Estadísticas

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      "titulo" => "Infección por el VIH en el área sanitaria de León. Estudio de la incidencia en el período 1983-1997"
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          "titulo" => "HIV infection in the health care area of León. Study of the incidence during the period 1983-1997"
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    "cita" => "Enferm Infecc Microbiol Clin. 1999;17:9"
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      "titulo" => "Distribución de serotipos de Salmonella spp. aislados en España durante un período de 4 años (1993-1996)"
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          "titulo" => "The distribution of serotypes of Salmonella spp. isolated in Spain during a 4-year period (1993-1996)"
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    "titulo" => "Enfermedad por arañazo de gato: serie de 14 casos. Utilidad diagnóstica de la serología"
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        "autoresLista" => "K Aguirrebengoa, JR Benito, M Montejo, E Bereciartua, J Pérez-Irezabal, P González-Zárate"
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        "titulo" => "Disease by cat scratch: series of 14 cases. The diagnostic usefulness of serology"
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        "resumen" => "<span class="elsevierStyleBold">Fundamento&#58;</span> La enfermedad por araza&#241;o de gato &#40;EAG&#41; es un s&#237;ndrome caracterizado por adenopat&#237;as regionales tras un ara&#241;azo o mordedura de gato&#46; A pesar de conocer el agente etiol&#243;gico de la misma&#44; persiste la controversia en el diagn&#243;stico del s&#237;ndrome en la pr&#225;ctica cl&#237;nica diaria&#46; <br/> <span class="elsevierStyleBold">Material y m&#233;todos&#58;</span> Se han revisado los casos de EAG diagnosticados entre 1990 y 1997&#44; con serolog&#237;a positiva para Bartonella henselae realizada mediante inmunofluorescencia indirecta &#40;IFI&#41;&#46; <br/> <span class="elsevierStyleBold">Resultados&#58;</span> En 13 de los 14 pacientes estudiados se comprob&#243; contacto directo con gatos&#46; La afectaci&#243;n ganglionar correspondi&#243; a la regi&#243;n axilar &#40;57&#37;&#41;&#44; inguinal &#40;28&#37;&#41;&#44; epitroclear &#40;21&#37;&#41;&#44; cervical &#40;14&#37;&#41; y periauricular &#40;7&#37;&#41;&#46; En el 35&#37; hab&#237;a varios territorios afectados&#46; En 3 pacientes&#44; las adenopat&#237;as eran fluctuantes&#46; Se realizaron 11 estudios anatomopatol&#243;gicos con 6 diagn&#243;sticos de adenitis granulomatosa&#44; tres de adenitis reactiva y dos de material purulento&#46; La serolog&#237;a para Bartonella henselae fue positiva en todos los pacientes&#44; con un rango de 1&#47;64-1&#47;256&#46; La evoluci&#243;n fue favorable en todos los pacientes&#46; <br/> <span class="elsevierStyleBold">Discusi&#243;n&#58;</span> La interpretaci&#243;n de los resultados de la serolog&#237;a debe de ser cautelosa y siempre relacionada con el cuadro cl&#237;nico y la epidemiolog&#237;a del paciente&#46; Se deber&#237;a considerar esta t&#233;cnica como un criterio m&#225;s en el diagn&#243;stico de EAG en detrimento del test cut&#225;neo&#46;"
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        "resumen" => "<span class="elsevierStyleBold">Background&#58;</span> Disease by cat scratch &#40;CSD&#41; is a syndrome characterized by regional adenopathies following cat scratch or bite&#46; Despite knowing the etiologic agent of the same&#44; there is still controversy in the diagnosis of the syndrome in daily clinical practice&#46; <br/> <span class="elsevierStyleBold">Materials and Methods&#58;</span> The cases of CSD diagnosed from 1990 to 1997 with positive serology for Bartonella henselae performed by indirect immunofluorescence were reviewed&#46; <br/> <span class="elsevierStyleBold">Results&#58;</span> In 13 out of the 14 patients studied direct contact with cats was reported&#46; Lymph node involvement corresponded to the following regions&#58; axillary &#40;57&#37;&#41;&#44; inguinal &#40;28&#37;&#41;&#44; epitroclear &#40;21&#37;&#41;&#44; cervical &#40;14&#37;&#41;&#44; and periauricular &#40;7&#37;&#41;&#46; In 35&#37; of the cases&#44; several territories were involved&#46; In 3 patients the adenopathies were fluctuating&#46; Eleven anatomopathologic studies were performed with 6 diagnoses of granulomatous adenitis&#44; 3 reactive adenitis and 2 purulent adenitis&#46; The serology for Bartonella henselae was positive in all the patients with a range of 1&#47;64-1&#47;256&#46; The evolution was favorable in all the pacients&#46; <br/>Discussion&#58; Interpretation of the results of serology should be cautions and always related to the clinical and epidemiological picture of the patient&#46; This technique should be considered as another criteria in the diagnosis of cat scratch disease to the detriment of the cutaneous test&#46;"
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