Tuberculosis in immunosuppressed patients
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array:23 [ "pii" => "S0300289615325370" "issn" => "03002896" "doi" => "10.1016/S0300-2896(15)32537-0" "estado" => "S300" "fechaPublicacion" => "1979-10-01" "aid" => "72606" "copyright" => "Sociedad Española de Neumología y Cirugía Torácica" "copyrightAnyo" => "1979" "documento" => "simple-article" "crossmark" => 0 "subdocumento" => "abs" "cita" => "Arch Bronconeumol. 1979;15:202" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 853 "formatos" => array:3 [ "EPUB" => 47 "HTML" => 406 "PDF" => 400 ] ] "itemSiguiente" => array:18 [ "pii" => "S0300289615325382" "issn" => "03002896" "doi" => "10.1016/S0300-2896(15)32538-2" "estado" => "S300" "fechaPublicacion" => "1979-10-01" "aid" => "72607" "copyright" => "Sociedad Española de Neumología y Cirugía Torácica" "documento" => "simple-article" "crossmark" => 0 "subdocumento" => "abs" "cita" => "Arch Bronconeumol. 1979;15:202" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 859 "formatos" => array:3 [ "EPUB" => 38 "HTML" => 485 "PDF" => 336 ] ] "es" => array:8 [ "idiomaDefecto" => true "titulo" => "Fatal pulmonary hemorrhage after use of the flow-directed balloon tipped catheter" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => "es" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "202" ] ] "contieneResumen" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615325382?idApp=UINPBA00003Z" "url" => "/03002896/0000001500000004/v1_201509151302/S0300289615325382/v1_201509151302/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S0300289615325369" "issn" => "03002896" "doi" => "10.1016/S0300-2896(15)32536-9" "estado" => "S300" "fechaPublicacion" => "1979-10-01" "aid" => "72605" "copyright" => "Sociedad Española de Neumología y Cirugía Torácica" "documento" => "book-review" "crossmark" => 0 "subdocumento" => "brv" "cita" => "Arch Bronconeumol. 1979;15:201" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 998 "formatos" => array:3 [ "EPUB" => 40 "HTML" => 490 "PDF" => 468 ] ] "es" => array:8 [ "idiomaDefecto" => true "titulo" => "Kreislaufproblematik und Anesthesie bei geriatrischen Patient" "tienePdf" => "es" "tieneTextoCompleto" => 0 "referencia" => array:1 [ 0 => "(<span class="elsevierStyleItalic">Problemas circulatorios en la anestesia de los pacientes geriátricos</span>) G. Haldemann. 24 figs., 3 tablas, VIII - 55 págs (de ellas dos en inglés). Springer-Verlag. Berlin-Heidelberg-New York." ] "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "201" ] ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "J. Estada" "autores" => array:1 [ 0 => array:2 [ "nombre" => "J." "apellidos" => "Estada" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615325369?idApp=UINPBA00003Z" "url" => "/03002896/0000001500000004/v1_201509151302/S0300289615325369/v1_201509151302/es/main.assets" ] "es" => array:8 [ "idiomaDefecto" => true "titulo" => "Tuberculosis in immunosuppressed patients" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "202" ] ] "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">Se describen 11 enfermos que desarrollaron tuberculosis pulmonar durante un tratamiento largo con inmunosupre-sores. Las indicaciones de tal medicación fueron variadas, pero todos los pacientes recibían altas dosis de corti-coides con azatiopirina y en dos casos clorambucil como tercera droga. El diagnóstico de la tuberculosis fue tardío en todos los casos por la supresión de los síntomas de modo que 4 enfermos murieron, tres a consecuencia directa de la tuberculosis. De los restantes, tres estaban en situación clínica crítica en el momento del diagnóstico, pero se recuperaron con la terapia apropiada los otros cuatro enfermos, aunque no críticamente enfermos presentaban tuberculosis pulmonar extensa cavitaria con diseminación miliar en su caso.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Una clara técnica de investigación y en su caso la quimioterapia adecuada es precisa en enfermos sometidos a inmunosupresión duradera especialmente si se usan corticoides. La sospecha de tuberculosis obliga a controles clínicos y radiológicos regulares.</p></span>" ] ] ] "idiomaDefecto" => "es" "url" => "/03002896/0000001500000004/v1_201509151302/S0300289615325370/v1_201509151302/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/03002896/0000001500000004/v1_201509151302/S0300289615325370/v1_201509151302/es/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615325370?idApp=UINPBA00003Z" ]
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