array:24 [
  "pii" => "S0210569123002632"
  "issn" => "02105691"
  "doi" => "10.1016/j.medin.2023.09.006"
  "estado" => "S300"
  "fechaPublicacion" => "2024-04-01"
  "aid" => "1934"
  "copyright" => "Elsevier España, S.L.U. y SEMICYUC"
  "copyrightAnyo" => "2023"
  "documento" => "article"
  "crossmark" => 1
  "subdocumento" => "sco"
  "cita" => "Med Intensiva. 2024;48:242-3"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:1 [
    "total" => 0
  ]
  "Traduccion" => array:1 [
    "en" => array:19 [
      "pii" => "S2173572723001649"
      "issn" => "21735727"
      "doi" => "10.1016/j.medine.2023.10.004"
      "estado" => "S300"
      "fechaPublicacion" => "2024-04-01"
      "aid" => "1934"
      "copyright" => "Elsevier España, S.L.U. and SEMICYUC"
      "documento" => "article"
      "crossmark" => 0
      "subdocumento" => "sco"
      "cita" => "Med Intensiva. 2024;48:242-3"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:1 [
        "total" => 0
      ]
      "en" => array:11 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Images in Intensive Medicine</span>"
        "titulo" => "Vaccine-induced immune thrombotic thrombocytope"
        "tienePdf" => "en"
        "tieneTextoCompleto" => "en"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "242"
            "paginaFinal" => "243"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "es" => array:1 [
            "titulo" => "Trombosis trombop&#233;nica inducida por la vacuna"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "en" => true
        ]
        "contienePdf" => array:1 [
          "en" => true
        ]
        "resumenGrafico" => array:2 [
          "original" => 0
          "multimedia" => array:6 [
            "identificador" => "fig0015"
            "etiqueta" => "Figure 3"
            "tipo" => "MULTIMEDIAFIGURA"
            "mostrarFloat" => true
            "mostrarDisplay" => false
            "figura" => array:1 [
              0 => array:4 [
                "imagen" => "gr3.jpeg"
                "Alto" => 2361
                "Ancho" => 1508
                "Tamanyo" => 302897
              ]
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "Joaqu&#237;n Navarro Rodr&#237;guez, Horacio Garc&#237;a-Delgado Rosado, Rosario Amaya Villar"
            "autores" => array:3 [
              0 => array:2 [
                "nombre" => "Joaqu&#237;n"
                "apellidos" => "Navarro Rodr&#237;guez"
              ]
              1 => array:2 [
                "nombre" => "Horacio"
                "apellidos" => "Garc&#237;a-Delgado Rosado"
              ]
              2 => array:2 [
                "nombre" => "Rosario"
                "apellidos" => "Amaya Villar"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "en"
      "Traduccion" => array:1 [
        "es" => array:9 [
          "pii" => "S0210569123002632"
          "doi" => "10.1016/j.medin.2023.09.006"
          "estado" => "S300"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => true
            "ES2" => true
            "LATM" => true
          ]
          "gratuito" => true
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "es"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569123002632?idApp=WMIE"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572723001649?idApp=WMIE"
      "url" => "/21735727/0000004800000004/v1_202403290634/S2173572723001649/v1_202403290634/en/main.assets"
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S0210569123003169"
    "issn" => "02105691"
    "doi" => "10.1016/j.medin.2023.10.014"
    "estado" => "S300"
    "fechaPublicacion" => "2024-04-01"
    "aid" => "1950"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; y SEMICYUC"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "sco"
    "cita" => "Med Intensiva. 2024;48:244-5"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:1 [
      "total" => 0
    ]
    "es" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Im&#225;genes en Medicina Intensiva</span>"
      "titulo" => "Ecograf&#237;a pulmonar&#58; absceso pulmonar secundario a neumon&#237;a necrotizante"
      "tienePdf" => "es"
      "tieneTextoCompleto" => "es"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "244"
          "paginaFinal" => "245"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Lung ultrasound&#58; Lung abscess secondary to necrotizing pneumonia"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "es" => true
