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"documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Med Clin. 2020;155:185-6" "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">Letter to the Editor</span>" "titulo" => "Usefulness of PET/CT in ANCA associated renal vasculitis" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "185" "paginaFinal" => "186" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Utilidad de la PET/TC en la vasculitis renal asociada al ANCA" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 734 "Ancho" => 1750 "Tamanyo" => 113027 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Maximum intensity projection (MIP) image showing bilateral renal enlargement and diffuse increase of FDG uptake in renal parenchyma (arrows) (A), axial PET (B), and axial fused PET/CT (C). After treatment, MIP image showing decreased renal cortex uptake and the renal pyramids were regular in arrangement (arrows) (D), axial PET (E), and axial fused PET/CT (F).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Yaqi Feng, Peng Wang, Bangping Cui" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Yaqi" "apellidos" => "Feng" ] 1 => array:2 [ "nombre" => "Peng" "apellidos" => "Wang" ] 2 => array:2 [ "nombre" => "Bangping" "apellidos" => "Cui" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S0025775319304944" "doi" => "10.1016/j.medcli.2019.05.038" "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/S0025775319304944?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020620303387?idApp=UINPBA00004N" "url" => "/23870206/0000015500000004/v2_202008242222/S2387020620303387/v2_202008242222/en/main.assets" ] "en" => array:12 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image in medicine</span>" "titulo" => "Rapid immunoglobulin test confirms a suspected case of COVID-19" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "187" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Judit Constán-Rodríguez, Concepción Fernández-Roldán, Concepción López-Robles" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Judit" "apellidos" => "Constán-Rodríguez" "email" => array:1 [ 0 => "juditconstan@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Concepción" "apellidos" => "Fernández-Roldán" ] 2 => array:2 [ "nombre" => "Concepción" "apellidos" => "López-Robles" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Unidad de Enfermedades Infecciosas, Hospital Universitario Virgen de las Nieves, Granada, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "El test rápido de inmunoglobulinas confirma un caso sospechoso de COVID-19" ] ] "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" => 1084 "Ancho" => 500 "Tamanyo" => 37354 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Rapid inmunoglobulin test.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 50-year-old man was admitted for acute motor aphasia, he was treated with fibrinolysis by stroke in the left brain media artery territory. Before admission, he had fever and dyspnea for 5 days. He presented hypoxemic bilateral interstitial pneumonia highly suggestive for COVID 19 infection, although 3 samples (two nasopharyngeal and one bronchial exudates) for PCR were negative. The blood test revealed lymphocytopenia and an increase in LDH, AST, ALT, C-reactive protein and <span class="elsevierStyleSmallCaps">d</span>-dimer.</p><p id="par0010" class="elsevierStylePara elsevierViewall">Getting worse that requires invasive mechanical ventilation, so that treatment with azithromycin, hydroxychloroquine, lopinavir/ritonavir was initiated.</p><p id="par0015" class="elsevierStylePara elsevierViewall">Ten days after the respiratory symptoms the IgM and IgG rapid detection test for SARS-Cov 2 was performed, being positive for both (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0020" class="elsevierStylePara elsevierViewall">Clinical and radiological improvement were demonstrated after adding pronation and the administration of tocilizumab.</p><p id="par0025" class="elsevierStylePara elsevierViewall">Immunoglobulin detection by immunochromatography can confirm coronavirus infection when PCR is negative when have passed at least 6–10 days since the onset of symptoms.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "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" => 1084 "Ancho" => 500 "Tamanyo" => 37354 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Rapid inmunoglobulin test.</p>" ] ] ] ] "idiomaDefecto" => "en" "url" => "/23870206/0000015500000004/v2_202008242222/S2387020620303399/v2_202008242222/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/23870206/0000015500000004/v2_202008242222/S2387020620303399/v2_202008242222/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020620303399?idApp=UINPBA00004N" ]
