Tratamiento quirúrgico de la osteomielitis esternoclavicular
Surgical treatment of sterno-clavicular osteomyelitis
J.I. González Muñoz, M. Córdoba Peláez, E. Tébar Boti, J.C. Téllez Cantero, E. Castedo Mejuto, A. Varela de Ugarte*
Servicio de Cirugía Torácica y Cardiovascular. Clínica Puerta de Hierro. Madrid
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"apellidos" => "Córdoba Peláez" ] 2 => array:2 [ "nombre" => "E." "apellidos" => "Tébar Boti" ] 3 => array:2 [ "nombre" => "J.C." "apellidos" => "Téllez Cantero" ] 4 => array:2 [ "nombre" => "E." "apellidos" => "Castedo Mejuto" ] 5 => array:3 [ "nombre" => "A." "apellidos" => "Varela de Ugarte" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Cirugía Torácica y Cardiovascular. Clínica Puerta de Hierro. Madrid" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Correspondencia: Servicio de Cirugía Torácica y Cardiovascular. Clínica Puerta de Hierro. 28035 Madrid." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Surgical treatment of sterno-clavicular osteomyelitis" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1996-06-03" "fechaAceptado" => "1996-06-14" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec546185" "palabras" => array:3 [ 0 => "Articulación esternoclavicular" 1 => "Artritis" 2 => "Mioplastia" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec546184" "palabras" => array:3 [ 0 => "Sternoclavicular articulation" 1 => "Arthritis" 2 => "Myoplasty" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La osteomielitis de la articulación esternocostoclavicular (ECC) es una infección poco frecuente producida mayoritariamente por <span class="elsevierStyleItalic">Staphylococcus aureus</span> y enterobacterias. Suele presentarse en personas con alguna enfermedad osteoarticular o con factores predisponentes. En general, se acepta el tratamiento antibiótico prolongado y la punción articular. No existe ninguna pauta de tratamiento quirúrgico admitida por todos los autores.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Presentamos 3 casos de artritis séptica ECC en 2 pacientes previamente sanos con dos focos infecciosos (un absceso perianal y una extracción dentaria) y un caso con una enfermedad de Still del adulto. Referían dolor e inflamación intensa del hombro con escasa leucocitosis y liebre de hasta 38 °<span class="elsevierStyleSmallCaps">C</span>. Los gérmenes responsables fueron <span class="elsevierStyleItalic">Staphylococcus aureus, Bacteroides fragilis</span> y <span class="elsevierStyleItalic">Bacteroides oralis</span>. Dos casos cursaron con abscesos locorregionales.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">En todos los casos fracasó el tratamiento antibiótico prolongado y fue necesaria la cirugía, practicando una resección esternocostoclavicular y mioplastia de pectoral mayor. La evolución fue buena y la movilidad del hombro y del brazo excelente.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">En conclusión, propugnamos el tratamiento médico y la punción articular diagnóstico-terapéutica como primera intención en el control de esta enfermedad. Ante la mala evolución del paciente o la aparición de complicaciones, como absceso o mediastinitis, indicamos el desbridamiento radical y mioplastia del pectoral mayor.</p></span>" ] "en" => array:1 [ "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Osteomyelitis of the sternocosto-clavicular (SCC) articulation is a rare infection usually caused by <span class="elsevierStyleItalic">Staphylococcus aureus</span> and enterobacteria. It usually occurs in individuals with osteoarticular disease or predisposing factors. Prolonged antibiotic treatment and articular puncture are generally accepted. Authors do not agree on an established protocol.</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">We report three cases of SCC septic arthritis in two previously healthy patients with two foci of infection (one perianal abcess and one dental extraction) and in one adult patient with Still's disease. Pain and intense inflammation was referred to the shoulder, with scarce leukocytosis and fever reaching 38 °C. The germs responsible were <span class="elsevierStyleItalic">S. aureus, Bacteroides fragilis</span> and <span class="elsevierStyleItalic">B. oralis</span>. Two of the patients had local, regional abscesses.