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "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" => 1341
              "Ancho" => 1917
              "Tamanyo" => 164429
            ]
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Luis Javier P&#233;rez Bazaga, Carlos &#193;vila Sansegundo, Mar&#237;a &#193;ngeles Santiago Trivi&#241;o"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "Luis Javier"
              "apellidos" => "P&#233;rez Bazaga"
            ]
            1 => array:2 [
              "nombre" => "Carlos"
              "apellidos" => "&#193;vila Sansegundo"
            ]
            2 => array:2 [
              "nombre" => "Mar&#237;a &#193;ngeles"
              "apellidos" => "Santiago Trivi&#241;o"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "Traduccion" => array:1 [
      "en" => array:9 [
        "pii" => "S2173572723002011"
        "doi" => "10.1016/j.medine.2023.11.007"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "en"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572723002011?idApp=WMIE"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569123003169?idApp=WMIE"
    "url" => "/02105691/0000004800000004/v1_202403270556/S0210569123003169/v1_202403270556/es/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S0210569123003157"
    "issn" => "02105691"
    "doi" => "10.1016/j.medin.2023.10.013"
    "estado" => "S300"
    "fechaPublicacion" => "2024-04-01"
    "aid" => "1949"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; y SEMICYUC"
    "documento" => "simple-article"
    "crossmark" => 1
    "subdocumento" => "cor"
    "cita" => "Med Intensiva. 2024;48:241"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:1 [
      "total" => 0
    ]
    "es" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">CARTA AL EDITOR</span>"
      "titulo" => "Clorhexidina y neumon&#237;a asociada al ventilador"
      "tienePdf" => "es"
      "tieneTextoCompleto" => "es"
      "paginas" => array:1 [
        0 => array:1 [
          "paginaInicial" => "241"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Chlorhexidine and ventilator-associated pneumonia"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "es" => true
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Fausto Marcos Guerrero-Toapanta, Yeimi del Carmen Herrera-Parra"
          "autores" => array:2 [
            0 => array:2 [
              "nombre" => "Fausto Marcos"
              "apellidos" => "Guerrero-Toapanta"
            ]
            1 => array:2 [
              "nombre" => "Yeimi del Carmen"
              "apellidos" => "Herrera-Parra"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "Traduccion" => array:1 [
      "en" => array:9 [
        "pii" => "S2173572723002047"
        "doi" => "10.1016/j.medine.2023.11.010"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "en"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572723002047?idApp=WMIE"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569123003157?idApp=WMIE"
    "url" => "/02105691/0000004800000004/v1_202403270556/S0210569123003157/v1_202403270556/es/main.assets"
  ]
  "es" => array:13 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Im&#225;genes en Medicina Intensiva</span>"
    "titulo" => "Trombosis trombop&#233;nica inducida por la vacuna"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "242"
        "paginaFinal" => "243"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Joaqu&#237;n Navarro Rodr&#237;guez, Horacio Garc&#237;a-Delgado Rosado, Rosario Amaya Villar"
        "autores" => array:3 [
          0 => array:4 [
            "nombre" => "Joaqu&#237;n"
            "apellidos" => "Navarro Rodr&#237;guez"
            "email" => array:1 [
              0 => "joaquinalajar@gmail.com"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:2 [
            "nombre" => "Horacio"
            "apellidos" => "Garc&#237;a-Delgado Rosado"
          ]
          2 => array:2 [
            "nombre" => "Rosario"
            "apellidos" => "Amaya Villar"
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:2 [
            "entidad" => "Unidad de Cuidados Intensivos&#44; Hospital Universitario Virgen del Roc&#237;o&#44; Sevilla&#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" => "Vaccine-induced immune thrombotic thrombocytopenia"
