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"documento" => "article" "crossmark" => 0 "subdocumento" => "rev" "cita" => "Rehabilitacion. 2003;37:158-62" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 4733 "formatos" => array:3 [ "EPUB" => 11 "HTML" => 4124 "PDF" => 598 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Inestabilidad glenohumeral: capsulorrafia térmica" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "158" "paginaFinal" => "162" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Glenohumeral instability: thermal capsulorrhaphy" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "C. Martínez Escudero, J. Tinoco González, L. Capellas Sans, E. Moreno Atanasio, A. Casanovas Ruizfornel" "autores" => array:5 [ 0 => array:2 [ "nombre" => "C." "apellidos" => "Martínez Escudero" ] 1 => array:2 [ "nombre" => "J." "apellidos" => "Tinoco González" ] 2 => array:2 [ "nombre" => "L." "apellidos" => "Capellas Sans" ] 3 => array:2 [ "nombre" => "E." "apellidos" => "Moreno Atanasio" ] 4 => array:2 [ "nombre" => "A." "apellidos" => "Casanovas Ruizfornel" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S004871200373360X?idApp=UINPBA00004N" "url" => "/00487120/0000003700000003/v1_201307311320/S004871200373360X/v1_201307311320/es/main.assets" ] "es" => array:14 [ "idiomaDefecto" => true "titulo" => "Un caso de mielomeningocele, hipoplasia del sacro, amputación de miembro inferior por abscesos dérmicos en el que se detecta déficit de anticuerpos antipolisacáridos" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "163" "paginaFinal" => "165" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "J.L. Escolar Castellón, C. Pérez Romero de la Cruz, B. Sánchez Sánchez, R. Corrales Márquez" "autores" => array:4 [ 0 => array:3 [ "nombre" => "J.L." "apellidos" => "Escolar Castellón" "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" => "C." "apellidos" => "Pérez Romero de la Cruz" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "B." "apellidos" => "Sánchez Sánchez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] 3 => array:3 [ "nombre" => "R." "apellidos" => "Corrales Márquez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Servicio de Medicina Interna. Hospital Universitario Virgen de la Victoria. Málaga." "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Especialista de Medicina Física y Rehabilitación. Servicio de Rehabilitación. Hospital Universitario Virgen de la Victoria. Málaga." "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Servicio de Inmunología. Hospital Virgen del Rocío. Sevilla." "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Correspondencia: Servicio de Medicina Interna Hospital Virgen de la Victoria Campus Universitario de Teatinos 29018 Málaga" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "A case of myelomeningocele, hypoplasia of the sacrum, amputation of lower limb due to dermal abscesses" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2002-03-13" "fechaAceptado" => "2002-10-16" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec229207" "palabras" => array:4 [ 0 => "Mielomeningocele" 1 => "Amputación" 2 => "Abscesos" 3 => "Inmunodeficiencia" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec229206" "palabras" => array:4 [ 0 => "Myelomeningocele" 1 => "Amputation" 2 => "Abscess" 3 => "Immunodeficiency" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">El enfermo con mielomeningocele presenta entre otros síntomas, parálisis, tanto mayor cuanto más alto es el nivel, déficit sensitivos, deformidades en miembros inferiores, en parte producidas por el inicio de la carga, y trastornos urológicos. Describimos el caso de un paciente con mielomeningocele y múltiples infecciones dérmicas a lo largo de su crecimiento que conllevó la amputación del miembro inferior izquierdo. La frecuencia de abscesos y episodios de sepsis generalizadas, nos llevó a estudiar su sistema inmunológico, detectándose un déficit inmunológico de anticuerpos. Un tratamiento integral, tanto de los factores extrínsecos que podían producir los roces, mediante ayudas ortoprotésicas; de los factores locales mediante cirugía y de los factores intrínsecos mediante gammaglobulina, ha conseguido resolver los problemas que el paciente aquejaba.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">It is well known that patients with myelomeningocele show, among other symptoms, paralysis that increases as the level increases, sensitive deficiencies and lower limb deformities, partially produced by the initial and age conditioned weight-charge, and also by the presence of urologic disorders. We have described the case of a patient with myelomeningocele who presents several skin infections during his growth, which led to left lower limb amputation. The high frequency of abscesses and generalized infection in the form of sepsis presented led us to study his immunological status. A rare and selective antibody deficiency was found. A comprehensive treatment that included not only extrinsic factors, such as rubbing by orthoprothesic procedures, but also local factors by surgery and intrinsic factors, using gammaglobulin administration, has made it possible to solve the patient’s problems</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografia" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:8 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Urinary findings in asymptomatic subjects with spina bifida treated with intermittent catheterization" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "K. Szucs" 1 => "K.M. O’Neil" 2 => "H. 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Journal Information
Un caso de mielomeningocele, hipoplasia del sacro, amputación de miembro inferior por abscesos dérmicos en el que se detecta déficit de anticuerpos antipolisacáridos
A case of myelomeningocele, hypoplasia of the sacrum, amputation of lower limb due to dermal abscesses