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Sánchez García, D. Rubio Solís, V. Díaz Fernández" "autores" => array:3 [ 0 => array:4 [ "nombre" => "S." "apellidos" => "Sánchez García" "email" => array:1 [ 0 => "sandrasg.radiologia@gmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "D." "apellidos" => "Rubio Solís" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "V." "apellidos" => "Díaz Fernández" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Radiodiagnóstico, Hospital Universitario San Agustín, Avilés, Asturias, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Medicina Interna, Hospital Universitario San Agustín, Avilés, Asturias, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Piomiositis secundaria a abscesos prostáticos" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 972 "Ancho" => 1300 "Tamanyo" => 142011 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We present the case of a 76-year-old man with fever and a decreased level of consciousness. The patient's history included advanced cognitive impairment and complete dependence for daily life activities. The physical examination revealed that the patient was in a stuporous state, with pain in the right hip when moving and fever (39<span class="elsevierStyleHsp" style=""></span>°C). Laboratory tests revealed mild leukocytosis with a left shift and an increased C-reactive protein level. In the urinalysis, we observed proteins ++ and red blood cells +++, with mild hematuria and leukocyte isolates in the sediment. Abdomen–pelvic computed tomography was performed to find the focus of infection, which revealed an increase in the right internal obturator muscle (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A). The examination was completed with magnetic resonance imaging of the hip, in which we identified prostatic abscesses (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B, arrowhead), with dissemination towards the muscles of the pelvic belt, with muscle edema (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>C) and numerous collections in the gluteal muscles and in the right internal obturator (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B–D, arrows). Given the patient's clinical situation and comorbidity, we ruled out invasive measures. We isolated a positive blood culture for <span class="elsevierStyleItalic">Pseudomonas aeruginosa</span> and started treatment with amoxicillin/clavulanic acid, which was subsequently replaced with imipenem and amikacin, de-escalating to ciprofloxacin with clinical improvement and reduced abscesses in the check-up MRI.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">The prostatic abscess is an uncommon condition whose diagnosis can be delayed due to its nonspecific symptoms. Although dissemination and complications are rare, they can be life-threatening. Treatment consists of antibiotherapy and surgical drainage whenever possible.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2018-05-30" "fechaAceptado" => "2018-06-29" "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Sánchez García S, Rubio Solís D, Díaz Fernández V. Piomiositis secundaria a abscesos prostáticos. Rev Clin Esp. 2019;219:460–461.</p>" ] ] "multimedia" => array:1 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 972 "Ancho" => 1300 "Tamanyo" => 142011 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/22548874/0000021900000008/v1_201910300730/S2254887418301759/v1_201910300730/en/main.assets" "Apartado" => array:4 [ "identificador" => "71811" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Medicine in images" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/22548874/0000021900000008/v1_201910300730/S2254887418301759/v1_201910300730/en/main.pdf?idApp=WRCEE&text.app=https://revclinesp.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887418301759?idApp=WRCEE" ]