Estadísticas

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        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleItalic">Streptococcus bovis</span> constituye un grupo de cocos grampositivos anaerobios facultativos que incluye diferentes especies relacionadas gen&#233;ticamente&#46; Tradicionalmente&#44; seg&#250;n sus diferencias bioqu&#237;micas se han clasificado en <span class="elsevierStyleItalic">S&#46; bovis</span> biotipo I &#40;fermentaci&#243;n de manitol&#41;&#44; <span class="elsevierStyleItalic">S&#46; bovis</span> biotipo II&#47;1 &#40;manitol negativo y &#946;-glucuronidasa negativa&#41; y biotipo II&#47;2 &#40;manitol negativo y &#946;-glucuronidasa positiva&#41;&#46; En las &#250;ltimas d&#233;cadas y tras la aplicaci&#243;n de las t&#233;cnicas de microbiolog&#237;a molecular se ha demostrado que <span class="elsevierStyleItalic">S&#46; bovis</span> biotipo I corresponde a <span class="elsevierStyleItalic">Streptococcus gallolyticus</span> subsp&#46; <span class="elsevierStyleItalic">gallolyticu</span>s&#44; que el biotipo II&#47;1 es <span class="elsevierStyleItalic">Streptococcus infantarius</span> subsp&#46; <span class="elsevierStyleItalic">infantarius&#44;</span> posteriormente renombrado como <span class="elsevierStyleItalic">Streptococcus lutetiensis&#44;</span> y el biotipo II&#47;2 se corresponde con <span class="elsevierStyleItalic">S&#46; gallolyticus</span> subsp&#46; <span class="elsevierStyleItalic">pasteurianus&#44;</span> conocido habitualmente como <span class="elsevierStyleItalic">Streptococcus pasteurianus</span>&#46; Aunque en la actualidad esta nomenclatura est&#225; muy aceptada en el &#225;mbito taxon&#243;mico&#44; en la pr&#225;ctica cl&#237;nica habitual no est&#225; totalmente integrada&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Es importante una correcta identificaci&#243;n porque hay una elevada asociaci&#243;n entre bacteriemia&#44; endocarditis y&#47;o c&#225;ncer de colon con las diferentes subespecies&#46; En general&#44; <span class="elsevierStyleItalic">S&#46; bovis</span> presenta mayor sensibilidad a los antimicrobianos que otros estreptococos&#44; aunque se han descrito porcentajes de resistencia elevados a los macr&#243;lidos y a las tetraciclinas&#46;</p>"
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        "resumen" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleItalic">Streptococcus bovis</span> is a large bacterial complex of facultative anaerobic Gram-positive cocci that includes distinct&#44; genetically-related species&#46; Traditionally&#44; <span class="elsevierStyleItalic">S&#46; bovis</span> was classified into three biotypes&#58; I &#40;mannitol fermentation-positive&#41;&#44; II&#47;1 &#40;mannitol-negative and &#946;-glucuronidase-negative&#41;&#44; and II&#47;2 &#40;mannitol-negative and &#946;-glucuronidase-positive&#41;&#46; The introduction of molecular techniques in the last few decades has led to proposals for a genetic classification of this complex&#58; <span class="elsevierStyleItalic">S&#46; bovis</span> biotype I belongs to <span class="elsevierStyleItalic">Streptococcus gallolyticus</span> subsp&#46; gallolyticus&#44; <span class="elsevierStyleItalic">S&#46; bovis</span> biotype II&#47;1 is&#44; in fact&#44; <span class="elsevierStyleItalic">Streptococcus infantarius</span> subsp&#46; infantarius&#44; designated as <span class="elsevierStyleItalic">Streptococcus lutetiensis</span>&#44; and <span class="elsevierStyleItalic">S&#46; bovis</span> biotype II&#47;2 is <span class="elsevierStyleItalic">Streptococcus gallolyticus</span> subsp&#46; pasteurianus&#44; commonly designated as <span class="elsevierStyleItalic">Streptococcus pasteurianus</span>&#46; Although this modern taxonomy is currently accepted&#44; many clinicians remain unfamiliar with these terms&#46;</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">The importance of correct identification lies in the strong association between bacteriemia&#44; endocarditis and&#47;or colon cancer and the various subspecies&#46; In general&#44; <span class="elsevierStyleItalic">S&#46; bovis</span> is more susceptible to antimicrobial agents than other streptococci&#44; but high levels of resistance to macrolides and tetracycline have been described&#46;</p>"
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