Estadísticas

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      "titulo" => "Trombosis de la arteria hepática y la vena porta secundaria a aspergilosis invasiva tras trasplante hepático"
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      "titulo" => "Absceso del músculo psoas. Descripción de una serie de 19 casos"
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          "titulo" => "Abscess of the psoas muscle. Description of a series of nineteen cases"
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    "titulo" => "Infecciones por mordedura de perro asociadas a CDC grupo EF-4a. Comunicación de 2 casos"
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        "titulo" => "Infections by dog bite associated to CDC group EF-4a. Two cases"
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        "resumen" => "<span class="elsevierStyleBold">Fundamento&#58;</span> Las bacterias del grupo EF-4 forman parte de la flora normal de la cavidad oral de los perros y los gatos&#46; <br/>La incidencia de las infecciones humanas debidas a este grupo de bacterias comunicadas en la bibliograf&#237;a es baja y &#233;stas est&#225;n asociadas a mordedura o ara&#241;azo de dichos animales&#46; <br/>Como en el transcurso del a&#241;o 1996 fueron diagnosticados por el laboratorio de bacteriolog&#237;a de nuestro hospital 2 casos de infecciones por mordedura de perro debidas a CDC grupo EF-4a&#44; creemos conveniente describir los mismos y evaluar la tipificaci&#243;n bioqu&#237;mica y el perfil de sensibilidad de este grupo de bacterias tan poco conocido&#46; <br/>M&#233;todos&#58; Se describen 2 casos cl&#237;nicos de infecciones por CDC grupo EF-4a de pacientes que sufrieron mordedura grave de perro&#46; <br/>La identificaci&#243;n se llev&#243; a cabo mediante pruebas bioqu&#237;micas convencionales y la sensibilidad antibi&#243;tica cuantitativa a 12 antibi&#243;ticos por el m&#233;todo de macrodiluci&#243;n seriada en caldo&#46; <br/>Resultados&#58; Las 2 cepas aisladas correspondieron al biovar &#171;a&#187; del grupo EF-4&#46; Las mismas fueron sensibles a ampicilina&#44; ceftriaxona&#44; aminogluc&#243;sidos&#44; cloramfenicol&#44; rifampicina&#44; trimetoprim-sulfametoxazol &#40;TMS&#41; y ciprofloxacino&#59; presentaron sensibilidad intermedia a eritromicina y fueron resistentes a cefalotina&#44; oxacilina y vancomicina&#46; <br/>Con respecto a la penicilina&#44; una de las cepas fue sensible y la otra present&#243; sensibilidad intermedia a dicho antibi&#243;tico&#46; Ninguna de las 2 cepas produjo betalactamasa&#46; <br/>Conclusiones&#58; Si bien en la pr&#225;ctica diaria ante muestras de heridas por mordedura de perro se piensa fundamentalmente en Pasteurella sp&#46;&#44; creemos que es necesario advertir a los bacteri&#243;logos de la posible presencia del grupo EF-4&#44; principalmente porque ambos microorganismos difieren en su perfil de sensibilidad frente a penicilina y cefalotina&#44; antibi&#243;ticos que son eficaces contra Pasteurella&#44; pero que son menos activos contra el grupo EF-4&#46;"
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        "resumen" => "<span class="elsevierStyleBold">Background&#58;</span> Group EF-4 bacteria make up part of the normal flora of the oral cavity of dogs and cats&#46; <br/>Few reports have been published on the incidence of human infections by this group of bacteria and these are associated with animal bite or scratch&#46; <br/>Two cases of infections by CDC group EF-4 by dog bite were diagnosed in 1996 by the Bacteriology Laboratory of the authors&#39; hospital&#46; These cases are herein described and the biochemical analysis and profile of sensitivity of this little known group of bacteria evaluated&#46; <br/>Methods&#58; Two clinical cases of infection by CDC group EF-4a by dog bite are described&#46; <br/>Identification of the bacteria was performed by conventional biochemical tests and quantitative antibiotic sensitivity to 12 antibiotics was carried out by the seried broth macrodilution method&#46; <br/>Results&#58; The two strains isolated corresponded to biovar &#171;a&#187; of group EF-4 being sensitive to&#58; ampicillin&#44; ceftriaxone&#44; aminoglycosides&#44; chloramphenicol&#44; rifamipicin&#44; TMS and ciprofloxacin&#44; intermediate sensitivity to erythromycin and were resistant to cefalotine&#44; oxacillin and vancomycin&#46; <br/>With respect to penicillin&#44; one of the strains was sensitive and the other presented intermediate sensitivity&#46; Neither of the strains produced beta lactamase&#46; <br/> <span class="elsevierStyleBold">Conclusions&#46;</span>&#58; Although Pasteurella sp&#46; is usually considered in dog bite wounds&#44; the possible presence of group EF-4 should be taken into account since the sensitivity of both microorganisms against penicillin and cefalotin&#44; which are effective against Pasteurella but less active against group EF-4 bacteria differ&#46;"
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