array:23 [
  "pii" => "S0210569100796045"
  "issn" => "02105691"
  "doi" => "10.1016/S0210-5691(00)79604-5"
  "estado" => "S300"
  "fechaPublicacion" => "2000-08-01"
  "aid" => "79604"
  "copyright" => "Sociedad Española de Medicina Intensiva, Critica y Unidades Coronarias (SEMICYUC) and Elsevier España, S.L."
  "copyrightAnyo" => "2000"
  "documento" => "article"
  "crossmark" => 0
  "subdocumento" => "fla"
  "cita" => "Med Intensiva. 2000;24:281-4"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 4030
    "formatos" => array:3 [
      "EPUB" => 175
      "HTML" => 1943
      "PDF" => 1912
    ]
  ]
  "itemSiguiente" => array:18 [
    "pii" => "S0210569100796057"
    "issn" => "02105691"
    "doi" => "10.1016/S0210-5691(00)79605-7"
    "estado" => "S300"
    "fechaPublicacion" => "2000-08-01"
    "aid" => "79605"
    "copyright" => "Sociedad Española de Medicina Intensiva, Critica y Unidades Coronarias (SEMICYUC) and Elsevier España, S.L."
    "documento" => "simple-article"
    "crossmark" => 0
    "subdocumento" => "cor"
    "cita" => "Med Intensiva. 2000;24:285-6"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 1781
      "formatos" => array:3 [
        "EPUB" => 104
        "HTML" => 698
        "PDF" => 979
      ]
    ]
    "es" => array:7 [
      "idiomaDefecto" => true
      "titulo" => "Síndrome de Brugada"
      "tienePdf" => "es"
      "tieneTextoCompleto" => 0
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "285"
          "paginaFinal" => "286"
        ]
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "J. Ortega Carnicer, L. Ruiz-Valdepeñas Herrero, J. Benezet Peñaranda"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "J."
              "apellidos" => "Ortega Carnicer"
            ]
            1 => array:2 [
              "nombre" => "L."
              "apellidos" => "Ruiz-Valdepeñas Herrero"
            ]
            2 => array:2 [
              "nombre" => "J."
              "apellidos" => "Benezet Peñaranda"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569100796057?idApp=WMIE"
    "url" => "/02105691/0000002400000006/v1_201304241157/S0210569100796057/v1_201304241157/es/main.assets"
  ]
  "itemAnterior" => array:18 [
    "pii" => "S0210569100796033"
    "issn" => "02105691"
    "doi" => "10.1016/S0210-5691(00)79603-3"
    "estado" => "S300"
    "fechaPublicacion" => "2000-08-01"
    "aid" => "79603"
    "copyright" => "Sociedad Española de Medicina Intensiva, Critica y Unidades Coronarias (SEMICYUC) and Elsevier España, S.L."
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "fla"
    "cita" => "Med Intensiva. 2000;24:278-80"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 2628
      "formatos" => array:3 [
        "EPUB" => 153
        "HTML" => 1279
        "PDF" => 1196
      ]
    ]
    "es" => array:10 [
      "idiomaDefecto" => true
      "titulo" => "Aneurisma de arteria coronaria e infarto agudo de miocardio secundario a traumatismo torácico"
      "tienePdf" => "es"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "es"
        1 => "en"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "278"
          "paginaFinal" => "280"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Coronary Artery Aneurysm And Acute Myocardial Infarction After Chest Trauma"
        ]
      ]
      "contieneResumen" => array:2 [
        "es" => true
        "en" => true
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "F. Árbol Linde, V. Merlo González, J. Moreu Burgos, C. Contreras Rosino, A. Liétor Villajos, C. Hernández Lanchas"
          "autores" => array:6 [
            0 => array:2 [
              "nombre" => "F."
              "apellidos" => "Árbol Linde"
            ]
            1 => array:2 [
              "nombre" => "V."
              "apellidos" => "Merlo González"
            ]
            2 => array:2 [
              "nombre" => "J."
              "apellidos" => "Moreu Burgos"
            ]
            3 => array:2 [
              "nombre" => "C."
