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Spontaneous cutaneous fistula secondary to hepatic hydatidosis
Fístula cutánea secundaria a hidatidosis hepática
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Quartile distribution of ustekinumab levels according clinical remission. B. Ustekinumab levels according clinical remission. C. Ustekinumab levels according biological remission. D. Ustekinumab levels according clinical remission in patients without intestinal resection surgery. NS: not significant.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Francisco Ángel Lao Domínguez, María José Fobelo Lozano, Antonio Gutiérrez Pizarraya, Manuel Castro Fernández" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Francisco Ángel" "apellidos" => "Lao Domínguez" ] 1 => array:2 [ "nombre" => "María José" "apellidos" => "Fobelo Lozano" ] 2 => array:2 [ "nombre" => "Antonio" "apellidos" => "Gutiérrez Pizarraya" ] 3 => array:2 [ "nombre" => "Manuel" "apellidos" => "Castro Fernández" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S021057052200262X?idApp=UINPBA00004N" "url" => "/02105705/0000004600000008/v1_202309280830/S021057052200262X/v1_202309280830/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image of the month</span>" "titulo" => "Spontaneous cutaneous fistula secondary to hepatic hydatidosis" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "633" "paginaFinal" => "634" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Miguel Sogbe, José Luis del Pozo" "autores" => array:2 [ 0 => array:3 [ "nombre" => "Miguel" "apellidos" => "Sogbe" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 1 => array:4 [ "nombre" => "José Luis" "apellidos" => "del Pozo" "email" => array:1 [ 0 => "jdelpozo@unav.es" ] "referencia" => array:4 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] 2 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">d</span>" "identificador" => "aff0020" ] 3 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] ] "afiliaciones" => array:4 [ 0 => array:3 [ "entidad" => "Infectious Diseases Division, Clínica Universidad de Navarra, Pamplona, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Internal Medicine Department, Clínica Universidad de Navarra, Pamplona, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "IdiSNA, Navarra Institute for Health Research, Pamplona, Spain" "etiqueta" => "c" "identificador" => "aff0015" ] 3 => array:3 [ "entidad" => "Microbiology Department, Clínica Universidad de Navarra, Pamplona, Spain" "etiqueta" => "d" "identificador" => "aff0020" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Fístula cutánea secundaria a hidatidosis hepática" ] ] "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" => 1173 "Ancho" => 2508 "Tamanyo" => 356776 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Cutaneous fistula (arrow) in the right upper quadrant of the abdominal wall (A) with draining grape-like bodies (B).</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 63-year-old man with a history of cystectomies due to hepatic hydatidosis presented to the emergency department with a 5-day history of abdominal pain, fever, and reddish swelling on the abdominal wall. On physical examination, there was tenderness in the right upper quadrant, an abdominal wall fistula (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A, arrow) draining grape-like bodies (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B). Laboratory testing revealed: C-reactive protein 24.8<span class="elsevierStyleHsp" style=""></span>mg/dl (normal value, <1), total leucocyte count of 18.6<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>10E9/L (normal value, 4.8–10.8) with 75% neutrophils, total eosinophil count 0.52<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>10E9/L (normal value, <0.4), total bilirubin 0.71<span class="elsevierStyleHsp" style=""></span>mg/dl (normal value, <1.2), gamma-glutamyl transpeptidase 152<span class="elsevierStyleHsp" style=""></span>IU/L (normal value, <0.38), alkaline phosphatase 85<span class="elsevierStyleHsp" style=""></span>IU/L (normal value, 28–86). Computed tomography of the abdomen revealed multiple cystic formations in the segment V of the liver. A fistulous communication between the abdominal wall and the hydatid vesiculation was observed (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>, arrow). The serology was positive for <span class="elsevierStyleItalic">Echinococcus</span>. The patient was treated with oral albendazole (400<span class="elsevierStyleHsp" style=""></span>mg bid) three months before surgery. This patient did well after the right hepatectomy and was discharged on postoperative day 5. Histopathology confirmed the clinical diagnosis. No problem occurred over the 3-month follow-up.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding</span><p id="par0010" class="elsevierStylePara elsevierViewall">None declared.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Conflicts of interest</span><p id="par0015" class="elsevierStylePara elsevierViewall">José Luis del Pozo has been a consultant for Pfizer, MSD, Gilead, and Novartis. Other authors: No reported conflicts.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:2 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Funding" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Conflicts of interest" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "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" => 1173 "Ancho" => 2508 "Tamanyo" => 356776 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Cutaneous fistula (arrow) in the right upper quadrant of the abdominal wall (A) with draining grape-like bodies (B).</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" => 1291 "Ancho" => 1591 "Tamanyo" => 197984 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Abdominal CT with oral and intravenous contrast with multiple cystic formations in the segment V of the liver with fistulous communication between the abdominal wall and the hydatid vesiculation (red arrow).</p>" ] ] ] ] "idiomaDefecto" => "en" "url" => "/02105705/0000004600000008/v1_202309280830/S021057052200276X/v1_202309280830/en/main.assets" "Apartado" => array:4 [ "identificador" => "75365" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Imágenes del mes" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/02105705/0000004600000008/v1_202309280830/S021057052200276X/v1_202309280830/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S021057052200276X?idApp=UINPBA00004N" ]
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