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array:23 [ "pii" => "S0025775300712358" "issn" => "00257753" "doi" => "10.1016/S0025-7753(00)71235-8" "estado" => "S300" "fechaPublicacion" => "2000-01-01" "aid" => "71235" "copyright" => "Elsevier España, S.L.. Todos los derechos reservados" "copyrightAnyo" => "2000" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Med Clin. 2000;114:177-80" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1805 "formatos" => array:3 [ "EPUB" => 7 "HTML" => 1680 "PDF" => 118 ] ] "itemSiguiente" => array:18 [ "pii" => "S002577530071236X" "issn" => "00257753" "doi" => "10.1016/S0025-7753(00)71236-X" "estado" => "S300" "fechaPublicacion" => "2000-01-01" "aid" => "71236" "copyright" => "Elsevier España, S.L." 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Hospital Reina Sofía de Córdoba</span>" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff00005" ] 1 => array:3 [ "entidad" => "<span class="elsevierStyleItalic">Servicio de Medicina Interna. Hospital Valle de los Pedroches. Pozoblanco. Córdoba</span>" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff00010" ] 2 => array:3 [ "entidad" => "<span class="elsevierStyleItalic">Servicio de Cirugía. Hospital Infanta Margarita de Cabra. Córdoba</span>" "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff00015" ] 3 => array:3 [ "entidad" => "<span class="elsevierStyleItalic">Servicio de Anatomía Patológica. Hospital Reina Sofía de Córdoba</span>" "etiqueta" => "<span class="elsevierStyleSup">d</span>" "identificador" => "aff00020" ] 4 => array:3 [ "entidad" => "<span class="elsevierStyleItalic">Servicio de Medicina Preventiva. Hospital Reina Sofía de Córdoba</span>" "etiqueta" => "<span class="elsevierStyleSup">e</span>" "identificador" => "aff00025" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Correspondencia: Marcos Redondo, 11, 4.o, 189. 14010 Córdoba." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Study of 13 cases of anisakiasis in the province of Córdoba, Spain" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:1 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec221275" "palabras" => array:2 [ 0 => "Anisakiasis" 1 => "Anisakis simplex" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La anisakiasis o anisakidosis es una zoonosis parasitaria provocada por la infestación de nematodosde la familia Anisakidae, principalmente la especie Anisakis simplex (AS). Su distribuciónes mundial, aunque su aparición es reciente en España (1991) habiéndose descrito19 casos previos a este estudio. Presentamos 13 casos diagnosticados en distintos centros hospitalariosde la provincia de Córdoba desde septiembre de 1994 hasta julio de 1998, lo que representala mayor serie de casos descrita en España por el momento. Todos los pacientes comenzaronclínicamente como un cuadro de abdomen agudo por lo que se trataron mediante acirugía precoz en la que se observó un segmento intestinal inflamado y estenótico que fue resecado.El estudio histológico de la pieza reveló un importante infiltrado eosinófilo en la mucosa.En un caso se detectaron fragmentos del parásito en la mucosa intestinal y en los 12 restantesel diagnóstico fue inmunológico mediante la determinación de IgE específica anti-Anisakis simplexy la detección de antígenos del nematodo mediante anticuerpos monoclonales. Como antecedenteepidemiológico de interés cabe resaltar que todos los pacientes referían ser comedoreshabituales de pescado crudo (principalmente boquerones en vinagre) que actúa como huéspedde larvas terciarias del parásito.</p>" ] "en" => array:1 [ "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Anisakiasis, or anisakidosis, is a parasitic zoonosis due to the infestation by nematodes of theAnisakidae family, mainly by Anisakis simplex. Notwithstanding its worldivide distribution, inour country its appearance is quite recent (1991) with only 19 cases previously reported. Werefer 13 cases diagnosed in different hospitals in the province of Córdoba, Spain, from September1994 to July 1998 which represents the biggest series described in Spain so far. All thepatients had a clinical onset as acute abdomen, so that they required early surgery in whicha narrowing and inflammatory intestinal segment was observed and subsequently resected. Pathologyrevealed in such segments an intense eosinophilic infiltrate in the mucosa. Only in oneof the cases parasitic fragments were detected in the intestinal mucosa and in the 12 remainigcases the diagnosis was immunological by IgE specific for Anisakis simplex determination andantigens detection of the nematode with monoclonal antibodies. As interesting epidemiologicantecedent we shall mention the fact that all patients referred a usual raw fish consumption(mainly anchovy with vinegar) which is host of third-stage larval of the parasite.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Referencias Bibliográficas" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:28 [ 0 => array:3 [ "identificador" => "bib00005" "etiqueta" => "1." 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