              "apellidos" => "Contreras Rosino"
            ]
            4 => array:2 [
              "nombre" => "A."
              "apellidos" => "Liétor Villajos"
            ]
            5 => array:2 [
              "nombre" => "C."
              "apellidos" => "Hernández Lanchas"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569100796033?idApp=WMIE"
    "url" => "/02105691/0000002400000006/v1_201304241157/S0210569100796033/v1_201304241157/es/main.assets"
  ]
  "es" => array:13 [
    "idiomaDefecto" => true
    "titulo" => "Botulismo por herida: una causa de parálisis muscular generalizada"
    "tieneTextoCompleto" => 0
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "281"
        "paginaFinal" => "284"
      ]
    ]
    "autores" => array:2 [
      0 => array:4 [
        "autoresLista" => "S. Lasdica, D. Fainstein, P. Casas, D. Maurizi"
        "autores" => array:4 [
          0 => array:3 [
            "nombre" => "S."
            "apellidos" => "Lasdica"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">1</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:2 [
            "nombre" => "D&#46;"
            "apellidos" => "Fainstein"
          ]
          2 => array:2 [
            "nombre" => "P&#46;"
            "apellidos" => "Casas"
          ]
          3 => array:2 [
            "nombre" => "D&#46;"
            "apellidos" => "Maurizi"
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:1 [
            "entidad" => "Servicio de Cuidados Intensivos&#46;"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "1"
            "correspondencia" => "Correspondencia&#58; Dr&#46; S&#46; Lasdica&#46; Servicio de Cuidados Intensivos&#46; Hospital Privado del Sur&#46; Las Heras&#44; 164&#46; Bah&#237;a Blanca&#44; 8000&#46; Argentina&#46;"
          ]
        ]
      ]
      1 => array:3 [
        "autoresLista" => "M&#46;A&#46; Gertiser, A&#46; Czerniecki"
        "autores" => array:2 [
          0 => array:3 [
            "nombre" => "M&#46;A&#46;"
            "apellidos" => "Gertiser"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "A&#46;"
            "apellidos" => "Czerniecki"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;&#42;</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:2 [
          0 => array:3 [
            "entidad" => "Servicio de Neurofisiolog&#237;a&#46;"
            "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Servicio de Ortopedia y Traumatolog&#237;a&#46; Hospital Privado del Sur&#46; Argentina&#46;"
            "etiqueta" => "<span class="elsevierStyleSup">&#42;&#42;</span>"
            "identificador" => "aff0010"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "en" => array:1 [
        "titulo" => "Wound Botulism&#58; A Cause of Widespread Muscular Paralysis"
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaAceptado" => "2000-03-21"
    "PalabrasClave" => array:2 [
      "es" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palabras Clave"
          "identificador" => "xpalclavsec82352"
          "palabras" => array:3 [
            0 => "botulismo"
            1 => "herida"
            2 => "par&#225;lisis neuromuscular"
          ]
        ]
      ]
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Key Words"
          "identificador" => "xpalclavsec82351"
          "palabras" => array:2 [
            0 => "Wound botulism"
            1 => "neuromuscular paralysis"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "es" => array:1 [
        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">El botulismo por herida es una enfermedad producida por el Clostridium botulinum&#44; un bacilo grampositivo anaerobio estricto que se instaura a trav&#233;s de heridas desarroll&#225;ndose en tejidos necr&#243;ticos&#46; Este microorganismo libera toxinasque act&#250;an a nivel de las terminales sin&#225;pticas bloqueando la liberaci&#243;n del neurotransmisor&#44; manifest&#225;ndose cl&#237;nicamente por una par&#225;lisis muscular descendente con compromiso de los nervios craneanos&#46; El tratamiento de esta enfermedad consiste en cuidados de enfermer&#237;a&#44; cuidados de la v&#237;a a&#233;rea si el paciente se encuentra en asistencia respiratoria mec&#225;nica&#44; y la administraci&#243;n de antibi&#243;ticos y antitoxinas&#46; La mortalidad es inferior al 10&#37;&#44; con persistencia de los s&#237;ntomas que puede superar el a&#241;o&#46; La resoluci&#243;n total del d&#233;ficit neurol&#243;gico puede prolongarse durante meses a a&#241;os&#46; Pesentamos un caso de botulismo por herida con una revisi&#243;n bibliogr&#225;fica&#46;</p>"
      ]
      "en" => array:1 [
