Share
array:23 [ "pii" => "S2387020617304011" "issn" => "23870206" "doi" => "10.1016/j.medcle.2017.06.012" "estado" => "S300" "fechaPublicacion" => "2017-07-07" "aid" => "3792" "copyright" => "Elsevier España, S.L.U.. All rights reserved" "copyrightAnyo" => "2016" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Med Clin. 2017;149:e5" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "Traduccion" => array:1 [ "es" => array:19 [ "pii" => "S002577531630495X" "issn" => "00257753" "doi" => "10.1016/j.medcli.2016.09.035" "estado" => "S300" "fechaPublicacion" => "2017-07-07" "aid" => "3792" "copyright" => "Elsevier España, S.L.U." "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Med Clin. 2017;149:e5" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 44 "formatos" => array:2 [ "HTML" => 40 "PDF" => 4 ] ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Imagen médica</span>" "titulo" => "Mandíbula abultada" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "e5" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "A lumpy jaw" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1281 "Ancho" => 1300 "Tamanyo" => 270097 ] ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Satvinder Singh Bakshi" "autores" => array:1 [ 0 => array:2 [ "nombre" => "Satvinder" "apellidos" => "Singh Bakshi" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2387020617304011" "doi" => "10.1016/j.medcle.2017.06.012" "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/S2387020617304011?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S002577531630495X?idApp=UINPBA00004N" "url" => "/00257753/0000014900000001/v1_201706170053/S002577531630495X/v1_201706170053/es/main.assets" ] ] "itemAnterior" => array:19 [ "pii" => "S2387020617303868" "issn" => "23870206" "doi" => "10.1016/j.medcle.2017.06.002" "estado" => "S300" "fechaPublicacion" => "2017-07-07" "aid" => "3757" "copyright" => "Elsevier España, S.L.U." "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Med Clin. 2017;149:e3" "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 in medicine</span>" "titulo" => "Infectious mononucleosis with unusual clinical manifestations" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "e3" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Mononucleosis infecciosa con manifestaciones clínicas inusuales" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0015" "etiqueta" => "Fig. 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 750 "Ancho" => 563 "Tamanyo" => 75609 ] ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Ilduara Pintos Pascual" "autores" => array:1 [ 0 => array:2 [ "nombre" => "Ilduara" "apellidos" => "Pintos Pascual" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0025775316303955" "doi" => "10.1016/j.medcli.2016.09.005" "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/S0025775316303955?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020617303868?idApp=UINPBA00004N" "url" => "/23870206/0000014900000001/v1_201707230028/S2387020617303868/v1_201707230028/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image in medicine</span>" "titulo" => "A lumpy jaw" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "e5" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "Satvinder Singh Bakshi" "autores" => array:1 [ 0 => array:3 [ "nombre" => "Satvinder" "apellidos" => "Singh Bakshi" "email" => array:1 [ 0 => "saty.bakshi@gmail.com" ] ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Assistant professor of ENT, Department of ENT and Head & Neck Surgery, Mahatma Gandhi Medical College and Research Institute, Pillaiyarkuppam, Pondicherry, India" "identificador" => "aff0005" ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Mandíbula abultada" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 923 "Ancho" => 975 "Tamanyo" => 236525 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">70 year-old male presented with jaw pain associated with difficulty in opening the mouth for 11 months. There was no history of trauma or tooth extraction. Examination revealed diffuse swelling involving right mandible with multiple draining sinuses (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). Histopathological examination of the biopsy from the lesion revealed features of actinomycosis (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>). The patient was treated with intravenous Penicillin G for 4 weeks along with debridement of the involved mandible. There is no evidence of recurrence at 9 months follow up.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Actinomycosis is a rare chronic infectious disease caused primarily by Actinomyces israelli. It is derived from a Greek word where “aktino means radiating appearance of sulfur granules and “mykos” means a fungal disease. They are normal inhabitants of the oral cavity and infection occurs when there is a breach in the mucosa. Poor oral hygiene, dental caries, recent dental extraction, oromaxillofacial trauma have been implicated as risk factors.</p><p id="par0015" class="elsevierStylePara elsevierViewall">Actinomycosis is classified clinically into cervicofacial (50%), pulmonothoracic (30%) and abdominopelvic (20%). Actinomycosis of the mandible also called as “lumpy jaw” manifests as a slowly growing, painless, indurated mass with multiple draining sinus tracts on the skin or oral mucosa with thick, yellow sulfur granules. Dissemination of the disease to distant organs like brain, lungs and digestive tract has been reported. Histopathological evaluation of biopsy sample from the lesion are considered gold standard for diagnosis.</p><p id="par0020" class="elsevierStylePara elsevierViewall">Management of cervicofacial actinomycosis includes both antibiotics and surgery. The prognosis is very good if diagnosed and treated early. Long term follow up is necessary since recurrence is common.</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: Singh Bakshi S. Mandíbula abultada. Med Clin (Barc). 2017;149:e5.</p>" ] ] "multimedia" => array:2 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1281 "Ancho" => 1300 "Tamanyo" => 270097 ] ] ] 1 => array:6 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 923 "Ancho" => 975 "Tamanyo" => 236525 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/23870206/0000014900000001/v1_201707230028/S2387020617304011/v1_201707230028/en/main.assets" "Apartado" => array:4 [ "identificador" => "51820" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in medicine" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/23870206/0000014900000001/v1_201707230028/S2387020617304011/v1_201707230028/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020617304011?idApp=UINPBA00004N" ]
