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"apellidos" => "Varela" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572724000274?idApp=WMIE" "url" => "/21735727/unassign/S2173572724000274/v1_202402251056/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "Images in Intensive Medicine" "titulo" => "Severe community-acquired pneumonia due to Streptococcus pyogenes" "tieneTextoCompleto" => true "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Johanna Marcela Abril-Victorino, Mirian Ruiz de la Cuesta-López, Sergio Gómez-Camino" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Johanna Marcela" "apellidos" => "Abril-Victorino" "email" => array:1 [ 0 => "jmabril@riojasalud.es" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Mirian" "apellidos" => "Ruiz de la Cuesta-López" ] 2 => array:2 [ "nombre" => "Sergio" "apellidos" => "Gómez-Camino" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Unidad de Medicina Intensiva, Hospital San Pedro, Logroño, La Rioja, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Neumonía grave adquirida en la comunidad por Streptococcus pyogenes" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 890 "Ancho" => 1207 "Tamanyo" => 105941 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] ] ] "textoCompleto" => "A 38-year-old man with no relevant medical history was hospitalized in the intensive care unit with fever and nonspecific respiratory symptoms, which rapidly progressed to severe respiratory failure, septic shock, and multiple organ failure. He required vasopressor support, invasive ventilation, and antibiotic treatment with penicillin, clindamycin, and linezolid after Streptococcus pyogenes was isolated in respiratory samples and blood cultures. Despite treatment, fever persisted, as did a consolidation on the chest X-ray (<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>). Computed tomography (<a class="elsevierStyleCrossRef" href="#fig0010">Figure 2</a>) revealed necrosis and a lung abscess in the right upper lobe. This case highlights a severe presentation of invasive Streptococcus pyogenes infection, emphasizing the need to consider this etiology in the differential diagnosis, even in patients without known risk factors.<elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia>Declaration on the use of generative AI and AI-assisted technologies in the drafting process: the authors used ChatGPT to enhance the language and readability during the preparation of this work. After using this tool, the authors reviewed and edited the content as necessary and assume full responsibility for the publication’s content.FundingNone declared.Conflicts of interestNone declared." "textoCompletoSecciones" => array:1 [ "secciones" => array:2 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Funding" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Conflicts of interest" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "⋆" "nota" => "Please cite this article as: Abril-Victorino JM, Ruiz de la Cuesta-López M, Gómez-Camino S. Neumonía grave adquirida en la comunidad por Streptococcus pyogenes. Med Intensiva. 2024. https://doi.org/10.1016/j.medin.2024.05.012" ] ] "multimedia" => array:2 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 890 "Ancho" => 1207 "Tamanyo" => 105941 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1484 "Ancho" => 1074 "Tamanyo" => 151986 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0010" "detalle" => "Figure " "rol" => "short" ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735727/unassign/S2173572724001632/v1_202406280418/en/main.assets" "Apartado" => null "PDF" => "https://static.elsevier.es/multimedia/21735727/unassign/S2173572724001632/v1_202406280418/en/main.pdf?idApp=WMIE&text.app=https://medintensiva.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572724001632?idApp=WMIE"]

ISSN: 2173-5727

Medicina Intensiva is the journal of the Spanish Society of Intensive and Critical Care Medicine and Coronary Units (SEMICYUC), and has become the reference publication in Spanish in its field. Medicina Intensiva mainly publishes Original Articles, Reviews, Clinical Notes, Images in Intensive Medicine, and Information relevant to the specialty. All works go through a rigorous selection process.

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