        "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Wound botulism is a pathology caused by Clostridium botulinum&#44; a grampositive bacillus strict anaerobic that enters through wounds being developed in necrotic tissue&#46; This organism liberates toxins that act at sinaptic terminals blocking the liberation of the neurotransmisor&#44; resulting in a descending muscular paralysis with inclusion of the cranial nerves&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">The treatment consists on nursing care&#44; care of the airway if the patient is in mechanical ventilation&#44; and the administration of antibiotics and antitoxins&#46; The mortality is lower than 10&#37; with permanency of the symptoms over one year&#46; The total resolution of the neurological deficit can take months to years&#46; A case is presented with a bibliographical revision&#46;</p>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "Bibliograf&#237;a"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:10 [
            0 => array:3 [
              "identificador" => "bib0005"
              "etiqueta" => "1&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cluster of wound botulism in California&#58; clinical&#44; electrophysiologic and pathologic study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "R&#46;A&#46; Maselli"
                            1 => "W&#46; Ellis"
                            2 => "R&#46; Mandler"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Muscle-Nerve"
                        "fecha" => "1997"
                        "volumen" => "20"
                        "paginaInicial" => "1&#46;284"
                        "paginaFinal" => "1&#46;295"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9390671"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0010"
              "etiqueta" => "2&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Wound Botulism"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "C&#46;C&#46; Mehem"
                            1 => "F&#46;G&#46; Walter"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Vet Human Toxicl"
                        "fecha" => "1994"
                        "volumen" => "36"
                        "paginaInicial" => "233"
                        "paginaFinal" => "237"
                        "itemHostRev" => array:3 [
                          "pii" => "S0161642009003704"
                          "estado" => "S300"
                          "issn" => "01616420"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0015"
              "etiqueta" => "3&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Clostridium botulinum"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "T&#46;P&#46; Bleck"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:5 [
                        "titulo" => "Principles and practice of infectious diseases"
                        "paginaInicial" => "2&#46;178"
                        "paginaFinal" => "2&#46;181"
                        "edicion" => "4th ed"
                        "serieFecha" => "1995"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0020"
              "etiqueta" => "4&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Wound botulism"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "T&#46;J&#46; Weber"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Hosp-Pract-Off-Ed"
                        "fecha" => "1994"
                        "volumen" => "29"
                        "paginaInicial" => "16"
                        "paginaFinal" => "17"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7989422"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0025"
              "etiqueta" => "5&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Botulism and G&#46;B&#46; Syndrome"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "S&#46;H&#46;W Notermans"
                            1 => "J&#46;H&#46;J&#46; Wokke"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:4 [
                        "tituloSerie" => "Lancet"
                        "fecha" => "1992"
                        "paginaInicial" => "340"
                        "paginaFinal" => "343"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0030"
              "etiqueta" => "6&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Electrophysiologic methods as an aid in diagnosis of botulism&#58; a review"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "M&#46; Cherington"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "Muscle-Nerve"
                        "fecha" => "1982"
                        "volumen" => "5"
                        "paginaInicial" => "S28"
