Infección por Strongyloides stercoralis en un paciente con obstrucción crónica al flujo aéreo corticodependiente
Strongyloides stercoralis infection in a corticoiddependent patient with chronic obstructive air flow disease
Servicios de Neumología, Hospital Universitario La Fe. Valencia
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"apellidos" => "Cremades Romero" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] 1 => array:3 [ "nombre" => "J." "apellidos" => "Pemán García" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0015" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Medicina Familiar. Hospital Universitario La Fe. Valencia" "etiqueta" => "*" "identificador" => "aff0010" ] 1 => array:3 [ "entidad" => "Servicios de Microbiología. Hospital Universitario La Fe. Valencia" "etiqueta" => "**" "identificador" => "aff0015" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "<span class="elsevierStyleItalic">Strongyloides stercoralis</span> infection in a corticoiddependent patient with chronic obstructive air flow disease" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1995-12-28" "fechaAceptado" => "1996-02-06" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec546109" "palabras" => array:4 [ 0 => "<span class="elsevierStyleItalic">Strongyloides stercoralis</span>" 1 => "Esteroides" 2 => "Broncospasmo" 3 => "Endemia" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec546110" "palabras" => array:4 [ 0 => "<span class="elsevierStyleItalic">Strongyloides stercoralis</span>" 1 => "Steroids" 2 => "Bronchospasm" 3 => "Endemia" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Presentamos un caso de infección por <span class="elsevierStyleItalic">Strongyloides stercoralis</span> (SS) en un agricultor con una obstrucción crónica al flujo aéreo (OCFA) con hiperreactividad bronquial y corticodependiente. El cuadro clínico se inició con síntomas digestivos y un broncospasmo rebelde al tratamiento esteroide. El diagnóstico se estableció mediante la demostración de las larvas de SS en las heces. Se hace hincapié en la sospecha de esta infección en pacientes procedentes de un área endémica como la nuestra, y en las manifestaciones respiratorias provocadas por la infección por SS que pueden quedar enmascaradas por la propia enfermedad bronquial.</p></span>" ] "en" => array:1 [ "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">We report a case of <span class="elsevierStyleItalic">Strongyloides stercoralis</span> infection in a male agricultural worker with corticoid dependent chronic obstructive air flow disease and bronchial hyperreactivity. The clinical picture initially involved digestive symptoms and bronchospasm resistant to steroid treatment. Diagnosis was established by demonstrating the larvae of <span class="elsevierStyleItalic">S. stercoralis</span> in stool. We emphasize that this infection should be suspected in patients living in endemic areas such as Spain, and describe S. stercoralis-caused respiratory manifestations that can be masked by bronchial disease.</p></span>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:8 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Strongyloidiasis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "D. Amstrong" 1 => "J. 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Lynch" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Arch Intern Med" "fecha" => "1988" "volumen" => "148" "paginaInicial" => "634" "paginaFinal" => "636" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3341865" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/03002896/0000003200000008/v1_201506230038/S0300289615307304/v1_201506230038/es/main.assets" "Apartado" => array:4 [ "identificador" => "9222" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Letters to the Director / Cartas al Director" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/03002896/0000003200000008/v1_201506230038/S0300289615307304/v1_201506230038/es/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615307304?idApp=UINPBA00003Z" ]
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