Estadísticas

 array:24 [
  "pii" => "S0014256518300663"
  "issn" => "00142565"
  "doi" => "10.1016/j.rce.2018.02.012"
  "estado" => "S300"
  "fechaPublicacion" => "2018-06-01"
  "aid" => "1483"
  "copyright" => "Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI)"
  "copyrightAnyo" => "2018"
  "documento" => "article"
  "crossmark" => 1
  "subdocumento" => "sco"
  "cita" => "Rev Clin Esp. 2018;218:263-4"
  "abierto" => array:3 [
    "ES" => false
    "ES2" => false
    "LATM" => false
  ]
  "gratuito" => false
  "lecturas" => array:2 [
    "total" => 66
    "formatos" => array:2 [
      "HTML" => 52
      "PDF" => 14
    ]
  ]
  "Traduccion" => array:1 [
    "en" => array:19 [
      "pii" => "S2254887418300699"
      "issn" => "22548874"
      "doi" => "10.1016/j.rceng.2018.02.015"
      "estado" => "S300"
      "fechaPublicacion" => "2018-06-01"
      "aid" => "1483"
      "copyright" => "Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI)"
      "documento" => "article"
      "crossmark" => 1
      "subdocumento" => "sco"
      "cita" => "Rev Clin Esp. 2018;218:263-4"
      "abierto" => array:3 [
        "ES" => false
        "ES2" => false
        "LATM" => false
      ]
      "gratuito" => false
      "lecturas" => array:2 [
        "total" => 2
        "PDF" => 2
      ]
      "en" => array:11 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Medicine in images</span>"
        "titulo" => "Bites after a trip to Brazil"
        "tienePdf" => "en"
        "tieneTextoCompleto" => "en"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "263"
            "paginaFinal" => "264"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "es" => array:1 [
            "titulo" => "Picaduras tras un viaje a Brasil"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "en" => true
        ]
        "contienePdf" => array:1 [
          "en" => true
        ]
        "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" => 1159
                "Ancho" => 1667
                "Tamanyo" => 255838
              ]
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "S&#46; Lucas-Truyols, J&#46; Sabater-Abad, F&#46; Mill&#225;n-Parrilla"
            "autores" => array:3 [
              0 => array:2 [
                "nombre" => "S&#46;"
                "apellidos" => "Lucas-Truyols"
              ]
              1 => array:2 [
                "nombre" => "J&#46;"
                "apellidos" => "Sabater-Abad"
              ]
              2 => array:2 [
                "nombre" => "F&#46;"
                "apellidos" => "Mill&#225;n-Parrilla"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "en"
      "Traduccion" => array:1 [
        "es" => array:9 [
          "pii" => "S0014256518300663"
          "doi" => "10.1016/j.rce.2018.02.012"
          "estado" => "S300"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => false
            "ES2" => false
            "LATM" => false
          ]
          "gratuito" => false
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "es"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0014256518300663?idApp=WRCEE"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887418300699?idApp=WRCEE"
      "url" => "/22548874/0000021800000005/v1_201805300413/S2254887418300699/v1_201805300413/en/main.assets"
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S0014256518300511"
    "issn" => "00142565"
    "doi" => "10.1016/j.rce.2018.02.002"
    "estado" => "S300"
    "fechaPublicacion" => "2018-06-01"
    "aid" => "1473"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and Sociedad Espa&#241;ola de Medicina Interna &#40;SEMI&#41;"
    "documento" => "simple-article"
    "crossmark" => 1
    "subdocumento" => "cor"
    "cita" => "Rev Clin Esp. 2018;218:265"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 118
      "formatos" => array:2 [
        "HTML" => 83
        "PDF" => 35
      ]
    ]
    "es" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Correspondencia</span>"
      "titulo" => "Limitaci&#243;n del esfuerzo terap&#233;utico en medicina interna"
      "tienePdf" => "es"
      "tieneTextoCompleto" => "es"
      "paginas" => array:1 [
        0 => array:1 [
          "paginaInicial" => "265"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Limitation of therapeutic effort in departments of internal medicine"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "es" => true
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "I&#46; Torrente Jim&#233;nez, M&#46;A&#46; Villarino Marzo, S&#46; Herranz Mart&#237;nez"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "I&#46;"
              "apellidos" => "Torrente Jim&#233;nez"
            ]
            1 => array:2 [
              "nombre" => "M&#46;A&#46;"
              "apellidos" => "Villarino Marzo"
            ]
            2 => array:2 [
              "nombre" => "S&#46;"
              "apellidos" => "Herranz Mart&#237;nez"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "Traduccion" => array:1 [
      "en" => array:9 [
        "pii" => "S225488741830033X"
        "doi" => "10.1016/j.rceng.2018.02.001"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => false
          "ES2" => false
          "LATM" => false
        ]
        "gratuito" => false
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "en"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S225488741830033X?idApp=WRCEE"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0014256518300511?idApp=WRCEE"
    "url" => "/00142565/0000021800000005/v1_201805300407/S0014256518300511/v1_201805300407/es/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S0014256518300602"
    "issn" => "00142565"
    "doi" => "10.1016/j.rce.2018.02.008"
    "estado" => "S300"
    "fechaPublicacion" => "2018-06-01"
    "aid" => "1479"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and Sociedad Espa&#241;ola de Medicina Interna &#40;SEMI&#41;"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "sco"
    "cita" => "Rev Clin Esp. 2018;218:261-2"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 42
      "formatos" => array:2 [
        "HTML" => 33
        "PDF" => 9
      ]
    ]
    "es" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Medicina en im&#225;genes</span>"