                        "paginaFinal" => "29"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6763148"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0161642009011786"
                          "estado" => "S300"
                          "issn" => "01616420"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib0035"
              "etiqueta" => "7&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Wound botulism"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "M&#46; Cherington"
                            1 => "S&#46; Ginsburg"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Surg"
                        "fecha" => "1975"
                        "volumen" => "110"
                        "paginaInicial" => "436"
                        "paginaFinal" => "438"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1147760"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib0040"
              "etiqueta" => "8&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:1 [
                      "titulo" => "Wound botulism-California&#44; 1995&#46; From the Center for Disease Control and Prevention&#46;"
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Jama"
                        "fecha" => "1996"
                        "volumen" => "275"
                        "paginaInicial" => "95"
                        "paginaFinal" => "96"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8531319"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib0045"
              "etiqueta" => "9&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:1 [
                      "titulo" => "Wound botulism-California&#44; 1995&#46;"
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Mmwr"
                        "fecha" => "1995"
                        "volumen" => "44"
                        "paginaInicial" => "889"
                        "paginaFinal" => "892"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7476845"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib0050"
              "etiqueta" => "10&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Susceptibility of Clostridium botulinum to thirteen antimicrobial agents"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "J&#46;M&#46; Swenson"
                            1 => "C&#46; Thornsberry"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Antimicrob Agents Chemother"
                        "fecha" => "1980"
                        "volumen" => "18"
                        "paginaInicial" => "13"
                        "paginaFinal" => "19"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6998374"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "es"
  "url" => "/02105691/0000002400000006/v1_201304241157/S0210569100796045/v1_201304241157/es/main.assets"
  "Apartado" => array:4 [
    "identificador" => "438"
    "tipo" => "SECCION"
    "es" => array:2 [
      "titulo" => "Notas cl&#237;nicas"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "es"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/02105691/0000002400000006/v1_201304241157/S0210569100796045/v1_201304241157/es/main.pdf?idApp=WMIE&text.app=https://medintensiva.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569100796045?idApp=WMIE"
]
Compartir
Información de la revista

Estadísticas

Siga este enlace para acceder al texto completo del artículo

Botulismo por herida: una causa de parálisis muscular generalizada
Wound Botulism: A Cause of Widespread Muscular Paralysis
S. Lasdica1, D. Fainstein, P. Casas, D. Maurizi
Servicio de Cuidados Intensivos.
M.A. Gertiser*, A. Czerniecki**
* Servicio de Neurofisiología.
** Servicio de Ortopedia y Traumatología. Hospital Privado del Sur. Argentina.
Leído
17889
Veces
se ha leído el artículo
9690
Total PDF
8199
Total HTML
Compartir estadísticas
 array:23 [
  "pii" => "S0210569100796045"
  "issn" => "02105691"
  "doi" => "10.1016/S0210-5691(00)79604-5"
  "estado" => "S300"
  "fechaPublicacion" => "2000-08-01"
  "aid" => "79604"
  "copyright" => "Sociedad Espa&#241;ola de Medicina Intensiva&#44; Critica y Unidades Coronarias &#40;SEMICYUC&#41; and Elsevier Espa&#241;a&#44; S&#46;L&#46;"
  "copyrightAnyo" => "2000"
  "documento" => "article"
  "crossmark" => 0
  "subdocumento" => "fla"
  "cita" => "Med Intensiva. 2000;24:281-4"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 4030
    "formatos" => array:3 [
      "EPUB" => 175
      "HTML" => 1943
      "PDF" => 1912
    ]
  ]
  "itemSiguiente" => array:18 [
    "pii" => "S0210569100796057"
    "issn" => "02105691"
    "doi" => "10.1016/S0210-5691(00)79605-7"
    "estado" => "S300"