      ]
    ]
    "resumenGrafico" => array:2 [
      "original" => 0
      "multimedia" => array:6 [
        "identificador" => "fig0010"
        "etiqueta" => "Figura 2"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr2.jpeg"
            "Alto" => 937
            "Ancho" => 755
            "Tamanyo" => 172548
          ]
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Var&#243;n de 37<span class="elsevierStyleHsp" style=""></span>a&#241;os&#44; sin antecedentes personales&#44; que cinco d&#237;as despu&#233;s de recibir la vacuna Janssen Covid-19 comienza con alteraci&#243;n del lenguaje&#44; desorientaci&#243;n e inquietud psicomotora&#46; Se realiz&#243; TC de cr&#225;neo&#44; donde se objetiv&#243; isquemia arterial en cerebral media izquierda &#40;<a class="elsevierStyleCrossRef" href="#fig0005">fig&#46; 1</a>&#41;&#44; as&#237; como trombocitopenia de 25&#46;000&#47;mm<span class="elsevierStyleSup">3</span>&#44; sospech&#225;ndose una trombosis trombop&#233;nica inducida por la vacuna &#40;VITT&#41;&#44; que ser&#237;a confirmada posteriormente con positividad para anticuerpos contra el factor plaquetario<span class="elsevierStyleHsp" style=""></span>4&#46; A pesar del tratamiento con fondaparinux&#44; corticoides e inmunoglobulinas hubo mala evoluci&#243;n cl&#237;nica&#44; con desarrollo de distensi&#243;n abdominal con peritonismo y r&#225;pido deterioro respiratorio que precis&#243; ventilaci&#243;n mec&#225;nica&#46; En la TC de abdomen a las seis horas se comprob&#243; isquemia enteroc&#243;lica&#44; pancre&#225;tica y g&#225;strica con trombosis extensa del eje porto-mesent&#233;rico &#40;<a class="elsevierStyleCrossRefs" href="#fig0010">figs&#46; 2 y 3</a>&#41;&#46; Finalmente&#44; el paciente falleci&#243;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Financiaci&#243;n</span><p id="par0015" class="elsevierStylePara elsevierViewall">No se ha obtenido ninguna financiaci&#243;n por este trabajo&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Conflicto de intereses</span><p id="par0020" class="elsevierStylePara elsevierViewall">Declaramos no tener conflicto de intereses&#46;</p></span></span>"
    "textoCompletoSecciones" => array:1 [
      "secciones" => array:2 [
        0 => array:2 [
          "identificador" => "sec0010"
          "titulo" => "Financiaci&#243;n"
        ]
        1 => array:2 [
          "identificador" => "sec0015"
          "titulo" => "Conflicto de intereses"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "multimedia" => array:3 [
      0 => array:6 [
        "identificador" => "fig0005"
        "etiqueta" => "Figura 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 824
            "Ancho" => 755
            "Tamanyo" => 68431
          ]
        ]
      ]
      1 => array:6 [
        "identificador" => "fig0010"
        "etiqueta" => "Figura 2"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr2.jpeg"
            "Alto" => 937
            "Ancho" => 755
            "Tamanyo" => 172548
          ]
        ]
      ]
      2 => array:6 [
        "identificador" => "fig0015"
        "etiqueta" => "Figura 3"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr3.jpeg"
            "Alto" => 1182
            "Ancho" => 755
            "Tamanyo" => 119157
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "es"
  "url" => "/02105691/0000004800000004/v1_202403270556/S0210569123002632/v1_202403270556/es/main.assets"
  "Apartado" => array:4 [
    "identificador" => "440"
    "tipo" => "SECCION"
    "es" => array:2 [
      "titulo" => "Im&#225;genes en medicina intensiva"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "es"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/02105691/0000004800000004/v1_202403270556/S0210569123002632/v1_202403270556/es/main.pdf?idApp=WMIE&text.app=https://medintensiva.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569123002632?idApp=WMIE"
]
Compartir
Información de la revista

Estadísticas

Siga este enlace para acceder al texto completo del artículo

Imágenes en Medicina Intensiva
Trombosis trombopénica inducida por la vacuna
Vaccine-induced immune thrombotic thrombocytopenia
Joaquín Navarro Rodríguez
Autor para correspondencia
joaquinalajar@gmail.com

Autor para correspondencia.
