array:23 [ "pii" => "S2387020621001716" "issn" => "23870206" "doi" => "10.1016/j.medcle.2020.04.040" "estado" => "S300" "fechaPublicacion" => "2021-05-07" "aid" => "5264" "copyright" => "Elsevier España, S.L.U.. All rights reserved" "copyrightAnyo" => "2020" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Med Clin. 2021;156:476" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "Traduccion" => array:1 [ "en" => array:19 [ "pii" => "S0025775320303912" "issn" => "00257753" "doi" => "10.1016/j.medcli.2020.04.043" "estado" => "S300" "fechaPublicacion" => "2021-05-07" "aid" => "5264" "copyright" => "Elsevier España, S.L.U." "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Med Clin. 2021;156:476" "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" => "Delayed soft tissue emphysema of the leg following arthroscopy of the knee" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "476" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Enfisema tardío de partes blandas de la pierna tras una artroscopia de rodilla" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "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" => 2302 "Ancho" => 1667 "Tamanyo" => 205785 ] ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Xavier Tomas, Leire Atilano, Juan D. Cañete, Jaume Pomes, Montserrat del Amo, Napoleon Macias" "autores" => array:6 [ 0 => array:2 [ "nombre" => "Xavier" "apellidos" => "Tomas" ] 1 => array:2 [ "nombre" => "Leire" "apellidos" => "Atilano" ] 2 => array:2 [ "nombre" => "Juan D." "apellidos" => "Cañete" ] 3 => array:2 [ "nombre" => "Jaume" "apellidos" => "Pomes" ] 4 => array:2 [ "nombre" => "Montserrat" "apellidos" => "del Amo" ] 5 => array:2 [ "nombre" => "Napoleon" "apellidos" => "Macias" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2387020621001716" "doi" => "10.1016/j.medcle.2020.04.040" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020621001716?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0025775320303912?idApp=UINPBA00004N" "url" => "/00257753/0000015600000009/v1_202104290731/S0025775320303912/v1_202104290731/en/main.assets" ] ] "itemAnterior" => array:19 [ "pii" => "S2387020621001546" "issn" => "23870206" "doi" => "10.1016/j.medcle.2020.04.039" "estado" => "S300" "fechaPublicacion" => "2021-05-07" "aid" => "5255" "copyright" => "Elsevier España, S.L.U." "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Med Clin. 2021;156:475" "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" => "Multiple cutaneous leishmaniasis in patient with ulcerative colitis under treatment with adalimumab" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "475" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Leishmaniasis cutánea múltiple en paciente con colitis ulcerosa en tratamiento con adalimumab" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1113 "Ancho" => 1667 "Tamanyo" => 448596 ] ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Javier Sánchez-Bernal, Beatriz Aldea-Manrique, Isabel Abadías-Granado, Mariano Ara-Martín" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Javier" "apellidos" => "Sánchez-Bernal" ] 1 => array:2 [ "nombre" => "Beatriz" "apellidos" => "Aldea-Manrique" ] 2 => array:2 [ "nombre" => "Isabel" "apellidos" => "Abadías-Granado" ] 3 => array:2 [ "nombre" => "Mariano" "apellidos" => "Ara-Martín" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0025775320303821" "doi" => "10.1016/j.medcli.2020.04.035" "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/S0025775320303821?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020621001546?idApp=UINPBA00004N" "url" => "/23870206/0000015600000009/v1_202105020816/S2387020621001546/v1_202105020816/en/main.assets" ] "en" => array:12 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image in medicine</span>" "titulo" => "Delayed soft tissue emphysema of the leg following arthroscopy of the knee" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "476" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Xavier Tomas, Leire Atilano, Juan D. Cañete, Jaume Pomes, Montserrat del Amo, Napoleon Macias" "autores" => array:6 [ 0 => array:4 [ "nombre" => "Xavier" "apellidos" => "Tomas" "email" => array:1 [ 0 => "xtomas61@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" => "Leire" "apellidos" => "Atilano" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "Juan D." "apellidos" => "Cañete" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] 3 => array:3 [ "nombre" => "Jaume" "apellidos" => "Pomes" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 4 => array:3 [ "nombre" => "Montserrat" "apellidos" => "del Amo" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 5 => array:3 [ "nombre" => "Napoleon" "apellidos" => "Macias" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Departamento de Radiodiagnóstico, Hospital Clínic, Universidad de Barcelona, Barcelona, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Departamento de Radiodiagnóstico, Hospital Universitario de Cruces, Biocruces, Barakaldo, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Departamento de Reumatología, Hospital Clínic, Universidad de Barcelona, Barcelona, Spain" "etiqueta" => "c" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Enfisema tardío de partes blandas de la pierna tras una artroscopia de rodilla" ] ] "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" => 2302 "Ancho" => 1667 "Tamanyo" => 205785 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0010" class="elsevierStylePara elsevierViewall">A 68-year-old man with type II diabetes mellitus visited the rheumatology department because of osteoarthritis of the left knee. An arthroscopy with a fluid medium showed inflammatory synovitis with deposition of microcrystalline particles. The patient went back home, walking immediately after the arthroscopy several miles a day.</p><p id="par0015" class="elsevierStylePara elsevierViewall">One week after, the patient came because the suprapatellar portal remained open and was exuding a yellowish foam-like fluid. Clinically, he had little pain in the knee and the skin around the portal was mildly erythematous. The thigh, knee and calf were crepitant. Signs of systemic toxicity were not found. Because of suspicion of gas-forming infections, a computed tomography (CT) was done (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>, left column, a, c and e images), which showed extensive subcutaneous emphysema of the left thigh (arrows), with some gas bubbles clearly visible on several muscles (arrowheads), mimicking a necrotizing fasciitis. Swabs of the exudates were negative for infection. The left leg was bandaged, and amoxicillin/clavulanic acid for seven days was prescribed. After 10 days, the patient had recovered with no signs of emphysema. A second CT showed that subcutaneous emphysema and gas bubbles had disappeared (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>, right column, b, d and f images obtained at the same axial slice planes that left column). Subcutaneous and fascial-muscle emphysema as a delayed complication of knee arthroscopy must be kept in mind in order to differentiate it from necrotizing fasciitis.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span>" "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" => 2302 "Ancho" => 1667 "Tamanyo" => 205785 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/23870206/0000015600000009/v1_202105020816/S2387020621001716/v1_202105020816/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/23870206/0000015600000009/v1_202105020816/S2387020621001716/v1_202105020816/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020621001716?idApp=UINPBA00004N" ]
Journal Information
Vol. 156. Issue 9.
Pages 476 (May 2021)
Vol. 156. Issue 9.
Pages 476 (May 2021)
Image in medicine
Delayed soft tissue emphysema of the leg following arthroscopy of the knee
Enfisema tardío de partes blandas de la pierna tras una artroscopia de rodilla
Visits
1
This item has received
Article information
These are the options to access the full texts of the publication Medicina Clínica (English Edition)
Subscriber
Subscribe
Purchase
Contact
Phone for subscriptions and reporting of errors
From Monday to Friday from 9 a.m. to 6 p.m. (GMT + 1) except for the months of July and August which will be from 9 a.m. to 3 p.m.
Calls from Spain
932 415 960
Calls from outside Spain
+34 932 415 960
E-mail