Diseminación miliar con afectación pulmonar secundaria a inmunoterapia intravesical con bacilo de Calmette-Guérin
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Caminero Luna, M. Casal Román, V. Ausina Ruiz, J.M. Pina Gutiérrez, J. Sauret Valet" "autores" => array:5 [ 0 => array:2 [ "nombre" => "J.A." "apellidos" => "Caminero Luna" ] 1 => array:2 [ "nombre" => "M." "apellidos" => "Casal Román" ] 2 => array:2 [ "nombre" => "V." "apellidos" => "Ausina Ruiz" ] 3 => array:2 [ "nombre" => "J.M." "apellidos" => "Pina Gutiérrez" ] 4 => array:2 [ "nombre" => "J." "apellidos" => "Sauret Valet" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615308164?idApp=UINPBA00003Z" "url" => "/03002896/0000003200000002/v1_201506230109/S0300289615308164/v1_201506230109/es/main.assets" ] "es" => array:13 [ "idiomaDefecto" => true "titulo" => "Diseminación miliar con afectación pulmonar secundaria a inmunoterapia intravesical con bacilo de Calmette-Guérin" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "100" "paginaFinal" => "102" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "C. Paredes Arranz, J.F. de Frutos Arribas, J. Calleja Escudero, M. Blanco Cabero, F. del Campo Matías, M.C. Velasco" "autores" => array:6 [ 0 => array:3 [ "nombre" => "C." "apellidos" => "Paredes Arranz" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "J.F." "apellidos" => "de Frutos Arribas" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "J." "apellidos" => "Calleja Escudero" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0010" ] ] ] 3 => array:3 [ "nombre" => "M." "apellidos" => "Blanco Cabero" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] ] ] 4 => array:3 [ "nombre" => "F." "apellidos" => "del Campo Matías" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] ] ] 5 => array:3 [ "nombre" => "M.C." "apellidos" => "Velasco" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">***</span>" "identificador" => "aff0015" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Sección de Neumología. Hospital del Río Hortega. Valladolid" "etiqueta" => "*" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Urología. Hospital del Río Hortega. Valladolid" "etiqueta" => "**" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Servicio de Anatomía Patológica. Hospital del Río Hortega. Valladolid" "etiqueta" => "***" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Correspondencia: Dra. C. Paredes Arranz. Magallanes, 21,3.° D. 47006 Valladolid." ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1995-05-08" "fechaAceptado" => "1995-05-25" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec546191" "palabras" => array:2 [ 0 => "Inmunoterapia BCG" 1 => "Diseminación miliar" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec546190" "palabras" => array:2 [ 0 => "Calmette-Guérin bacillus immunotherapy" 1 => "Miliary tuberculosis" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se describe el caso de un varón de 67 años sometido a resección transuretral e inmunoterapia con bacilo de Calmette-Guérin (BCG) por presentar un carcinoma transicional superficial de vejiga. Tras varias sesiones de instilación intravesical del preparado (BCG), el paciente desarrolló un cuadro de fiebre, astenia y anorexia persistente que motivó su ingreso hospitalario. Se realizaron diversas pruebas, estableciéndose el diagnóstico de diseminación miliar por BCG, que evolucionó fatalmente, a pesar del tratamiento tuberculostático.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">La administración intravesical de BCG rara vez origina complicaciones graves por diseminación hematógena aunque, actualmente, parece ser más frecuente de lo que se pensaba.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">La infección diseminada debe sospecharse en todo paciente que reciba BCG y con un cuadro clínico compatible. El conocimiento de esta complicación y la instauración precoz del tratamiento específico son la única medida que mejorará el pronóstico de esta importante complicación.</p></span>" ] "en" => array:1 [ "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">We describe the case of a 67-years-old man who underwent transurethral resection and immunotherapy with Calmette-Guérin bacillus solution (CGB) for superficial transitional carcinoma of the bladder. After a series of intravesical irrigations with CGB, the patient developed fever, asthenia and persistent anorexia and was hospitalized. After testing he was diagnosed of miliary tuberculosis due to CGB and died in spite of tuberculostatic therapy.</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Hematogenous dissemination, a rare but serious complication of vesical irrigation with CGB, is thought to be more common than previously suspected. It should be suspected in all patients receiving CGB when a compatible clinical pieture presents. An understanding of this complication and early establishment of specific treatment is the only wat to improve prognosis.