was read the article
array:23 [ "pii" => "S2444382418301329" "issn" => "24443824" "doi" => "10.1016/j.gastre.2018.07.004" "estado" => "S300" "fechaPublicacion" => "2018-08-01" "aid" => "1251" "copyrightAnyo" => "2018" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Gastroenterol Hepatol. 2018;41:457" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "Traduccion" => array:1 [ "es" => array:18 [ "pii" => "S0210570518301031" "issn" => "02105705" "doi" => "10.1016/j.gastrohep.2018.04.001" "estado" => "S300" "fechaPublicacion" => "2018-08-01" "aid" => "1251" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Gastroenterol Hepatol. 2018;41:457" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 39 "formatos" => array:2 [ "HTML" => 30 "PDF" => 9 ] ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Imagen del mes</span>" "titulo" => "Absceso masivo esplénico secundario a diseminación hematógena de <span class="elsevierStyleItalic">Clostridium glycolium</span>" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "457" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Massive splenic abscess secondary to haematogenous dissemination of <span class="elsevierStyleItalic">Clostridium glycolium</span>" ] ] "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" => 739 "Ancho" => 1000 "Tamanyo" => 79111 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Abundante gas libre y retroperitoneal que diseca hasta la unión gastroduodenal. No evidencia de alteraciones intestinales significativas. El bazo presenta una hipocaptación global y abundante gas en su interior. Vena porta y eje esplenomesentérico permeables, con escasas burbujas en vena esplénica. Escasa ascitis que se acumula en gotiera parietocólica izquierda.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Helena Gómez, Sergio González, Daniel Coronado, Ruth Ribas" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Helena" "apellidos" => "Gómez" ] 1 => array:2 [ "nombre" => "Sergio" "apellidos" => "González" ] 2 => array:2 [ "nombre" => "Daniel" "apellidos" => "Coronado" ] 3 => array:2 [ "nombre" => "Ruth" "apellidos" => "Ribas" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2444382418301329" "doi" => "10.1016/j.gastre.2018.07.004" "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/S2444382418301329?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210570518301031?idApp=UINPBA00004N" "url" => "/02105705/0000004100000007/v1_201808030407/S0210570518301031/v1_201808030407/es/main.assets" ] ] "itemSiguiente" => array:20 [ "pii" => "S2444382418301354" "issn" => "24443824" "doi" => "10.1016/j.gastre.2018.07.006" "estado" => "S300" "fechaPublicacion" => "2018-08-01" "aid" => "1277" "copyright" => "The Author(s)" "documento" => "article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "ssu" "cita" => "Gastroenterol Hepatol. 2018;41:458-71" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 1472 "formatos" => array:3 [ "EPUB" => 63 "HTML" => 1146 "PDF" => 263 ] ] "en" => array:12 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Review</span>" "titulo" => "Reviewing the therapeutic role of budesonide in Crohn's disease" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => array:2 [ 0 => "en" 1 => "es" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "458" "paginaFinal" => "471" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Revisando el papel terapéutico de la budesonida en la enfermedad de Crohn" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Antonio López-Sanromán, Joan Clofent, Esther Garcia-Planella, Luis Menchén, Pilar Nos, Iago Rodríguez-Lago, Eugeni Domènech" "autores" => array:7 [ 0 => array:2 [ "nombre" => "Antonio" "apellidos" => "López-Sanromán" ] 1 => array:2 [ "nombre" => "Joan" "apellidos" => "Clofent" ] 2 => array:2 [ "nombre" => "Esther" "apellidos" => "Garcia-Planella" ] 3 => array:2 [ "nombre" => "Luis" "apellidos" => "Menchén" ] 4 => array:2 [ "nombre" => "Pilar" "apellidos" => "Nos" ] 5 => array:2 [ "nombre" => "Iago" "apellidos" => "Rodríguez-Lago" ] 6 => array:2 [ "nombre" => "Eugeni" "apellidos" => "Domènech" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0210570518301444" "doi" => "10.1016/j.gastrohep.2018.05.013" "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/S0210570518301444?