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"documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Med Clin. 2021;156:200-1" "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" => "Oncological patients admitted to an intensive care unit: Analysis and evolution" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "200" "paginaFinal" => "201" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Análisis de factores predictivos de mortalidad y evolución del paciente oncológico ingresado en cuidados intensivos" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Cristina Márquez Romera, Valentín del Villar Sordo" "autores" => array:2 [ 0 => array:2 [ "nombre" => "Cristina" "apellidos" => "Márquez Romera" ] 1 => array:2 [ "nombre" => "Valentín" "apellidos" => "del Villar Sordo" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0025775320301639" "doi" => "10.1016/j.medcli.2019.12.028" "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/S0025775320301639?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020621000139?idApp=UINPBA00004N" "url" => "/23870206/0000015600000004/v1_202102171303/S2387020621000139/v1_202102171303/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image in medicine</span>" "titulo" => "Cutaneous primary tuberculous complex" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "202" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Nicolás Silvestre Torner, Adrián Imbernón Moya, Rafael Díaz-Delgado Peñas" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Nicolás" "apellidos" => "Silvestre Torner" "email" => array:1 [ 0 => "nicolassilvestretorner@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" => "Adrián" "apellidos" => "Imbernón Moya" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "Rafael" "apellidos" => "Díaz-Delgado Peñas" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Dermatología, Hospital Universitario Severo Ochoa, Leganés, Madrid, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Pediatría, Hospital Universitario Severo Ochoa, Leganés, Madrid, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Complejo cutáneo tuberculoso primario" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 397 "Ancho" => 1250 "Tamanyo" => 61182 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We present the case of a 3-year-old girl with painful bilateral sub-mandibular lymphadenopathy and an indurated crusted ulcerous plaque in the intercilium (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>a and b) present for the past six weeks, with no associated systemic symptoms. Noteworthy from the family history was the father being recently diagnosed with pulmonary tuberculosis.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">The skin biopsy showed the presence of giant cell granulomas, with no caseous necrosis or acid-alcohol fast bacilli, and the PCR and the culture showed positive for <span class="elsevierStyleItalic">Mycobacterium tuberculosis</span> complex. The Mantoux intradermal test was positive. Lung involvement was ruled out with a negative chest X-ray and a negative sputum smear microscopy.</p><p id="par0015" class="elsevierStylePara elsevierViewall">The treatment prescribed was isoniazid, rifampin, pyrazinamide, and ethambutol for 2 months, followed by isoniazid and rifampin for 4 months. After one year of follow-up, there was no recurrence, with the skin lesions leaving residual atrophic scars.</p><p id="par0020" class="elsevierStylePara elsevierViewall">The finding of a chronic ulcerated lesion with associated adenopathies requires a broad clinical differential diagnosis, including chancriform syphilis-type lesions, sporotrichosis, nocardiosis, tularemia, atypical mycobacterial infections, or cat scratch disease. The epidemiological history, clinical history, and complementary tests, including skin biopsy with PCR and culture, are key for early diagnosis and treatment that reduce morbidity.</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: Silvestre Torner N, Imbernón Moya A, Díaz-Delgado Peñas R. Complejo cutáneo tuberculoso primario. Med Clin (Barc). 2021;156:202.</p>" ] ] "multimedia" => array:1 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 397 "Ancho" => 1250 "Tamanyo" => 61182 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/23870206/0000015600000004/v1_202102171303/S2387020621000097/v1_202102171303/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/23870206/0000015600000004/v1_202102171303/S2387020621000097/v1_202102171303/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020621000097?idApp=UINPBA00004N" ]
