasite. (a) Lump with a hole. (b) <span class="elsevierStyleItalic">Dermatobia hominis</span> larva. (c) <span class="elsevierStyleItalic">D. hominis</span> posterior spiracle. (d) <span class="elsevierStyleItalic">D. hominis</span> hooks.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:8 [ 0 => array:3 [ "identificador" => "bib0045" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Moscas de la inmundicia y moscas productoras de miasis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "P. Beaver" 1 => "R. Jung" 2 => "E. Cupp" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "LibroEditado" => array:6 [ "editores" => "J.Tay, M.Gutiérrez, Y.García" "titulo" => "Parasitología Clínica de Craig Faust" "paginaInicial" => "679" "paginaFinal" => "694" "edicion" => "3. ed." "serieFecha" => "2003" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0050" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Miasis furunculosa por <span class="elsevierStyleItalic">Dermatobia hominis</span> “Colmoyote”" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "G.B. Tornés" 1 => "C.M. Brizuela" 2 => "E.Y. Brizuela" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "MEDISAN" "fecha" => "2003" "volumen" => "7" "paginaInicial" => "124" "paginaFinal" => "128" ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0055" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "External ophthalmomyiasis due to <span class="elsevierStyleItalic">Dermatobia hominis</span>. A case report" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "A. Serra Moltó" 1 => "J.C. Molina Martín" 2 => "E. Mengual Verdú" 3 => "J.R. Hueso Abancens" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.oftal.2018.02.006" "Revista" => array:6 [ "tituloSerie" => "Arch Soc Esp Oftalmol" "fecha" => "2018" "volumen" => "93" "paginaInicial" => "402" "paginaFinal" => "405" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/29580757" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0060" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Myiasis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "F. Francesconi" 1 => "O. Lupi" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1128/CMR.00010-11" "Revista" => array:7 [ "tituloSerie" => "Clin Microbiol Rev" "fecha" => "2012" "volumen" => "25" "paginaInicial" => "79" "paginaFinal" => "105" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22232372" "web" => "Medline" ] ] "itemHostRev" => array:3 [ "pii" => "S0016508510012400" "estado" => "S300" "issn" => "00165085" ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0065" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Miasis foruncular por <span class="elsevierStyleItalic">Dermatobia hominis</span> en viajera a país tropical" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "J.M. Calleja-Pascual" 1 => "E. Pérez-Urrutia" 2 => "M.A. Calvo-Gainzarain" 3 => "A. Lecuona-Irigoyen" 4 => "N. Miskovic-Karacsonyi" 5 => "J. Iturralde-Iriso" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Gac Médica Bilbao" "fecha" => "2008" "volumen" => "105" "paginaInicial" => "101" "paginaFinal" => "104" ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib0070" "etiqueta" => "6" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Miasis cutánea por <span class="elsevierStyleItalic">Cordylobia anthropophaga</span>" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "M. Alkorta Gurrutxaga" 1 => "X. Beristain Rementeria" 2 => "G. Cilla Eguiluz" 3 => "A. Tuneu Valls" 4 => "J. Zubizarreta Salvador" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Rev Esp Salud Publica" "fecha" => "2001" "volumen" => "75" "paginaInicial" => "23" "paginaFinal" => "29" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11400412" "web" => "Medline" ] ] ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib0075" "etiqueta" => "7" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The study of myiasis in Spain during the past century years" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "M.D. Soler-Cruz" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Ars Pharm" "fecha" => "2000" "volumen" => "41" "paginaInicial" => "19" "paginaFinal" => "26" ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib0080" "etiqueta" => "8" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Cutaneous myiasis: a review of the common types of myiasis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "K. Robbins" 1 => "A. Khachemoune" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1111/j.1365-4632.2010.04577.x" "Revista" => array:6 [ "tituloSerie" => "Int J Dermatol" "fecha" => "2010" "volumen" => "49" "paginaInicial" => "1092" "paginaFinal" => "1098" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20883399" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] "agradecimientos" => array:1 [ 0 => array:4 [ "identificador" => "xack432523" "titulo" => "Acknowledgements" "texto" => "<p id="par0035" class="elsevierStylePara elsevierViewall">Special thanks to: José Alejandro Rincón Almansa and Javier Pemán García.</p>" "vista" => "all" ] ] ] "idiomaDefecto" => "en" "url" => "/2529993X/0000003700000009/v1_201911010649/S2529993X19302060/v1_201911010649/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/0000003700000009/v1_201911010649/S2529993X19302060/v1_201911010649/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2529993X19302060?idApp=UINPBA00004N" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 4 | 1 | 5 |
| 2024 October | 20 | 3 | 23 |
| 2024 September | 38 | 5 | 43 |
| 2024 August | 31 | 2 | 33 |
| 2024 July | 25 | 2 | 27 |
| 2024 June | 27 | 3 | 30 |
| 2024 May | 20 | 2 | 22 |
| 2024 April | 13 | 3 | 16 |
| 2024 March | 22 | 2 | 24 |
| 2024 February | 42 | 5 | 47 |
| 2024 January | 52 | 0 | 52 |
| 2023 December | 41 | 1 | 42 |
| 2023 November | 61 | 1 | 62 |
| 2023 October | 79 | 8 | 87 |
| 2023 September | 34 | 0 | 34 |
| 2023 August | 36 | 0 | 36 |
| 2023 July | 40 | 3 | 43 |
| 2023 June | 61 | 3 | 64 |
| 2023 May | 64 | 4 | 68 |
| 2023 April | 69 | 0 | 69 |
| 2023 March | 61 | 3 | 64 |
| 2023 February | 47 | 7 | 54 |
| 2023 January | 52 | 1 | 53 |
| 2022 December | 52 | 5 | 57 |
| 2022 November | 48 | 5 | 53 |
| 2022 October | 49 | 4 | 53 |
| 2022 September | 53 | 3 | 56 |
| 2022 August | 53 | 7 | 60 |
| 2022 July | 73 | 3 | 76 |
| 2022 June | 53 | 4 | 57 |
| 2022 May | 54 | 8 | 62 |
| 2022 April | 32 | 8 | 40 |
| 2022 March | 67 | 6 | 73 |
| 2022 February | 59 | 5 | 64 |
| 2022 January | 112 | 8 | 120 |
| 2021 December | 76 | 10 | 86 |
| 2021 November | 70 | 13 | 83 |
| 2021 October | 43 | 16 | 59 |
| 2021 September | 35 | 13 | 48 |
| 2021 August | 41 | 9 | 50 |
| 2021 July | 13 | 11 | 24 |
| 2021 June | 33 | 5 | 38 |
| 2021 May | 34 | 13 | 47 |
| 2021 April | 89 | 9 | 98 |
| 2021 March | 63 | 9 | 72 |
| 2021 February | 57 | 9 | 66 |
| 2021 January | 41 | 9 | 50 |
| 2020 December | 36 | 5 | 41 |
| 2020 November | 34 | 8 | 42 |
| 2020 October | 27 | 5 | 32 |
| 2020 September | 20 | 7 | 27 |
| 2020 August | 15 | 4 | 19 |
| 2020 July | 9 | 4 | 13 |
| 2020 June | 9 | 2 | 11 |
| 2020 May | 10 | 11 | 21 |
Show all