    "fechaPublicacion" => "2000-08-01"
    "aid" => "79605"
    "copyright" => "Sociedad Espa&#241;ola de Medicina Intensiva&#44; Critica y Unidades Coronarias &#40;SEMICYUC&#41; and Elsevier Espa&#241;a&#44; S&#46;L&#46;"
    "documento" => "simple-article"
    "crossmark" => 0
    "subdocumento" => "cor"
    "cita" => "Med Intensiva. 2000;24:285-6"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 1781
      "formatos" => array:3 [
        "EPUB" => 104
        "HTML" => 698
        "PDF" => 979
      ]
    ]
    "es" => array:7 [
      "idiomaDefecto" => true
      "titulo" => "S&#237;ndrome de Brugada"
      "tienePdf" => "es"
      "tieneTextoCompleto" => 0
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "285"
          "paginaFinal" => "286"
        ]
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "J&#46; Ortega Carnicer, L&#46; Ruiz-Valdepe&#241;as Herrero, J&#46; Benezet Pe&#241;aranda"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "J&#46;"
              "apellidos" => "Ortega Carnicer"
            ]
            1 => array:2 [
              "nombre" => "L&#46;"
              "apellidos" => "Ruiz-Valdepe&#241;as Herrero"
            ]
            2 => array:2 [
              "nombre" => "J&#46;"
              "apellidos" => "Benezet Pe&#241;aranda"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569100796057?idApp=WMIE"
    "url" => "/02105691/0000002400000006/v1_201304241157/S0210569100796057/v1_201304241157/es/main.assets"
  ]
  "itemAnterior" => array:18 [
    "pii" => "S0210569100796033"
    "issn" => "02105691"
    "doi" => "10.1016/S0210-5691(00)79603-3"
    "estado" => "S300"
    "fechaPublicacion" => "2000-08-01"
    "aid" => "79603"
    "copyright" => "Sociedad Espa&#241;ola de Medicina Intensiva&#44; Critica y Unidades Coronarias &#40;SEMICYUC&#41; and Elsevier Espa&#241;a&#44; S&#46;L&#46;"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "fla"
    "cita" => "Med Intensiva. 2000;24:278-80"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 2628
      "formatos" => array:3 [
        "EPUB" => 153
        "HTML" => 1279
        "PDF" => 1196
      ]
    ]
    "es" => array:10 [
      "idiomaDefecto" => true
      "titulo" => "Aneurisma de arteria coronaria e infarto agudo de miocardio secundario a traumatismo tor&#225;cico"
      "tienePdf" => "es"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "es"
        1 => "en"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "278"
          "paginaFinal" => "280"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Coronary Artery Aneurysm And Acute Myocardial Infarction After Chest Trauma"
        ]
      ]
      "contieneResumen" => array:2 [
        "es" => true
        "en" => true
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "F&#46; &#193;rbol Linde, V&#46; Merlo Gonz&#225;lez, J&#46; Moreu Burgos, C&#46; Contreras Rosino, A&#46; Li&#233;tor Villajos, C&#46; Hern&#225;ndez Lanchas"
          "autores" => array:6 [
            0 => array:2 [
              "nombre" => "F&#46;"
              "apellidos" => "&#193;rbol Linde"
            ]
            1 => array:2 [
              "nombre" => "V&#46;"
              "apellidos" => "Merlo Gonz&#225;lez"
            ]
            2 => array:2 [
              "nombre" => "J&#46;"
              "apellidos" => "Moreu Burgos"
            ]
            3 => array:2 [
              "nombre" => "C&#46;"
              "apellidos" => "Contreras Rosino"
            ]
            4 => array:2 [
              "nombre" => "A&#46;"
              "apellidos" => "Li&#233;tor Villajos"
            ]
            5 => array:2 [
              "nombre" => "C&#46;"
              "apellidos" => "Hern&#225;ndez Lanchas"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569100796033?idApp=WMIE"
    "url" => "/02105691/0000002400000006/v1_201304241157/S0210569100796033/v1_201304241157/es/main.assets"
  ]
  "es" => array:13 [
    "idiomaDefecto" => true
    "titulo" => "Botulismo por herida&#58; una causa de par&#225;lisis muscular generalizada"
    "tieneTextoCompleto" => 0
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "281"
        "paginaFinal" => "284"
      ]
    ]
    "autores" => array:2 [
      0 => array:4 [
        "autoresLista" => "S&#46; Lasdica, D&#46; Fainstein, P&#46; Casas, D&#46; Maurizi"
        "autores" => array:4 [
          0 => array:3 [
            "nombre" => "S&#46;"
            "apellidos" => "Lasdica"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">1</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:2 [
            "nombre" => "D&#46;"
            "apellidos" => "Fainstein"
          ]
          2 => array:2 [