</p></span>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:17 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." 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Levy" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Chest" "fecha" => "1993" "volumen" => "104" "paginaInicial" => "307" "paginaFinal" => "309" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8325099" "web" => "Medline" ] ] ] ] ] ] ] ] 14 => array:3 [ "identificador" => "bib0075" "etiqueta" => "15." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Fatal sepsis following intravesical bacillus Calmette-Guérin administration for bladder cancer" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:8 [ 0 => "W.H. Rawls" 1 => "D.L. Lamm" 2 => "B.A. Lowe" 3 => "E.D. Crawford" 4 => "M.F. Sarosdy" 5 => "J.E. Montie" 6 => "H.B. Grossman" 7 => "P.T. 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"referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Canadian Center Statistics. Toronto. National Center Institute of Canada 1990; 322: 1.129-1.230." ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/03002896/0000003200000002/v1_201506230109/S0300289615308176/v1_201506230109/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/03002896/0000003200000002/v1_201506230109/S0300289615308176/v1_201506230109/es/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615308176?idApp=UINPBA00003Z" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 6 | 1 | 7 |
| 2024 October | 32 | 17 | 49 |
| 2024 September | 39 | 24 | 63 |
| 2024 August | 67 | 29 | 96 |
| 2024 July | 38 | 26 | 64 |
| 2024 June | 43 | 24 | 67 |
| 2024 May | 53 | 26 | 79 |
| 2024 April | 45 | 24 | 69 |
| 2024 March | 38 | 23 | 61 |
| 2024 February | 34 | 36 | 70 |
| 2024 January | 0 | 1 | 1 |
| 2023 December | 0 | 2 | 2 |
| 2023 November | 0 | 9 | 9 |
| 2023 October | 0 | 3 | 3 |
| 2023 August | 0 | 1 | 1 |
| 2023 July | 0 | 16 | 16 |
| 2023 June | 0 | 2 | 2 |
| 2023 March | 4 | 4 | 8 |
| 2023 February | 31 | 16 | 47 |
| 2023 January | 25 | 27 | 52 |
| 2022 December | 44 | 23 | 67 |
| 2022 November | 40 | 14 | 54 |
| 2022 October | 30 | 29 | 59 |
| 2022 September | 26 | 16 | 42 |
| 2022 August | 35 | 39 | 74 |
| 2022 July | 25 | 30 | 55 |
| 2022 June | 25 | 27 | 52 |
| 2022 May | 25 | 26 | 51 |
| 2022 April | 27 | 32 | 59 |
| 2022 March | 25 | 34 | 59 |
| 2022 February | 34 | 33 | 67 |
| 2022 January | 27 | 34 | 61 |
| 2021 December | 20 | 37 | 57 |
| 2021 November | 27 | 34 | 61 |
| 2021 October | 27 | 34 | 61 |
| 2021 September | 27 | 32 | 59 |
| 2021 August | 15 | 28 | 43 |
| 2021 July | 12 | 28 | 40 |
| 2021 June | 25 | 29 | 54 |
| 2021 May | 27 | 38 | 65 |
| 2021 April | 30 | 53 | 83 |
| 2021 March | 56 | 18 | 74 |
| 2021 February | 61 | 21 | 82 |
| 2021 January | 26 | 14 | 40 |
| 2020 December | 21 | 9 | 30 |
| 2020 November | 16 | 17 | 33 |
| 2020 October | 16 | 15 | 31 |
| 2020 September | 12 | 9 | 21 |
| 2020 August | 34 | 22 | 56 |
| 2020 July | 17 | 13 | 30 |
| 2020 June | 28 | 11 | 39 |
| 2020 May | 16 | 12 | 28 |
| 2020 April | 26 | 15 | 41 |
| 2020 March | 27 | 16 | 43 |
| 2020 February | 22 | 14 | 36 |
| 2020 January | 31 | 17 | 48 |
| 2019 December | 45 | 29 | 74 |
| 2019 November | 22 | 2 | 24 |
| 2019 October | 21 | 10 | 31 |
| 2019 September | 34 | 24 | 58 |
| 2019 August | 17 | 3 | 20 |
| 2019 July | 26 | 25 | 51 |
| 2019 June | 26 | 19 | 45 |
| 2019 May | 30 | 19 | 49 |
| 2019 April | 38 | 22 | 60 |
| 2019 March | 14 | 17 | 31 |
| 2019 February | 14 | 13 | 27 |
| 2019 January | 10 | 7 | 17 |
| 2018 December | 11 | 12 | 23 |
| 2018 November | 23 | 25 | 48 |
| 2018 October | 28 | 15 | 43 |
| 2018 September | 12 | 6 | 18 |
| 2018 May | 8 | 2 | 10 |
| 2018 April | 5 | 6 | 11 |
| 2018 March | 10 | 6 | 16 |
| 2018 February | 8 | 9 | 17 |
| 2018 January | 8 | 5 | 13 |
| 2017 December | 17 | 14 | 31 |
| 2017 November | 8 | 10 | 18 |
| 2017 October | 20 | 14 | 34 |
| 2017 September | 8 | 13 | 21 |
| 2017 August | 11 | 11 | 22 |
| 2017 July | 9 | 13 | 22 |
| 2017 June | 10 | 20 | 30 |
| 2017 May | 11 | 18 | 29 |
| 2017 April | 14 | 18 | 32 |
| 2017 March | 4 | 11 | 15 |
| 2017 February | 4 | 12 | 16 |
| 2017 January | 6 | 9 | 15 |
| 2016 December | 15 | 7 | 22 |
| 2016 November | 24 | 17 | 41 |
| 2016 October | 25 | 13 | 38 |
| 2016 September | 23 | 14 | 37 |
| 2016 August | 15 | 5 | 20 |
| 2016 July | 16 | 6 | 22 |
| 2016 June | 18 | 7 | 25 |
| 2016 May | 17 | 7 | 24 |
| 2016 April | 11 | 0 | 11 |
| 2016 March | 11 | 0 | 11 |
| 2016 February | 4 | 1 | 5 |
| 2016 January | 34 | 17 | 51 |
| 2015 December | 20 | 10 | 30 |
| 2015 November | 37 | 8 | 45 |
| 2015 October | 8 | 2 | 10 |
| 2015 September | 1 | 0 | 1 |
| 2015 June | 1 | 0 | 1 |
Show all