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2444382418301354?idApp=UINPBA00004N" "url" => "/24443824/0000004100000007/v2_201810040621/S2444382418301354/v2_201810040621/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S2444382418301251" "issn" => "24443824" "doi" => "10.1016/j.gastre.2018.06.012" "estado" => "S300" "fechaPublicacion" => "2018-08-01" "aid" => "1253" "copyright" => "Elsevier España, S.L.U." "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Gastroenterol Hepatol. 2018;41:455-6" "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">Image of the month</span>" "titulo" => "Inverted diverticulum of the colon – a cautious diagnosis" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "455" "paginaFinal" => "456" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Divertículo colónico invertido – un diagnóstico cauteloso" ] ] "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" => 675 "Ancho" => 900 "Tamanyo" => 65427 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Inverted diverticulum in Narrow Band Imaging.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Irina Mocanu, Ana Laranjo, Maria Carvalho, Rogério Godinho" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Irina" "apellidos" => "Mocanu" ] 1 => array:2 [ "nombre" => "Ana" "apellidos" => "Laranjo" ] 2 => array:2 [ "nombre" => "Maria" "apellidos" => "Carvalho" ] 3 => array:2 [ "nombre" => "Rogério" "apellidos" => "Godinho" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S0210570518301055" "doi" => "10.1016/j.gastrohep.2018.04.003" "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/S0210570518301055?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2444382418301251?idApp=UINPBA00004N" "url" => "/24443824/0000004100000007/v2_201810040621/S2444382418301251/v2_201810040621/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image of the month</span>" "titulo" => "Massive splenic abscess secondary to haematogenous dissemination of <span class="elsevierStyleItalic">Clostridium glycolium</span>" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "457" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Helena Gómez, Sergio González, Daniel Coronado, Ruth Ribas" "autores" => array:4 [ 0 => array:4 [ "nombre" => "Helena" "apellidos" => "Gómez" "email" => array:1 [ 0 => "helena-gomez@hotmail.es" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Sergio" "apellidos" => "González" ] 2 => array:2 [ "nombre" => "Daniel" "apellidos" => "Coronado" ] 3 => array:2 [ "nombre" => "Ruth" "apellidos" => "Ribas" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Unidad de Cirugía Hepatobiliopancreática, Consorci Sanitari Integral, Hospital Moises Borggi, Sant Joan Despí, Barcelona, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Absceso masivo esplénico secundario a diseminación hematógena de <span class="elsevierStyleItalic">Clostridium glycolium</span>" ] ] "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" => 739 "Ancho" => 1000 "Tamanyo" => 79133 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Abundant free and retroperitoneal gas dissecting up to the gastroduodenal junction. No significant intestinal alterations observed. The spleen shows low overall uptake and abundant gas within. Permeable portal vein and splenomesenteric axis, with sparse bubbles in the splenic vein. Mild ascites accumulating in the left paracolic gutter.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 69-year-old male with multiple comorbidities, including chronic myelomonocytic leukaemia treated with hydroxyurea, not undergoing follow-up since 2014.