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array:22 [ "pii" => "S2387020624000135" "issn" => "23870206" "doi" => "10.1016/j.medcle.2023.06.049" "estado" => "S300" "fechaPublicacion" => "2024-02-09" "aid" => "6385" "copyright" => "Elsevier España, S.L.U.. All rights reserved" "copyrightAnyo" => "2023" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Med Clin. 2024;162:145" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "itemAnterior" => array:19 [ "pii" => "S2387020624000056" "issn" => "23870206" "doi" => "10.1016/j.medcle.2023.05.029" "estado" => "S300" "fechaPublicacion" => "2024-02-09" "aid" => "6353" "copyright" => "Elsevier España, S.L.U." "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Med Clin. 2024;162:144" "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" => "Harlequin phenomenon in a newborn" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "144" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Fenómeno de arlequín en recién nacida" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 933 "Ancho" => 873 "Tamanyo" => 94405 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0010" "detalle" => "Fig. " "rol" => "short" ] ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Ana Román Fernández, Leonor Bardallo Cruzado, Jessica Gómez Ávila, Susana León Carretero" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Ana" "apellidos" => "Román Fernández" ] 1 => array:2 [ "nombre" => "Leonor" "apellidos" => "Bardallo Cruzado" ] 2 => array:2 [ "nombre" => "Jessica" "apellidos" => "Gómez Ávila" ] 3 => array:2 [ "nombre" => "Susana" "apellidos" => "León Carretero" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0025775323004049" "doi" => "10.1016/j.medcli.2023.05.025" "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/S0025775323004049?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020624000056?idApp=UINPBA00004N" "url" => "/23870206/0000016200000003/v2_202402160843/S2387020624000056/v2_202402160843/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image in medicine</span>" "titulo" => "Superinfected scabies" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "145" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Emilio Berna-Rico, Sandra Chamorro-Tojeiro, Alfonso Pérez-González, Bibiana Pérez-García" "autores" => array:4 [ 0 => array:4 [ "nombre" => "Emilio" "apellidos" => "Berna-Rico" "email" => array:1 [ 0 => "emilioberna2a@gmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Sandra" "apellidos" => "Chamorro-Tojeiro" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "Alfonso" "apellidos" => "Pérez-González" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 3 => array:3 [ "nombre" => "Bibiana" "apellidos" => "Pérez-García" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Department of Dermatology, Hospital Universitario Ramón y Cajal, IRYCIS, Madrid, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Department of Infectious Diseases, Hospital Universitario Ramon y Cajal, IRYCIS, CIBERINFEC, 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" => "Sarna sobreinfectada" ] ] "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" => 1048 "Ancho" => 1034 "Tamanyo" => 195823 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">An 18-year-old male attended to the emergency department with a two-week history of generalized painful lesions accompanied by pruritus and low-grade fever. Physical examination revealed generalized pustules with central umbilication admixed with erythematous excoriated papules (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1A</a>) located predominately in flexures (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1B</a>), with hands and penile shaft involvement (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1C</a>). He shared a room with 3 partners, none of whom had similar symptomatology, and acknowledged an insertive condomless vaginal sex intercourse one-week before symptoms onset. The patient was admitted for intravenous clindamycin treatment and dressings. Pustules’ swabs for real-time polymerase chain reaction (rt-PCR) ruled out Mpox infection. A disseminated gonococcal infection was excluded through blood and urethral cultures. Finally, a pustule culture identified <span class="elsevierStyleItalic">Streptococcus pyogenes</span>. A thorough physical examination after dermatologic consultation revealed 5–10<span class="elsevierStyleHsp" style=""></span>mm curvilinear desquamative thread-like tracks in hands web spaced, some of them with “delta-wing” sign (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1D</a>), compatible with scabies mite burrows.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Bacterial superinfection can modify scabies’ classic clinical picture. Clinicians should be aware of these possible presentations, as a failure to recognize them could lead to a delay in patient diagnosis and contribute to the spread of the disease.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Data availability statement</span><p id="par0015" class="elsevierStylePara elsevierViewall">The data that support the findings of this study are available from the corresponding author upon reasonable request. The data are not publicly available due to privacy or ethical restrictions.</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Informed consent</span><p id="par0030" class="elsevierStylePara elsevierViewall">The patient in this manuscript has given written informed consent to publication of his case details.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Funding source</span><p id="par0020" class="elsevierStylePara elsevierViewall">The article has no funding source.</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Conflicts of interests</span><p id="par0025" class="elsevierStylePara elsevierViewall">There are no conflicts of interests to declare.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:4 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Data availability statement" ] 1 => array:2 [ "identificador" => "sec0020" "titulo" => "Informed consent" ] 2 => array:2 [ "identificador" => "sec0010" "titulo" => "Funding source" ] 3 => array:2 [ "identificador" => "sec0015" "titulo" => "Conflicts of interests" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "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" => 1048 "Ancho" => 1034 "Tamanyo" => 195823 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/23870206/0000016200000003/v2_202402160843/S2387020624000135/v2_202402160843/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/23870206/0000016200000003/v2_202402160843/S2387020624000135/v2_202402160843/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020624000135?idApp=UINPBA00004N" ]
