Aspergilosis pulmonar invasiva Por aspergillus fumigatus en un paciente no inmunodeprimido
Invasive pulmonary aspergillosis caused by Aspergillus fumigatus in a non-immunosuppressed patient
J. Duran Cantolla, F. Zurbano Goñi, R. Agüero Balbin, L. Borderias Clau, J. Teran Santos, C. Queipo Corona, J. Barrio Soto
Sección de Neumología. Servicio de Neumología y Cirugía Torácica. Hospital Marqués de Valdecilla. Santander
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"apellidos" => "Torre Buxaleu" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615321852?idApp=UINPBA00003Z" "url" => "/03002896/0000002100000003/v1_201509151028/S0300289615321852/v1_201509151028/es/main.assets" ] "es" => array:13 [ "idiomaDefecto" => true "titulo" => "Aspergilosis pulmonar invasiva Por <span class="elsevierStyleItalic">aspergillus fumigatus</span> en un paciente no inmunodeprimido" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "134" "paginaFinal" => "136" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "J. Duran Cantolla, F. Zurbano Goñi, R. Agüero Balbin, L. Borderias Clau, J. Teran Santos, C. Queipo Corona, J. Barrio Soto" "autores" => array:7 [ 0 => array:2 [ "nombre" => "J." "apellidos" => "Duran Cantolla" ] 1 => array:2 [ "nombre" => "F." "apellidos" => "Zurbano Goñi" ] 2 => array:2 [ "nombre" => "R." "apellidos" => "Agüero Balbin" ] 3 => array:2 [ "nombre" => "L." "apellidos" => "Borderias Clau" ] 4 => array:2 [ "nombre" => "J." "apellidos" => "Teran Santos" ] 5 => array:2 [ "nombre" => "C." "apellidos" => "Queipo Corona" ] 6 => array:2 [ "nombre" => "J." "apellidos" => "Barrio Soto" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Sección de Neumología. Servicio de Neumología y Cirugía Torácica. Hospital Marqués de Valdecilla. Santander" "identificador" => "aff0005" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Invasive pulmonary aspergillosis caused by <span class="elsevierStyleItalic">Aspergillus fumigatus</span> in a non-immunosuppressed patient" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1984-07-10" "fechaAceptado" => "1984-12-18" "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A propósito de un caso clínico, se comenta la aspergilosis pulmonar invasiva y su escasa frecuencia en personas aparentemente sanas, así como los pasos que llevan al diagnóstico y los aspectos más importantes del tratamiento.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Como conclusión, insistimos en la necesidad de pensar en esta entidad, no sólo en pacientes inmunodeprimidos, sino también en aquellos que presentan fiebre e infiltrados pulmonares que no responden adecuadamente a los antibióticos. Particularmente, cuando se detectan aspergillus en los estudios microbiológicos, aunque aparentemente su respuesta inmune sea normal.</p></span>" ] "en" => array:1 [ "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">The aulhors present a case of invasive pulmonary aspergillosis, an infectious disease but rarely seen in apparently healthy individuals. A discussion of the diagnostic and therapeutic features is included and it is recommended that the entity should be suspected when patients with fever and pulmonary infiltrates —whether immuno-suppressed or not— show a poor response to antibiotic therapy and in particular when aspergillus organisms are found in cultures even thought the immune response is apparently normal.</p></span>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografia" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:11 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Fungal pneumonia (part 4): Invasive pulmonary aspergillosis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "P.A. Herbert" 1 => "A.S. 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