            "nombre" => "P&#46;"
            "apellidos" => "Casas"
          ]
          3 => array:2 [
            "nombre" => "D&#46;"
            "apellidos" => "Maurizi"
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:1 [
            "entidad" => "Servicio de Cuidados Intensivos&#46;"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "1"
            "correspondencia" => "Correspondencia&#58; Dr&#46; S&#46; Lasdica&#46; Servicio de Cuidados Intensivos&#46; Hospital Privado del Sur&#46; Las Heras&#44; 164&#46; Bah&#237;a Blanca&#44; 8000&#46; Argentina&#46;"
          ]
        ]
      ]
      1 => array:3 [
        "autoresLista" => "M&#46;A&#46; Gertiser, A&#46; Czerniecki"
        "autores" => array:2 [
          0 => array:3 [
            "nombre" => "M&#46;A&#46;"
            "apellidos" => "Gertiser"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "A&#46;"
            "apellidos" => "Czerniecki"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;&#42;</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:2 [
          0 => array:3 [
            "entidad" => "Servicio de Neurofisiolog&#237;a&#46;"
            "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Servicio de Ortopedia y Traumatolog&#237;a&#46; Hospital Privado del Sur&#46; Argentina&#46;"
            "etiqueta" => "<span class="elsevierStyleSup">&#42;&#42;</span>"
            "identificador" => "aff0010"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "en" => array:1 [
        "titulo" => "Wound Botulism&#58; A Cause of Widespread Muscular Paralysis"
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaAceptado" => "2000-03-21"
    "PalabrasClave" => array:2 [
      "es" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palabras Clave"
          "identificador" => "xpalclavsec82352"
          "palabras" => array:3 [
            0 => "botulismo"
            1 => "herida"
            2 => "par&#225;lisis neuromuscular"
          ]
        ]
      ]
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Key Words"
          "identificador" => "xpalclavsec82351"
          "palabras" => array:2 [
            0 => "Wound botulism"
            1 => "neuromuscular paralysis"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "es" => array:1 [
        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">El botulismo por herida es una enfermedad producida por el Clostridium botulinum&#44; un bacilo grampositivo anaerobio estricto que se instaura a trav&#233;s de heridas desarroll&#225;ndose en tejidos necr&#243;ticos&#46; Este microorganismo libera toxinasque act&#250;an a nivel de las terminales sin&#225;pticas bloqueando la liberaci&#243;n del neurotransmisor&#44; manifest&#225;ndose cl&#237;nicamente por una par&#225;lisis muscular descendente con compromiso de los nervios craneanos&#46; El tratamiento de esta enfermedad consiste en cuidados de enfermer&#237;a&#44; cuidados de la v&#237;a a&#233;rea si el paciente se encuentra en asistencia respiratoria mec&#225;nica&#44; y la administraci&#243;n de antibi&#243;ticos y antitoxinas&#46; La mortalidad es inferior al 10&#37;&#44; con persistencia de los s&#237;ntomas que puede superar el a&#241;o&#46; La resoluci&#243;n total del d&#233;ficit neurol&#243;gico puede prolongarse durante meses a a&#241;os&#46; Pesentamos un caso de botulismo por herida con una revisi&#243;n bibliogr&#225;fica&#46;</p>"
      ]
      "en" => array:1 [
        "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Wound botulism is a pathology caused by Clostridium botulinum&#44; a grampositive bacillus strict anaerobic that enters through wounds being developed in necrotic tissue&#46; This organism liberates toxins that act at sinaptic terminals blocking the liberation of the neurotransmisor&#44; resulting in a descending muscular paralysis with inclusion of the cranial nerves&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">The treatment consists on nursing care&#44; care of the airway if the patient is in mechanical ventilation&#44; and the administration of antibiotics and antitoxins&#46; The mortality is lower than 10&#37; with permanency of the symptoms over one year&#46; The total resolution of the neurological deficit can take months to years&#46; A case is presented with a bibliographical revision&#46;</p>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "Bibliograf&#237;a"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:10 [
            0 => array:3 [
              "identificador" => "bib0005"
