Exacerbacion paradojica de la tuberculosis pulmonar, tras el inicio del tratamiento especifico
Paradoxical exacerbation of pulmonary tuberculosis after starting therapy
E. Perez Duarte, J.M.a Dominguez-Palacios, J.M.a Blasco Rubio, J.J. Fernandez Luceño
Hospital de Enfermedades del Tórax El Tomillar. Dos Hermanas. Sevilla
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"apellidos" => "Marco Martinez" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615322006?idApp=UINPBA00003Z" "url" => "/03002896/0000002100000002/v1_201509151142/S0300289615322006/v1_201509151142/es/main.assets" ] "es" => array:13 [ "idiomaDefecto" => true "titulo" => "Exacerbacion paradojica de la tuberculosis pulmonar, tras el inicio del tratamiento especifico" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "86" "paginaFinal" => "89" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "E. Perez Duarte, J.M.<span class="elsevierStyleSup">a</span> Dominguez-Palacios, J.M.<span class="elsevierStyleSup">a</span> Blasco Rubio, J.J. Fernandez Luceño" "autores" => array:4 [ 0 => array:2 [ "nombre" => "E." "apellidos" => "Perez Duarte" ] 1 => array:2 [ "nombre" => "J.M.<span class="elsevierStyleSup">a</span>" "apellidos" => "Dominguez-Palacios" ] 2 => array:2 [ "nombre" => "J.M.<span class="elsevierStyleSup">a</span>" "apellidos" => "Blasco Rubio" ] 3 => array:2 [ "nombre" => "J.J." "apellidos" => "Fernandez Luceño" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Hospital de Enfermedades del Tórax El Tomillar. Dos Hermanas. Sevilla" "identificador" => "aff0005" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Paradoxical exacerbation of pulmonary tuberculosis after starting therapy" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1984-06-18" "fechaAceptado" => "1984-10-26" "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La aparición paradójica de nuevas lesiones radiológicas, tras el inicio del tratamiento en la tuberculosis pulmonar, puede plantear dudas sobre el diagnóstico y tratamiento.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Recientemente hemos tenido la oportunidad de comprobar en un caso de tuberculosis pulmonar primaria, que se trata de un fenómeno transitorio de posible base inmunoalérgica, que no implica lesión bronquial, infección sobreañadida o fallo terapéutico.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Sugerimos ante este tipo de fenómeno un seguimiento radiológico minucioso, el estudio endoscópico y la no modificación del tratamiento específico.</p></span>" ] "en" => array:1 [ "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">The appearance of new radiographic lesions after starting therapy for pulmonary tuberculosis may throw doubt on the diagnosis and management.</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">The authors report a recent case of primary pulmonary tuberculosis with such paradoxical lesions and which may possibly be due to a transient immune-allergic phenomenon without bronchial lesions, overlying infection or therapeutic failure.</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">In the presence of such a phenomenon careful radiographic control, endoscopic studies and continuing of the therapeutic schedule without changes are recommended.</p></span>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografia" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:23 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." 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Moya" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Enf Tórax" "fecha" => "1959" "volumen" => "29" "paginaInicial" => "25" "paginaFinal" => "56" ] ] ] ] ] ] 22 => array:3 [ "identificador" => "bib0115" "etiqueta" => "23." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Tuberculosis del pulmón y de la pleura" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "A. Pedro-Pons" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:5 [ "fecha" => "1970" "paginaInicial" => "210" "paginaFinal" => "317" "editorial" => "Ed. Salvat" "editorialLocalizacion" => "Barcelona" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/03002896/0000002100000002/v1_201509151142/S0300289615322018/v1_201509151142/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/03002896/0000002100000002/v1_201509151142/S0300289615322018/v1_201509151142/es/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615322018?idApp=UINPBA00003Z" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 9 | 4 | 13 |
