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"documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Med Clin. 2018;151:e15" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "Vitamin B12-induced acne" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "e15" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Acné inducido por vitamina B<span class="elsevierStyleInf">12</span>" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Iñigo Martínez de Espronceda Ezquerro, Saioa Oscoz Jaime, Juan Ignacio Yanguas Bayona" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Iñigo" "apellidos" => "Martínez de Espronceda Ezquerro" ] 1 => array:2 [ "nombre" => "Saioa" "apellidos" => "Oscoz Jaime" ] 2 => array:2 [ "nombre" => "Juan Ignacio" "apellidos" => "Yanguas Bayona" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0025775318300496" "doi" => "10.1016/j.medcli.2018.01.002" "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/S0025775318300496?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020618302456?idApp=UINPBA00004N" "url" => "/23870206/0000015100000003/v1_201808280427/S2387020618302456/v1_201808280427/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image in medicine</span>" "titulo" => "Black spot or “tache noire” in Mediterranean spotted fever" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "130" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Irene García-Fernández-Bravo, Pablo Demelo-Rodríguez, Álvaro Alejandre de Oña, Jorge del Toro Cervera" "autores" => array:4 [ 0 => array:4 [ "nombre" => "Irene" "apellidos" => "García-Fernández-Bravo" "email" => array:1 [ 0 => "irenegfb@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Pablo" "apellidos" => "Demelo-Rodríguez" ] 2 => array:2 [ "nombre" => "Álvaro" "apellidos" => "Alejandre de Oña" ] 3 => array:2 [ "nombre" => "Jorge" "apellidos" => "del Toro Cervera" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Medicina Interna, Hospital General Universitario Gregorio Marañón, Madrid, España" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Mancha negra o «tache noire» en la fiebre botonosa mediterránea" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1479 "Ancho" => 1200 "Tamanyo" => 244145 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 59-year-old man with no medical history of interest, who went to the emergency department due to a 5-day history of fever associated with exanthema, hyporexia and severe asthenia. He reported an insect bite 2 days before the start of the symptoms while he was hunting on a farm in Jaén (south of Spain). The patient could not identify the insect that caused the bite. Later, he developed a non-pruritic erythematous wheal lesion in the right armpit that, within days, progressed to a round necrotic eschar with an erythematous halo around it (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>), associated with a generalized non-pruritic erythematosus rash with palmoplantar involvement. Given the clinical suspicion of Mediterranean spotted fever, treatment with doxycycline was initiated at a dose of 100<span class="elsevierStyleHsp" style=""></span>mg/12<span class="elsevierStyleHsp" style=""></span>h, with fever resolution and improvement of the general state. IgM serology was positive for <span class="elsevierStyleItalic">Rickettsia conorii two days after his visit to the emergency department.</span> Diagnostic confirmation was made by performing PCR for <span class="elsevierStyleItalic">Rickettsia</span> in the biopsy of the black spot.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: García-Fernández-Bravo I, Demelo-Rodríguez P, Alejandre de Oña Á, del Toro Cervera J. Mancha negra o «tache noire» en la fiebre botonosa mediterránea. Med Clin (Barc). 2018;151:130.</p>" ] ] "multimedia" => array:1 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1479 "Ancho" => 1200 "Tamanyo" => 244145 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/23870206/0000015100000003/v1_201808280427/S2387020618302328/v1_201808280427/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/23870206/0000015100000003/v1_201808280427/S2387020618302328/v1_201808280427/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020618302328?idApp=UINPBA00004N" ]