</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Long-term antibiotic treatment failed in all cases and surgery for SCC resection and myoplasty of the pectoralis major muscle was required. Recovery was good and shoulder and arm mobility was excellent.</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">We propose medical treatment and articular diagnostic-therapeutic puncture as the first line of therapy for this disease. When evolution is poor or when complications appear, such as abscesses or mediastinitis, we conclude that radical debridement and myoplasty of the pectoralis major muscle are indicated.</p></span>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:23 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "CT manifestation of sternoclavicular pyarthrosis in patients with intravenous drug abuse" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "P.W. Alexander" 1 => "M. Shin" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "J Comp Ass Tom" "fecha" => "1990" "volumen" => "14" "paginaInicial" => "104" "paginaFinal" => "106" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "SCJ septic arthritis in heroin users" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "R.H. Goldin" 1 => "A.W. Chow" 2 => "J.E. Edwards Jr." 3 => "J.S. Louie" 4 => "L.B. Guze" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1056/NEJM197309202891206" "Revista" => array:6 [ "tituloSerie" => "New Engl J Med" "fecha" => "1973" "volumen" => "289" "paginaInicial" => "616" "paginaFinal" => "618" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/4198821" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "<span class="elsevierStyleItalic">Candida albicans</span> septic arthritis and ostheomyelitis of the SCJ in a patient with human immunodeficiency virus infection" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "H. Eldelstein" 1 => "R. McCabe" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Rheumatol" "fecha" => "1991" "volumen" => "18" "paginaInicial" => "110" "paginaFinal" => "111" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2023178" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Artritis esternoclavicular por <span class="elsevierStyleItalic">S. pneumoniae</span> en paciente con infección por VIH" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "M. León" 1 => "M. Ramos" 2 => "J. Saavedra" 3 => "A. Domínguez" 4 => "T. Ferrer" 5 => "E. Pujol" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "An Med Intern" "fecha" => "1994" "volumen" => "11" "paginaInicial" => "395" "paginaFinal" => "397" ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0025" "etiqueta" => "5." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "An unnusual presentation of gonococcal arthritis in an HIV patient" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "I. Strongin" 1 => "S. Kale" 2 => "M. Raymond" 3 => "R. Luskin" 4 => "G. Weisberg" 5 => "J. Jacobs" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Ann Rheum Dis" "fecha" => "1991" "volumen" => "50" "paginaInicial" => "572" "paginaFinal" => "573" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1909519" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib0030" "etiqueta" => "6." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "streptococcal arthritis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "A. Lin" 1 => "A. Karasik" 2 => "I.E. Salit" 3 => "A.G. Fram" 4 => "G. Group" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Rheumatol" "fecha" => "1982" "volumen" => "9" "paginaInicial" => "424" "paginaFinal" => "427" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7120237" "web" => "Medline" ] ] ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib0035" "etiqueta" => "7." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "SCJ infection in hemodialysis patients" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "E. Renoult" 1 => "A. Lataste" 2 => "B. Jonon" 3 => "P. Testevuide" 4 => "M. Kessler" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Nephron" "fecha" => "1990" "volumen" => "56" "paginaInicial" => "212" "paginaFinal" => "213" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2243579" "web" => "Medline" ] ] ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib0040" "etiqueta" => "8." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Sternoclavicular septic arthritis as first manifestation of brucellosis [carta]" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "M. Montejo" 1 => "J. Benito" 2 => "I. Alberola" 3 => "L. Gaztelorutia" 4 => "C. Aguirre" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Br J Rheumatol" "fecha" => "1986" "volumen" => "25" "paginaInicial" => "322" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3730752" "web" => "Medline" ] ] ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib0045" "etiqueta" => "9." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Sternoclavicular osteomyelitis and pyoarthrosis as a complication of subclavian vein catheterization. A case report and review of the literature" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "R.W. Lindsey" 1 => "J.A. Leach" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.3928/0147-7447-19841201-08" "Revista" => array:6 [ "tituloSerie" => "Orthopedics" "fecha" => "1984" "volumen" => "7" "paginaInicial" => "1.017" "paginaFinal" => "1.021" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24822849" "web" => "Medline" ] ] ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bib0050" "etiqueta" => "10." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "<span class="elsevierStyleItalic">Serratia marceas</span> ostheomyelitis of the clavicle and the sternoclavicular arthritis complicating infected indwelling subclavian vein catheter" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "C. Watanakunkorn" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Am J Med" "fecha" => "1986" "volumen" => "80" "paginaInicial" => "753" "paginaFinal" => "754" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3515937" "web" => "Medline" ] ] ] ] ] ] ] ] 10 => array:3 [ "identificador" => "bib0055" "etiqueta" => "11." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Septic arthritis of the SCJ in healthy adults" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "S. Gillis" 1 => "B. Friedman" 2 => "Y. Caraco" 3 => "A. Blankstein" 4 => "A. Yellin" 5 => "G. Friedman" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "J Int Med" "fecha" => "1990" "volumen" => "228" "paginaInicial" => "275" "paginaFinal" => "278" ] ] ] ] ] ] 11 => array:3 [ "identificador" => "bib0060" "etiqueta" => "12." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The risk of abscess from septic arthritis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "J. Wohlgethan" 1 => "A. Newberg" 2 => "J. Reed" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Rheumatol" "fecha" => "1988" "volumen" => "15" "paginaInicial" => "1.302" "paginaFinal" => "1.306" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3265959" "web" => "Medline" ] ] ] ] ] ] ] ] 12 => array:3 [ "identificador" => "bib0065" "etiqueta" => "13." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Extrapleural abscess secondary to infection of the SCJ" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "W.S. Chen" 1 => "Y.-L. Wan" 2 => "C.-C. Lui" 3 => "T.-Y. Leet" 4 => "K.-C. Wang" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Bone Joint Surg Am" "fecha" => "1993" "volumen" => "75" "paginaInicial" => "1.835" "paginaFinal" => "1.839" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8258551" "web" => "Medline" ] ] ] ] ] ] ] ] 13 => array:3 [ "identificador" => "bib0070" "etiqueta" => "14." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Computed tomography of the sternum and its articulations" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "M.K. Hatfield" 1 => "B.H. Gross" 2 => "G.M. Glazzer" 3 => "W. Martel" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Skeletal Radiol" "fecha" => "1984" "volumen" => "11" "paginaInicial" => "197" "paginaFinal" => "203" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6719144" "web" => "Medline" ] ] ] ] ] ] ] ] 14 => array:3 [ "identificador" => "bib0075" "etiqueta" => "15." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Computed tomography of the normal sternum" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "L.R. Godman" 1 => "S.K. Teplik" 2 => "H. Kay" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.2214/ajr.141.2.219" "Revista" => array:6 [ "tituloSerie" => "AJR" "fecha" => "1983" "volumen" => "141" "paginaInicial" => "219" "paginaFinal" => "223" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6603107" "web" => "Medline" ] ] ] ] ] ] ] ] 15 => array:3 [ "identificador" => "bib0080" "etiqueta" => "16." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Staphylococcal mediastinitis due to sternoclavicular pyarthrosis: CT apperance" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "M. Pollack" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "J Comp Ass Tom" "fecha" => "1990" "volumen" => "14" "paginaInicial" => "924" "paginaFinal" => "927" ] ] ] ] ] ] 16 => array:3 [ "identificador" => "bib0085" "etiqueta" => "17." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Sternoclavicular pyarthrosis demonstrated on bone scan correlation with CT and MRI" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "D. Shanley" 1 => "C. Vassallo" 2 => "A. Buckner" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Clin Nucl Med" "fecha" => "1991" "volumen" => "16" "paginaInicial" => "786" "paginaFinal" => "787" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1742939" "web" => "Medline" ] ] ] ] ] ] ] ] 17 => array:3 [ "identificador" => "bib0090" "etiqueta" => "18." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "A comparison of medical drainage (needle aspiration) and surgical drainage (arthrotomy and arthroscopy) in the initial treatment of infected joints" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "S.D. Broy" 1 => "F.R. Schmid" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Clin Rheum Dis" "fecha" => "1986" "volumen" => "12" "paginaInicial" => "501" "paginaFinal" => "522" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3542355" "web" => "Medline" ] ] ] ] ] ] ] ] 18 => array:3 [ "identificador" => "bib0095" "etiqueta" => "19." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The role of surgery in primary ostheomyelitis of the chest wall" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "F. Jara" 1 => "A. Yap" 2 => "L. Toledo-Pereyra" 3 => "P. Magillian" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "J Thorac Cardiovasc Surg" "fecha" => "1979" "volumen" => "1" "paginaInicial" => "147" "paginaFinal" => "150" ] ] ] ] ] ] 19 => array:3 [ "identificador" => "bib0100" "etiqueta" => "20." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Bacterial arthritis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "D.L. Goldenberg" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "LibroEditado" => array:5 [ "titulo" => "Textbook of rheumatology." "paginaInicial" => "1.469" "paginaFinal" => "1.471" "serieVolumen" => "83" "serieFecha" => "1993" ] ] ] ] ] ] 20 => array:3 [ "identificador" => "bib0105" "etiqueta" => "21." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Bilateral sternoclavicular joint septic arthritis presenling as cutaneous abscess" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "D. Asnis" 1 => "G.S. Dhaliwal" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Clin Infect Dis" "fecha" => "1994" "volumen" => "19" "paginaInicial" => "964" "paginaFinal" => "966" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7893890" "web" => "Medline" ] ] ] ] ] ] ] ] 21 => array:3 [ "identificador" => "bib0110" "etiqueta" => "22." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Report of four cases of <span class="elsevierStyleItalic">Pasteurella multocida</span> septic arthritis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "X. Chevalier" 1 => "J. Martigny" 2 => "B. Avouac" 3 => "B. Larget-Piet" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Rheumatol" "fecha" => "1991" "volumen" => "18" "paginaInicial" => "1.890" "paginaFinal" => "1.892" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1839040" "web" => "Medline" ] ] ] ] ] ] ] ] 22 => array:3 [ "identificador" => "bib0115" "etiqueta" => "23." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Abscess formation in SCJ septic arthritis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "D. Van Linthoudt" 1 => "F. Velan" 2 => "H. Ott" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Rheumatol" "fecha" => "1989" "volumen" => "16" "paginaInicial" => "413" "paginaFinal" => "414" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2775354" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/03002896/0000003200000010/v1_201506230103/S0300289615306918/v1_201506230103/es/main.assets" "Apartado" => array:4 [ "identificador" => "9217" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Notas clínicas" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/03002896/0000003200000010/v1_201506230103/S0300289615306918/v1_201506230103/es/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615306918?idApp=UINPBA00003Z" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 10 | 1 | 11 |
| 2024 October | 100 | 24 | 124 |
| 2024 September | 129 | 31 | 160 |
| 2024 August | 146 | 53 | 199 |
| 2024 July | 111 | 38 | 149 |
| 2024 June | 176 | 53 | 229 |
| 2024 May | 116 | 30 | 146 |
| 2024 April | 87 | 29 | 116 |
| 2024 March | 92 | 27 | 119 |
| 2024 February | 96 | 40 | 136 |
| 2024 January | 0 | 1 | 1 |
| 2023 November | 0 | 2 | 2 |
| 2023 October | 0 | 3 | 3 |
| 2023 August | 2 | 3 | 5 |
| 2023 July | 0 | 3 | 3 |
| 2023 March | 5 | 3 | 8 |
| 2023 February | 58 | 20 | 78 |
| 2023 January | 50 | 23 | 73 |
| 2022 December | 45 | 23 | 68 |
| 2022 November | 77 | 28 | 105 |
| 2022 October | 44 | 40 | 84 |
| 2022 September | 32 | 13 | 45 |
| 2022 August | 45 | 41 | 86 |
| 2022 July | 46 | 30 | 76 |
| 2022 June | 53 | 33 | 86 |
| 2022 May | 59 | 37 | 96 |
| 2022 April | 57 | 46 | 103 |
| 2022 March | 86 | 33 | 119 |
| 2022 February | 46 | 24 | 70 |
| 2022 January | 58 | 30 | 88 |
| 2021 December | 46 | 36 | 82 |
| 2021 November | 44 | 33 | 77 |
| 2021 October | 75 | 43 | 118 |
| 2021 September | 53 | 45 | 98 |
| 2021 August | 32 | 31 | 63 |
| 2021 July | 44 | 35 | 79 |
| 2021 June | 57 | 35 | 92 |
| 2021 May | 71 | 36 | 107 |
| 2021 April | 189 | 77 | 266 |
| 2021 March | 131 | 53 | 184 |
| 2021 February | 87 | 34 | 121 |
| 2021 January | 86 | 35 | 121 |
| 2020 December | 78 | 39 | 117 |
| 2020 November | 80 | 33 | 113 |
| 2020 October | 129 | 24 | 153 |
| 2020 September | 114 | 29 | 143 |
| 2020 August | 82 | 36 | 118 |
| 2020 July | 84 | 31 | 115 |
| 2020 June | 110 | 33 | 143 |
| 2020 May | 110 | 33 | 143 |
| 2020 April | 60 | 17 | 77 |
| 2020 March | 61 | 35 | 96 |
| 2020 February | 69 | 47 | 116 |
| 2020 January | 82 | 50 | 132 |
| 2019 December | 108 | 46 | 154 |
| 2019 November | 67 | 32 | 99 |
| 2019 October | 75 | 35 | 110 |
| 2019 September | 76 | 38 | 114 |
| 2019 August | 64 | 19 | 83 |
| 2019 July | 85 | 39 | 124 |
| 2019 June | 70 | 45 | 115 |
| 2019 May | 81 | 56 | 137 |
| 2019 April | 70 | 49 | 119 |
| 2019 March | 35 | 36 | 71 |
| 2019 February | 30 | 10 | 40 |
| 2019 January | 37 | 18 | 55 |
| 2018 December | 30 | 25 | 55 |
| 2018 November | 59 | 40 | 99 |
| 2018 October | 55 | 26 | 81 |
| 2018 September | 63 | 26 | 89 |
| 2018 May | 12 | 9 | 21 |
| 2018 April | 10 | 37 | 47 |
| 2018 March | 7 | 31 | 38 |
| 2018 February | 9 | 31 | 40 |
| 2018 January | 8 | 21 | 29 |
| 2017 December | 11 | 26 | 37 |
| 2017 November | 10 | 33 | 43 |
| 2017 October | 46 | 12 | 58 |
| 2017 September | 31 | 10 | 41 |
| 2017 August | 27 | 27 | 54 |
| 2017 July | 5 | 20 | 25 |
| 2017 June | 11 | 32 | 43 |
| 2017 May | 10 | 29 | 39 |
| 2017 April | 8 | 23 | 31 |
| 2017 March | 13 | 35 | 48 |
| 2017 February | 2 | 21 | 23 |
| 2017 January | 3 | 10 | 13 |
| 2016 December | 7 | 15 | 22 |
| 2016 November | 11 | 18 | 29 |
| 2016 October | 11 | 20 | 31 |
| 2016 September | 19 | 18 | 37 |
| 2016 August | 30 | 14 | 44 |
| 2016 July | 19 | 7 | 26 |
| 2016 June | 28 | 14 | 42 |
| 2016 May | 22 | 11 | 33 |
| 2016 April | 11 | 0 | 11 |
| 2016 March | 3 | 0 | 3 |
| 2016 February | 3 | 1 | 4 |
| 2016 January | 24 | 8 | 32 |
| 2015 December | 28 | 17 | 45 |
| 2015 November | 24 | 3 | 27 |
| 2015 October | 9 | 2 | 11 |
| 2015 September | 3 | 0 | 3 |
| 2015 June | 1 | 0 | 1 |
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