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array:22 [ "pii" => "S0300289615324856" "issn" => "03002896" "doi" => "10.1016/S0300-2896(15)32485-6" "estado" => "S300" "fechaPublicacion" => "1980-07-01" "aid" => "72554" "copyright" => "Sociedad Española de Neumología y Cirugía Torácica" "copyrightAnyo" => "1980" "documento" => "simple-article" "crossmark" => 0 "subdocumento" => "abs" "cita" => "Arch Bronconeumol. 1980;16:135" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 906 "formatos" => array:3 [ "EPUB" => 42 "HTML" => 466 "PDF" => 398 ] ] "itemAnterior" => array:18 [ "pii" => "S0300289615324844" "issn" => "03002896" "doi" => "10.1016/S0300-2896(15)32484-4" "estado" => "S300" "fechaPublicacion" => "1980-07-01" "aid" => "72553" "copyright" => "Sociedad Española de Neumología y Cirugía Torácica" "documento" => "simple-article" "crossmark" => 0 "subdocumento" => "abs" "cita" => "Arch Bronconeumol. 1980;16:135" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 910 "formatos" => array:3 [ "EPUB" => 43 "HTML" => 452 "PDF" => 415 ] ] "es" => array:8 [ "idiomaDefecto" => true "titulo" => "Small Cel Carcinoma of the Lung. Experience with a six-drug Regimen" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => "es" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "135" ] ] "contieneResumen" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615324844?idApp=UINPBA00003Z" "url" => "/03002896/0000001600000003/v1_201509151256/S0300289615324844/v1_201509151256/es/main.assets" ] "es" => array:8 [ "idiomaDefecto" => true "titulo" => "Tuberculosis in patients with end-stage renal disease" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "135" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "tieneResumen" => true "resumen" => array:1 [ "es" => array:1 [ "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Diez enfermos con enfermedad debida al Mycobacterium Tuberculosis se identificaron entre 172 adultos en diálisis a largo plazo. La incidencia de la tuberculosis se mostró 12 veces superior a la de la población general y no podía explicarse por factores demográficos. El diagnóstico fue difícil por: la inespecificidad de los síntomas, atribuibles a la uremia, por la frecuente negatividad del test tuberculínico a 5 TU, por la atípica presentación radiológica de la afectación pulmonar y por la frecuente localización extrapulmonar.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">La depresión de la inmunidad por la enfermedad renal avanzada puede predisponer a una elevada incidencia de la tuberculosis y a una mayor frecuencia de las formas extrapulmonares. El tratamiento fue eficaz y seguro mediante hidracidas a 300 mg/día y ethambutol de 8 a 10 mg/Kg diariamente.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Ocho enfermos superaron más de un año al diagnóstico de la enfermedad y están clínicamente curados. Para disminuir la mortalidad de estos enfermos es preciso un alto índice de sospecha y una valoración agresiva de la enfermedad.</p></span>" ] ] ] "idiomaDefecto" => "es" "url" => "/03002896/0000001600000003/v1_201509151256/S0300289615324856/v1_201509151256/es/main.assets" "Apartado" => array:4 [ "identificador" => "43822" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Referatas" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/03002896/0000001600000003/v1_201509151256/S0300289615324856/v1_201509151256/es/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615324856?idApp=UINPBA00003Z" ]
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