Empiema por Eikenella Corrodens
Empyema due to Eikenella Corrodens
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Presentacion de dos casos, uno de ellos complicado a fistula esofagica" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "88" "paginaFinal" => "91" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Laryngotracheal disinsertion and avulsion after injury" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:2 [ 0 => array:2 [ "autoresLista" => "A. Canto, J. Moya, J. Saumench, J. Pac, R. Aguilo" "autores" => array:5 [ 0 => array:2 [ "nombre" => "A." "apellidos" => "Canto" ] 1 => array:2 [ "nombre" => "J." "apellidos" => "Moya" ] 2 => array:2 [ "nombre" => "J." "apellidos" => "Saumench" ] 3 => array:2 [ "nombre" => "J." "apellidos" => "Pac" ] 4 => array:2 [ "nombre" => "R." "apellidos" => "Aguilo" ] ] ] 1 => array:2 [ "autoresLista" => "A. Clariana, L. Muñoz" "autores" => array:2 [ 0 => array:2 [ "nombre" => "A." "apellidos" => "Clariana" ] 1 => array:2 [ "nombre" => "L." "apellidos" => "Muñoz" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615320871?idApp=UINPBA00003Z" "url" => "/03002896/0000002200000002/v1_201509151023/S0300289615320871/v1_201509151023/es/main.assets" ] "es" => array:13 [ "idiomaDefecto" => true "titulo" => "Empiema por <span class="elsevierStyleItalic">Eikenella Corrodens</span>" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "92" "paginaFinal" => "94" ] ] "autores" => array:2 [ 0 => array:3 [ "autoresLista" => "J.M. Fernandez Sanchez-Alarcos, M.J. Dominguez Lozano, P. Cabrera Navarro" "autores" => array:3 [ 0 => array:2 [ "nombre" => "J.M." "apellidos" => "Fernandez Sanchez-Alarcos" ] 1 => array:2 [ "nombre" => "M.J." "apellidos" => "Dominguez Lozano" ] 2 => array:2 [ "nombre" => "P." "apellidos" => "Cabrera Navarro" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Sección de Neumología. Hospital de la S.S. Ntra. Sra. del Pino. Las Palmas de Gran Canaria" "identificador" => "aff0005" ] ] ] 1 => array:3 [ "autoresLista" => "I. Alamo Antunez" "autores" => array:1 [ 0 => array:3 [ "nombre" => "I." "apellidos" => "Alamo Antunez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:3 [ "entidad" => "Sección de Microbiología. Hospital de la S.S. Ntra. Sra. del Pino. Las Palmas de Gran Canaria" "etiqueta" => "*" "identificador" => "aff0010" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Empyema due to <span class="elsevierStyleItalic">Eikenella Corrodens</span>" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1985-05-13" "fechaAceptado" => "1985-09-03" "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">El germen <span class="elsevierStyleItalic">Eikenella corrodens</span> (EC) es un anaerobio facultativo cuyo papel en la etiología de una variedad de infecciones del sistema respiratorio se encuentra mal definido en la literatura. Los casos publicados son escasos. Casi siempre el organismo ha sido aislado en el seno de una flora polimicrobiana. Los pacientes afectos son, en su inmensa mayoría, inmunodeprimidos o portadores de una enfermedad severa de base.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">En este trabajo se describe, por primera vez, el caso de un empiema de grandes proporciones donde se aisló como único germen infectante EC y el individuo afecto era un huésped normal. También llamamos la atención sobre la similitud clímica de esta infección con las producidas por gérmenes anaerobios. Esta particularidad, no comentada en trabajos previos, puede ser de importancia vital de cara al tratamiento ya que la EC muestra de manera constante resistencia a la clindamicina, antibiótico de primera línea para las infecciones por anaerobios.</p></span>" ] "en" => array:1 [ "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleItalic">Eikenella corrodens</span> (EC) is a facultative anaerobic causing a variety of respiratory infections and not well defined in the literature, with only a few cases documented to date. The organism almost always is isolated within polymicrobial flora. Patients usually are immunodepressed or have a severe underlying disorder.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">To the authors knowledge, this is the first report of severe empyema in which EC was the only isolate in a normal patient. The clinical similarity with infections due to anaerobes is stressed, because this peculiarity, not mentioned in previous reports, may be of vital importance in the therapy as EC consistently has proved to be resistant to clindamycin, the antibiotic of choice for anaerobes caused infections.</p></span>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografia" "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" => "<span class="elsevierStyleItalic">Eikenella corrodens</span>, a recently recognized pathogen" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "G.F. Brooks" 1 => "J.M. O’Donoghue" 2 => "J.P. Rissing" 3 => "K. Soapes" 4 => "J.W. 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Whitehouse" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1099/00222615-4-2-171" "Revista" => array:6 [ "tituloSerie" => "J Med Microbiol" "fecha" => "1971" "volumen" => "4" "paginaInicial" => "171" "paginaFinal" => "184" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/5570101" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0025" "etiqueta" => "5." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Isolation of Eikenella corrodens epyema in children" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "E.J.C. Goldstein" 1 => "B.D. Kirby" 2 => "S.M. 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Muthuswamy" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1164/arrd.1984.130.3.510" "Revista" => array:6 [ "tituloSerie" => "Am Rev Respir Dis" "fecha" => "1984" "volumen" => "130" "paginaInicial" => "510" "paginaFinal" => "513" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6383158" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/03002896/0000002200000002/v1_201509151023/S0300289615320883/v1_201509151023/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/03002896/0000002200000002/v1_201509151023/S0300289615320883/v1_201509151023/es/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615320883?idApp=UINPBA00003Z" ]
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