              "etiqueta" => "1&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cluster of wound botulism in California&#58; clinical&#44; electrophysiologic and pathologic study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "R&#46;A&#46; Maselli"
                            1 => "W&#46; Ellis"
                            2 => "R&#46; Mandler"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Muscle-Nerve"
                        "fecha" => "1997"
                        "volumen" => "20"
                        "paginaInicial" => "1&#46;284"
                        "paginaFinal" => "1&#46;295"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9390671"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0010"
              "etiqueta" => "2&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Wound Botulism"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "C&#46;C&#46; Mehem"
                            1 => "F&#46;G&#46; Walter"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Vet Human Toxicl"
                        "fecha" => "1994"
                        "volumen" => "36"
                        "paginaInicial" => "233"
                        "paginaFinal" => "237"
                        "itemHostRev" => array:3 [
                          "pii" => "S0161642009003704"
                          "estado" => "S300"
                          "issn" => "01616420"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0015"
              "etiqueta" => "3&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Clostridium botulinum"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "T&#46;P&#46; Bleck"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:5 [
                        "titulo" => "Principles and practice of infectious diseases"
                        "paginaInicial" => "2&#46;178"
                        "paginaFinal" => "2&#46;181"
                        "edicion" => "4th ed"
                        "serieFecha" => "1995"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0020"
              "etiqueta" => "4&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Wound botulism"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "T&#46;J&#46; Weber"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Hosp-Pract-Off-Ed"
                        "fecha" => "1994"
                        "volumen" => "29"
                        "paginaInicial" => "16"
                        "paginaFinal" => "17"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7989422"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0025"
              "etiqueta" => "5&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Botulism and G&#46;B&#46; Syndrome"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "S&#46;H&#46;W Notermans"
                            1 => "J&#46;H&#46;J&#46; Wokke"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:4 [
                        "tituloSerie" => "Lancet"
                        "fecha" => "1992"
                        "paginaInicial" => "340"
                        "paginaFinal" => "343"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0030"
              "etiqueta" => "6&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Electrophysiologic methods as an aid in diagnosis of botulism&#58; a review"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "M&#46; Cherington"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "Muscle-Nerve"
                        "fecha" => "1982"
                        "volumen" => "5"
                        "paginaInicial" => "S28"
                        "paginaFinal" => "29"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6763148"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0161642009011786"
                          "estado" => "S300"
                          "issn" => "01616420"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib0035"
              "etiqueta" => "7&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Wound botulism"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "M&#46; Cherington"
                            1 => "S&#46; Ginsburg"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Surg"
                        "fecha" => "1975"
                        "volumen" => "110"
                        "paginaInicial" => "436"
                        "paginaFinal" => "438"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1147760"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib0040"
              "etiqueta" => "8&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:1 [
                      "titulo" => "Wound botulism-California&#44; 1995&#46; From the Center for Disease Control and Prevention&#46;"
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Jama"