, Horacio García-Delgado Rosado, Rosario Amaya Villar
Unidad de Cuidados Intensivos, Hospital Universitario Virgen del Rocío, Sevilla, España
Leído
434
Veces
se ha leído el artículo
203
Total PDF
231
Total HTML
Compartir estadísticas
 array:24 [
  "pii" => "S0210569123002632"
  "issn" => "02105691"
  "doi" => "10.1016/j.medin.2023.09.006"
  "estado" => "S300"
  "fechaPublicacion" => "2024-04-01"
  "aid" => "1934"
  "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; y SEMICYUC"
  "copyrightAnyo" => "2023"
  "documento" => "article"
  "crossmark" => 1
  "subdocumento" => "sco"
  "cita" => "Med Intensiva. 2024;48:242-3"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:1 [
    "total" => 0
  ]
  "Traduccion" => array:1 [
    "en" => array:19 [
      "pii" => "S2173572723001649"
      "issn" => "21735727"
      "doi" => "10.1016/j.medine.2023.10.004"
      "estado" => "S300"
      "fechaPublicacion" => "2024-04-01"
      "aid" => "1934"
      "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and SEMICYUC"
      "documento" => "article"
      "crossmark" => 0
      "subdocumento" => "sco"
      "cita" => "Med Intensiva. 2024;48:242-3"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:1 [
        "total" => 0
      ]
      "en" => array:11 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Images in Intensive Medicine</span>"
        "titulo" => "Vaccine-induced immune thrombotic thrombocytope"
        "tienePdf" => "en"
        "tieneTextoCompleto" => "en"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "242"
            "paginaFinal" => "243"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "es" => array:1 [
            "titulo" => "Trombosis trombop&#233;nica inducida por la vacuna"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "en" => true
        ]
        "contienePdf" => array:1 [
          "en" => true
        ]
        "resumenGrafico" => array:2 [
          "original" => 0
          "multimedia" => array:6 [
            "identificador" => "fig0015"
            "etiqueta" => "Figure 3"
            "tipo" => "MULTIMEDIAFIGURA"
            "mostrarFloat" => true
            "mostrarDisplay" => false
            "figura" => array:1 [
              0 => array:4 [
                "imagen" => "gr3.jpeg"
                "Alto" => 2361
                "Ancho" => 1508
                "Tamanyo" => 302897
              ]
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "Joaqu&#237;n Navarro Rodr&#237;guez, Horacio Garc&#237;a-Delgado Rosado, Rosario Amaya Villar"
            "autores" => array:3 [
              0 => array:2 [
                "nombre" => "Joaqu&#237;n"
                "apellidos" => "Navarro Rodr&#237;guez"
              ]
              1 => array:2 [
                "nombre" => "Horacio"
                "apellidos" => "Garc&#237;a-Delgado Rosado"
              ]
              2 => array:2 [
                "nombre" => "Rosario"
                "apellidos" => "Amaya Villar"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "en"
      "Traduccion" => array:1 [
        "es" => array:9 [
          "pii" => "S0210569123002632"
          "doi" => "10.1016/j.medin.2023.09.006"
          "estado" => "S300"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => true
            "ES2" => true
            "LATM" => true
          ]
          "gratuito" => true
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "es"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569123002632?idApp=WMIE"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572723001649?idApp=WMIE"
      "url" => "/21735727/0000004800000004/v1_202403290634/S2173572723001649/v1_202403290634/en/main.assets"
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S0210569123003169"
    "issn" => "02105691"
    "doi" => "10.1016/j.medin.2023.10.014"
    "estado" => "S300"
    "fechaPublicacion" => "2024-04-01"
    "aid" => "1950"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; y SEMICYUC"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "sco"
    "cita" => "Med Intensiva. 2024;48:244-5"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:1 [
      "total" => 0
    ]
    "es" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Im&#225;genes en Medicina Intensiva</span>"
      "titulo" => "Ecograf&#237;a pulmonar&#58; absceso pulmonar secundario a neumon&#237;a necrotizante"
      "tienePdf" => "es"
      "tieneTextoCompleto" => "es"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "244"