</p><p id="par0010" class="elsevierStylePara elsevierViewall">The patient attended the Emergency Department with symptoms of fever that had been ongoing for 12<span class="elsevierStyleHsp" style=""></span>h, accompanied by abdominal pain. Upon physical examination, there were no apparent abnormalities, but he presented pain in the left side, with no signs of peritoneal irritation. Blood cultures revealed the growth of gram-positive anaerobic bacteria, so empirical meropenem was initiated. After less than 24<span class="elsevierStyleHsp" style=""></span>h, hypotension, oliguria and metabolic acidosis occurred. This pointed towards septic shock of a probable abdominal origin and an abdominal CT scan was performed, as shown in <a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">The patient was transferred to the ICU for stabilisation and then underwent emergency surgery with an exploratory laparotomy. Splenomegaly, liquefaction and gas in the splenic parenchyma were observed, along with a splenic rupture and abundant gas in the retroperitoneal space. A splenectomy was performed, and the postoperative outcome was favourable. The patient's blood cultures tested positive for <span class="elsevierStyleItalic">Clostridium glycolium</span>.</p><p id="par0020" class="elsevierStylePara elsevierViewall">The final diagnosis was sepsis due to a massive splenic abscess secondary to haematogenous dissemination of <span class="elsevierStyleItalic">Clostridium glycolium.</span></p><p id="par0025" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleItalic">Clostridium glycolium</span> was first described in 1963. It forms part of the intestinal microbiome in animals and humans. Fewer than 10 cases of infection have been described in humans. Its pathogenic behaviour occurs in relation to a state of immunosuppression and it usually spreads via the haematogenous route, originating in the digestive tract.</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: Gómez H, González S, Coronado D, Ribas R. Absceso masivo esplénico secundario a diseminación hematógena de <span class="elsevierStyleItalic">Clostridium glycolium</span>. Gastroenterol Hepatol. 2018;41:457.</p>" ] ] "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 739 "Ancho" => 1000 "Tamanyo" => 79133 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Abundant free and retroperitoneal gas dissecting up to the gastroduodenal junction. No significant intestinal alterations observed. The spleen shows low overall uptake and abundant gas within. Permeable portal vein and splenomesenteric axis, with sparse bubbles in the splenic vein. Mild ascites accumulating in the left paracolic gutter.</p>" ] ] ] ] "idiomaDefecto" => "en" "url" => "/24443824/0000004100000007/v2_201810040621/S2444382418301329/v2_201810040621/en/main.assets" "Apartado" => array:4 [ "identificador" => "75461" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images of the month" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/24443824/0000004100000007/v2_201810040621/S2444382418301329/v2_201810040621/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2444382418301329?idApp=UINPBA00004N" ]
Year/Month | Html | Total | |
---|---|---|---|
2024 November | 2 | 0 | 2 |
2024 October | 13 | 3 | 16 |
2024 September | 16 | 1 | 17 |
2024 August | 19 | 1 | 20 |
2024 July | 19 | 3 | 22 |
2024 June | 14 | 1 | 15 |
2024 May | 17 | 5 | 22 |
2024 April | 21 | 0 | 21 |
2024 March | 30 | 4 | 34 |
2024 February | 14 | 4 | 18 |
2024 January | 25 | 1 | 26 |
2023 December | 14 | 1 | 15 |
2023 November | 22 | 3 | 25 |
2023 October | 13 | 4 | 17 |
2023 September | 14 | 1 | 15 |
2023 August | 13 | 3 | 16 |
2023 July | 6 | 1 | 7 |
2023 June | 15 | 4 | 19 |
2023 May | 53 | 2 | 55 |
2023 April | 26 | 5 | 31 |
2023 March | 22 | 3 | 25 |
2023 February | 20 | 6 | 26 |
2023 January | 22 | 10 | 32 |
2022 December | 13 | 6 | 19 |
2022 November | 12 | 17 | 29 |
2022 October | 18 | 9 | 27 |
2022 September | 42 | 8 | 50 |
2022 August | 11 | 7 | 18 |
2022 July | 23 | 8 | 31 |
2022 June | 18 | 9 | 27 |
2022 May | 13 | 8 | 21 |
2022 April | 19 | 11 | 30 |
2022 March | 18 | 6 | 24 |
2022 February | 14 | 4 | 18 |
2022 January | 32 | 9 | 41 |
2021 December | 20 | 8 | 28 |
2021 November | 19 | 10 | 29 |
2021 October | 20 | 12 | 32 |
2021 September | 10 | 12 | 22 |
2021 August | 8 | 7 | 15 |
2021 July | 12 | 9 | 21 |
2021 June | 10 | 7 | 17 |
2021 May | 21 | 8 | 29 |
2021 April | 60 | 16 | 76 |
2021 March | 31 | 15 | 46 |
2021 February | 14 | 13 | 27 |
2021 January | 15 | 11 | 26 |
2020 December | 10 | 5 | 15 |
2020 November | 7 | 3 | 10 |
2020 October | 9 | 4 | 13 |
2020 September | 15 | 9 | 24 |
2020 August | 7 | 9 | 16 |