      "titulo" => "Tres mecanismos para un s&#237;ntoma&#58; s&#237;ncope por mixoma"
      "tienePdf" => "es"
      "tieneTextoCompleto" => "es"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "261"
          "paginaFinal" => "262"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Three ways for the same symptom&#58; Syncope caused by myxoma"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "es" => true
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0015"
          "etiqueta" => "Figura 3"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr3.jpeg"
              "Alto" => 1106
              "Ancho" => 2000
              "Tamanyo" => 135478
            ]
          ]
          "descripcion" => array:1 [
            "es" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "J&#46;C&#46; Porres Azp&#237;roz, A&#46; Ruiz Aranjuelo, C&#46;R&#46; L&#243;pez Perales"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "J&#46;C&#46;"
              "apellidos" => "Porres Azp&#237;roz"
            ]
            1 => array:2 [
              "nombre" => "A&#46;"
              "apellidos" => "Ruiz Aranjuelo"
            ]
            2 => array:2 [
              "nombre" => "C&#46;R&#46;"
              "apellidos" => "L&#243;pez Perales"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "Traduccion" => array:1 [
      "en" => array:9 [
        "pii" => "S2254887418300572"
        "doi" => "10.1016/j.rceng.2018.02.013"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => false
          "ES2" => false
          "LATM" => false
        ]
        "gratuito" => false
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "en"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887418300572?idApp=WRCEE"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0014256518300602?idApp=WRCEE"
    "url" => "/00142565/0000021800000005/v1_201805300407/S0014256518300602/v1_201805300407/es/main.assets"
  ]
  "es" => array:14 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Medicina en im&#225;genes</span>"
    "titulo" => "Picaduras tras un viaje a Brasil"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "263"
        "paginaFinal" => "264"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "S&#46; Lucas-Truyols, J&#46; Sabater-Abad, F&#46; Mill&#225;n-Parrilla"
        "autores" => array:3 [
          0 => array:4 [
            "nombre" => "S&#46;"
            "apellidos" => "Lucas-Truyols"
            "email" => array:1 [
              0 => "sofialucas89&#64;gmail&#46;com"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:2 [
            "nombre" => "J&#46;"
            "apellidos" => "Sabater-Abad"
          ]
          2 => array:2 [
            "nombre" => "F&#46;"
            "apellidos" => "Mill&#225;n-Parrilla"
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:2 [
            "entidad" => "Servicio de Dermatolog&#237;a&#44; Hospital Arnau de Vilanova&#44; Valencia&#44; Espa&#241;a"
            "identificador" => "aff0005"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Autor para correspondencia&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "en" => array:1 [
        "titulo" => "Bites after a trip to Brazil"
      ]
    ]
    "resumenGrafico" => array:2 [
      "original" => 0
      "multimedia" => array:6 [
        "identificador" => "fig0005"
        "etiqueta" => "Figura 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 1159
            "Ancho" => 1667
            "Tamanyo" => 254238
          ]
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Var&#243;n de 87 a&#241;os que tras un viaje a Brasil consult&#243; por la aparici&#243;n de varios n&#243;dulos eritematosos&#44; dolorosos con un orificio central&#44; no adheridos al plano profundo&#44; de un mes de evoluci&#243;n y localizados en el dorso de la mano izquierda y mu&#241;eca izquierda &#40;<a class="elsevierStyleCrossRef" href="#fig0005">fig&#46; 1</a>A&#41;&#46; La sospecha inicial fue de picaduras por lo que se paut&#243; tratamiento sintom&#225;tico&#46; A los pocos d&#237;as el paciente acudi&#243; a la consulta y nos trajo una larva de un color pardo-amarillento&#46; Refer&#237;a que todas las lesiones hab&#237;an drenado espont&#225;neamente una larva por el orificio central&#46; Se trataba de la larva de la mosca <span class="elsevierStyleItalic">Dermatobia hominis</span> &#40;<a class="elsevierStyleCrossRef" href="#fig0005">fig&#46; 1</a>B&#41;&#46; Las lesiones cut&#225;neas presentaban una excelente evoluci&#243;n&#44; sin signos de infecci&#243;n y solo hiperpigmentaci&#243;n postinflamatoria&#46; La miasis cut&#225;nea es una infestaci&#243;n de la piel por larvas en desarrollo de varias especies de moscas del orden <span class="elsevierStyleItalic">Diptera</span>&#46; Su distribuci&#243;n geogr&#225;fica depende de la especie de la mosca siendo muy frecuente en los tr&#243;picos&#46; Cuando la larva madura acaba saliendo sola para convertirse en mosca adulta&#46; Si sospechamos el diagn&#243;stico podemos extraerla mediante pinzas tras ocluir el orificio con vaselina&#44; lo que interfiere con la respiraci&#243;n de la larva que se ve obligada a buscar aire facilitando as&#237; su expulsi&#243;n&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span>"
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2018-02-05"
    "fechaAceptado" => "2018-02-21"
    "multimedia" => array:1 [
      0 => array:6 [
        "identificador" => "fig0005"
        "etiqueta" => "Figura 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 1159
            "Ancho" => 1667
            "Tamanyo" => 254238
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "es"
  "url" => "/00142565/0000021800000005/v1_201805300407/S0014256518300663/v1_201805300407/es/main.assets"
  "Apartado" => array:4 [
    "identificador" => "1065"
    "tipo" => "SECCION"
    "es" => array:2 [
      "titulo" => "Medicina en im&#225;genes"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "es"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/00142565/0000021800000005/v1_201805300407/S0014256518300663/v1_201805300407/es/main.pdf?idApp=WRCEE&text.app=https://revclinesp.es/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0014256518300663?idApp=WRCEE"
]