          "paginaFinal" => "245"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Lung ultrasound&#58; Lung abscess secondary to necrotizing pneumonia"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "es" => true
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "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" => 1341
              "Ancho" => 1917
              "Tamanyo" => 164429
            ]
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Luis Javier P&#233;rez Bazaga, Carlos &#193;vila Sansegundo, Mar&#237;a &#193;ngeles Santiago Trivi&#241;o"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "Luis Javier"
              "apellidos" => "P&#233;rez Bazaga"
            ]
            1 => array:2 [
              "nombre" => "Carlos"
              "apellidos" => "&#193;vila Sansegundo"
            ]
            2 => array:2 [
              "nombre" => "Mar&#237;a &#193;ngeles"
              "apellidos" => "Santiago Trivi&#241;o"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "Traduccion" => array:1 [
      "en" => array:9 [
        "pii" => "S2173572723002011"
        "doi" => "10.1016/j.medine.2023.11.007"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "en"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572723002011?idApp=WMIE"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569123003169?idApp=WMIE"
    "url" => "/02105691/0000004800000004/v1_202403270556/S0210569123003169/v1_202403270556/es/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S0210569123003157"
    "issn" => "02105691"
    "doi" => "10.1016/j.medin.2023.10.013"
    "estado" => "S300"
    "fechaPublicacion" => "2024-04-01"
    "aid" => "1949"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; y SEMICYUC"
    "documento" => "simple-article"
    "crossmark" => 1
    "subdocumento" => "cor"
    "cita" => "Med Intensiva. 2024;48:241"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:1 [
      "total" => 0
    ]
    "es" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">CARTA AL EDITOR</span>"
      "titulo" => "Clorhexidina y neumon&#237;a asociada al ventilador"
      "tienePdf" => "es"
      "tieneTextoCompleto" => "es"
      "paginas" => array:1 [
        0 => array:1 [
          "paginaInicial" => "241"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Chlorhexidine and ventilator-associated pneumonia"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "es" => true
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Fausto Marcos Guerrero-Toapanta, Yeimi del Carmen Herrera-Parra"
          "autores" => array:2 [
            0 => array:2 [
              "nombre" => "Fausto Marcos"
              "apellidos" => "Guerrero-Toapanta"
            ]
            1 => array:2 [
              "nombre" => "Yeimi del Carmen"
              "apellidos" => "Herrera-Parra"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "Traduccion" => array:1 [
      "en" => array:9 [
        "pii" => "S2173572723002047"
        "doi" => "10.1016/j.medine.2023.11.010"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "en"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572723002047?idApp=WMIE"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569123003157?idApp=WMIE"
    "url" => "/02105691/0000004800000004/v1_202403270556/S0210569123003157/v1_202403270556/es/main.assets"
  ]
  "es" => array:13 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Im&#225;genes en Medicina Intensiva</span>"
    "titulo" => "Trombosis trombop&#233;nica inducida por la vacuna"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "242"
        "paginaFinal" => "243"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Joaqu&#237;n Navarro Rodr&#237;guez, Horacio Garc&#237;a-Delgado Rosado, Rosario Amaya Villar"
        "autores" => array:3 [
          0 => array:4 [
            "nombre" => "Joaqu&#237;n"
            "apellidos" => "Navarro Rodr&#237;guez"
            "email" => array:1 [
              0 => "joaquinalajar@gmail.com"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:2 [
            "nombre" => "Horacio"
            "apellidos" => "Garc&#237;a-Delgado Rosado"
          ]
          2 => array:2 [
            "nombre" => "Rosario"
            "apellidos" => "Amaya Villar"
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:2 [