                        "fecha" => "1996"
                        "volumen" => "275"
                        "paginaInicial" => "95"
                        "paginaFinal" => "96"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8531319"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib0045"
              "etiqueta" => "9&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:1 [
                      "titulo" => "Wound botulism-California&#44; 1995&#46;"
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Mmwr"
                        "fecha" => "1995"
                        "volumen" => "44"
                        "paginaInicial" => "889"
                        "paginaFinal" => "892"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7476845"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib0050"
              "etiqueta" => "10&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Susceptibility of Clostridium botulinum to thirteen antimicrobial agents"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "J&#46;M&#46; Swenson"
                            1 => "C&#46; Thornsberry"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Antimicrob Agents Chemother"
                        "fecha" => "1980"
                        "volumen" => "18"
                        "paginaInicial" => "13"
                        "paginaFinal" => "19"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6998374"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "es"
  "url" => "/02105691/0000002400000006/v1_201304241157/S0210569100796045/v1_201304241157/es/main.assets"
  "Apartado" => array:4 [
    "identificador" => "438"
    "tipo" => "SECCION"
    "es" => array:2 [
      "titulo" => "Notas cl&#237;nicas"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "es"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/02105691/0000002400000006/v1_201304241157/S0210569100796045/v1_201304241157/es/main.pdf?idApp=WMIE&text.app=https://medintensiva.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569100796045?idApp=WMIE"
]
Información del artículo
ISSN: 02105691
Idioma original: Español
Datos actualizados diariamente
año/Mes Html Pdf Total
2024 Noviembre 23 24 47
2024 Octubre 193 148 341
2024 Septiembre 156 87 243
2024 Agosto 164 126 290
2024 Julio 192 118 310
2024 Junio 196 119 315
2024 Mayo 176 233 409
2024 Abril 194 212 406
2024 Marzo 151 149 300
2024 Febrero 91 178 269
2024 Enero 97 154 251
2023 Diciembre 124 162 286
2023 Noviembre 146 182 328
2023 Octubre 145 242 387
2023 Septiembre 106 183 289
2023 Agosto 79 97 176
2023 Julio 157 155 312
2023 Junio 112 123 235
2023 Mayo 83 29 112
2023 Abril 58 191 249
2023 Marzo 109 285 394
2023 Febrero 84 238 322
2023 Enero 57 175 232
2022 Diciembre 49 136 185
2022 Noviembre 129 197 326
2022 Octubre 124 180 304
2022 Septiembre 122 180 302
2022 Agosto 62 152 214
2022 Julio 80 117 197
2022 Junio 91 130 221
2022 Mayo 118 184 302
2022 Abril 79 146 225
2022 Marzo 102 118 220
2022 Febrero 73 96 169
2022 Enero 94 130 224
2021 Diciembre 66 107 173
2021 Noviembre 103 161 264
2021 Octubre 121 199 320
2021 Septiembre 120 131 251
2021 Agosto 66 97 163
2021 Julio 91 77 168
2021 Junio 144 175 319
2021 Mayo 160 111 271
2021 Abril 220 258 478
2021 Marzo 142 129 271
2021 Febrero 98 112 210
2021 Enero 91 57 148
2020 Diciembre 90 82 172
2020 Noviembre 84 64 148
2020 Octubre 50 79 129
2020 Septiembre 85 67 152
2020 Agosto 84 77 161
2020 Julio 54 58 112
2020 Junio 90 94 184
2020 Mayo 85 82 167
2020 Abril 103 110 213
2020 Marzo 67 40 107
2020 Febrero 116 115 231
2020 Enero 51 41 92
2019 Diciembre 75 76 151
2019 Noviembre 92 70 162
2019 Octubre 172 121 293
2019 Septiembre 90 86 176
2019 Agosto 68 54 122
2019 Julio 57 62 119
2019 Junio 87 82 169
2019 Mayo 92 115 207
2019 Abril 65 92 157
2019 Marzo 56 96 152
2019 Febrero 51 69 120
2019 Enero 44 66 110
2018 Diciembre 50 116 166
2018 Noviembre 99 141 240
2018 Octubre 58 44 102
2018 Septiembre 61 21 82
2018 Agosto 22 25 47
2018 Julio 23 22 45
2018 Junio 23 30 53
2018 Mayo 14 18 32
2018 Abril 50 24 74
2018 Marzo 32 20 52
2018 Febrero 16 13 29
2018 Enero 21 19 40
2017 Diciembre 25 17 42
2017 Noviembre 22 19 41
2017 Octubre 19 22 41
2017 Septiembre 22 36 58
2017 Agosto 14 23 37
2017 Julio 12 21 33
2017 Junio 29 20 49
2017 Mayo 32 16 48
2017 Abril 20 10 30
2017 Marzo 17 20 37
2017 Febrero 9 5 14
2017 Enero 11 6 17
2016 Diciembre 20 15 35
2016 Noviembre 27 13 40
2016 Octubre 39 24 63
2016 Septiembre 28 23 51
2016 Agosto 24 12 36
2016 Julio 14 7 21
Mostrar todo

Siga este enlace para acceder al texto completo del artículo

Idiomas
Medicina Intensiva
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?