Estadísticas

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      "titulo" => "Varón de 47 años con talalgia bilateral y antecedentes de pancreatitis en imágenes"
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          "titulo" => "A 47-year-old male with bilateral heel pain and a history of pancreatitis rheumatology"
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          "autoresLista" => "N Gómez Rodríguez, JL Ferreiro Seoane, J Ibáñez Ruán"
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      "titulo" => "Agranulocitosis y lupus eritematoso sistémico"
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    "titulo" => "Fiebre botonosa mediterránea y artritis: una asociación poco frecuente"
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        "resumen" => "La fiebre botonosa mediterránea (FBM) es una infección producida por Rickettsia conorii. Entre sus manifestaciones más frecuentes se incluyen fiebre, cefalea, exantema maculopapular y artromialgias. La artritis es una manifestación excepcional, descrita ocasionalmente en la bibliografía. Presentamos el caso de una paciente diagnosticada de FBM, con un cuadro clínico consistente en oligoartritis de tobillos, fiebre y exantema en tronco y extremidades inferiores, en ausencia de mancha negra, y que a lo largo de la evolución manifestó seroconversión frente a Rickettssia conorii y serología falsamente positiva frente a Borrelia burgdorferi. Se consiguió la resolución completa del cuadro tras instaurar tratamiento con doxiciclina, sin recidivas posteriores, ni clínica que pudiera sugerir enfermedad de Lyme tardía. Realizamos una revisión de los casos publicados, la mayor parte de ellos en nuestro país, y discutimos los posibles mecanismos patogénicos por los que actúan las rickettsiosis."
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        "resumen" => "Mediterranean spotted fever (MSF) is an infection caused by Rickettsia conorii. Clinical manifestations include fever, headache, maculopapulous rash and arthromyalgia. Frank arthritis is exceptional and occasionally described in literature. We present a patient diagnosed of MSF who had bilateral ankle arthritis, fever and rash over trunk and lower extremities, without the presence of the «tache noir», that on evolution manifested seroconvertion for Rickettsia conorii and false antibody titers against Borrelia burgdorferi. Complete resolution of the disease was achieved after treatment with doxycycline, without flares or symptoms that would suggest Lyme disease. We review the published cases in the literature, most of them in our country, and discuss the possible pathogenic mecanisms by which Rickettsia may act."
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