            "entidad" => "Unidad de Cuidados Intensivos&#44; Hospital Universitario Virgen del Roc&#237;o&#44; Sevilla&#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" => "Vaccine-induced immune thrombotic thrombocytopenia"
      ]
    ]
    "resumenGrafico" => array:2 [
      "original" => 0
      "multimedia" => array:6 [
        "identificador" => "fig0010"
        "etiqueta" => "Figura 2"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr2.jpeg"
            "Alto" => 937
            "Ancho" => 755
            "Tamanyo" => 172548
          ]
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Var&#243;n de 37<span class="elsevierStyleHsp" style=""></span>a&#241;os&#44; sin antecedentes personales&#44; que cinco d&#237;as despu&#233;s de recibir la vacuna Janssen Covid-19 comienza con alteraci&#243;n del lenguaje&#44; desorientaci&#243;n e inquietud psicomotora&#46; Se realiz&#243; TC de cr&#225;neo&#44; donde se objetiv&#243; isquemia arterial en cerebral media izquierda &#40;<a class="elsevierStyleCrossRef" href="#fig0005">fig&#46; 1</a>&#41;&#44; as&#237; como trombocitopenia de 25&#46;000&#47;mm<span class="elsevierStyleSup">3</span>&#44; sospech&#225;ndose una trombosis trombop&#233;nica inducida por la vacuna &#40;VITT&#41;&#44; que ser&#237;a confirmada posteriormente con positividad para anticuerpos contra el factor plaquetario<span class="elsevierStyleHsp" style=""></span>4&#46; A pesar del tratamiento con fondaparinux&#44; corticoides e inmunoglobulinas hubo mala evoluci&#243;n cl&#237;nica&#44; con desarrollo de distensi&#243;n abdominal con peritonismo y r&#225;pido deterioro respiratorio que precis&#243; ventilaci&#243;n mec&#225;nica&#46; En la TC de abdomen a las seis horas se comprob&#243; isquemia enteroc&#243;lica&#44; pancre&#225;tica y g&#225;strica con trombosis extensa del eje porto-mesent&#233;rico &#40;<a class="elsevierStyleCrossRefs" href="#fig0010">figs&#46; 2 y 3</a>&#41;&#46; Finalmente&#44; el paciente falleci&#243;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Financiaci&#243;n</span><p id="par0015" class="elsevierStylePara elsevierViewall">No se ha obtenido ninguna financiaci&#243;n por este trabajo&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Conflicto de intereses</span><p id="par0020" class="elsevierStylePara elsevierViewall">Declaramos no tener conflicto de intereses&#46;</p></span></span>"
    "textoCompletoSecciones" => array:1 [
      "secciones" => array:2 [
        0 => array:2 [
          "identificador" => "sec0010"
          "titulo" => "Financiaci&#243;n"
        ]
        1 => array:2 [
          "identificador" => "sec0015"
          "titulo" => "Conflicto de intereses"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "multimedia" => array:3 [
      0 => array:6 [
        "identificador" => "fig0005"
        "etiqueta" => "Figura 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 824
            "Ancho" => 755
            "Tamanyo" => 68431
          ]
        ]
      ]
      1 => array:6 [
        "identificador" => "fig0010"
        "etiqueta" => "Figura 2"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr2.jpeg"
            "Alto" => 937
            "Ancho" => 755
            "Tamanyo" => 172548
          ]
        ]
      ]
      2 => array:6 [
        "identificador" => "fig0015"
        "etiqueta" => "Figura 3"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr3.jpeg"
            "Alto" => 1182
            "Ancho" => 755
            "Tamanyo" => 119157
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "es"
  "url" => "/02105691/0000004800000004/v1_202403270556/S0210569123002632/v1_202403270556/es/main.assets"
  "Apartado" => array:4 [
    "identificador" => "440"
    "tipo" => "SECCION"
    "es" => array:2 [
      "titulo" => "Im&#225;genes en medicina intensiva"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "es"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/02105691/0000004800000004/v1_202403270556/S0210569123002632/v1_202403270556/es/main.pdf?idApp=WMIE&text.app=https://medintensiva.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569123002632?idApp=WMIE"
]
Información del artículo
ISSN: 02105691
Idioma original: Español
Datos actualizados diariamente
año/Mes Html Pdf Total
2024 Noviembre 4 4 8
2024 Octubre 53 58 111
2024 Septiembre 52 42 94
2024 Agosto 52 52 104
2024 Julio 48 41 89
2024 Junio 1 0 1
2024 Mayo 1 0 1
2024 Abril 6 2 8
2024 Marzo 2 0 2
2023 Noviembre 9 4 13
2023 Octubre 3 0 3

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?