| 2024 October | 46 | 32 | 78 |
| 2024 September | 48 | 28 | 76 |
| 2024 August | 56 | 42 | 98 |
| 2024 July | 61 | 38 | 99 |
| 2024 June | 57 | 52 | 109 |
| 2024 May | 61 | 49 | 110 |
| 2024 April | 61 | 46 | 107 |
| 2024 March | 56 | 34 | 90 |
| 2024 February | 28 | 50 | 78 |
| 2024 January | 0 | 12 | 12 |
| 2023 December | 0 | 22 | 22 |
| 2023 November | 0 | 25 | 25 |
| 2023 October | 0 | 23 | 23 |
| 2023 September | 0 | 25 | 25 |
| 2023 August | 0 | 7 | 7 |
| 2023 July | 0 | 26 | 26 |
| 2023 June | 0 | 15 | 15 |
| 2023 May | 0 | 27 | 27 |
| 2023 April | 0 | 12 | 12 |
| 2023 March | 9 | 14 | 23 |
| 2023 February | 20 | 30 | 50 |
| 2023 January | 30 | 31 | 61 |
| 2022 December | 37 | 36 | 73 |
| 2022 November | 39 | 46 | 85 |
| 2022 October | 34 | 50 | 84 |
| 2022 September | 21 | 35 | 56 |
| 2022 August | 27 | 48 | 75 |
| 2022 July | 25 | 68 | 93 |
| 2022 June | 28 | 51 | 79 |
| 2022 May | 26 | 48 | 74 |
| 2022 April | 23 | 37 | 60 |
| 2022 March | 27 | 33 | 60 |
| 2022 February | 35 | 30 | 65 |
| 2022 January | 46 | 28 | 74 |
| 2021 December | 23 | 34 | 57 |
| 2021 November | 27 | 39 | 66 |
| 2021 October | 17 | 43 | 60 |
| 2021 September | 13 | 28 | 41 |
| 2021 August | 15 | 22 | 37 |
| 2021 July | 22 | 25 | 47 |
| 2021 June | 17 | 40 | 57 |
| 2021 May | 21 | 43 | 64 |
| 2021 April | 56 | 75 | 131 |
| 2021 March | 33 | 42 | 75 |
| 2021 February | 49 | 27 | 76 |
| 2021 January | 19 | 17 | 36 |
| 2020 December | 25 | 23 | 48 |
| 2020 November | 18 | 24 | 42 |
| 2020 October | 27 | 24 | 51 |
| 2020 September | 19 | 19 | 38 |
| 2020 August | 14 | 17 | 31 |
| 2020 July | 17 | 12 | 29 |
| 2020 June | 14 | 17 | 31 |
| 2020 May | 13 | 15 | 28 |
| 2020 April | 13 | 22 | 35 |
| 2020 March | 20 | 26 | 46 |
| 2020 February | 15 | 25 | 40 |
| 2020 January | 31 | 13 | 44 |
| 2019 December | 26 | 23 | 49 |
| 2019 November | 16 | 12 | 28 |
| 2019 October | 19 | 16 | 35 |
| 2019 September | 18 | 21 | 39 |
| 2019 August | 16 | 13 | 29 |
| 2019 July | 20 | 29 | 49 |
| 2019 June | 21 | 18 | 39 |
| 2019 May | 29 | 21 | 50 |
| 2019 April | 35 | 19 | 54 |
| 2019 March | 15 | 23 | 38 |
| 2019 February | 8 | 12 | 20 |
| 2019 January | 3 | 6 | 9 |
| 2018 December | 5 | 18 | 23 |
| 2018 November | 9 | 13 | 22 |
| 2018 October | 23 | 12 | 35 |
| 2018 September | 16 | 8 | 24 |
| 2018 May | 7 | 2 | 9 |
| 2018 April | 3 | 6 | 9 |
| 2018 March | 11 | 7 | 18 |
| 2018 February | 7 | 12 | 19 |
| 2018 January | 2 | 4 | 6 |
| 2017 December | 8 | 15 | 23 |
| 2017 November | 6 | 15 | 21 |
| 2017 October | 9 | 13 | 22 |
| 2017 September | 7 | 15 | 22 |
| 2017 August | 8 | 20 | 28 |
| 2017 July | 5 | 8 | 13 |
| 2017 June | 10 | 21 | 31 |
| 2017 May | 9 | 8 | 17 |
| 2017 April | 9 | 8 | 17 |
| 2017 March | 4 | 13 | 17 |
| 2017 February | 6 | 9 | 15 |
| 2017 January | 8 | 5 | 13 |
| 2016 December | 7 | 7 | 14 |
| 2016 November | 15 | 11 | 26 |
| 2016 October | 22 | 22 | 44 |
| 2016 September | 16 | 16 | 32 |
| 2016 August | 16 | 7 | 23 |
| 2016 July | 22 | 8 | 30 |
| 2016 June | 16 | 9 | 25 |
| 2016 May | 14 | 4 | 18 |
| 2016 April | 11 | 0 | 11 |
| 2016 March | 10 | 0 | 10 |
| 2016 February | 9 | 0 | 9 |
| 2016 January | 10 | 6 | 16 |
| 2015 December | 25 | 15 | 40 |
| 2015 November | 19 | 5 | 24 |
| 2015 October | 5 | 1 | 6 |
| 2015 September | 1 | 0 | 1 |
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